Kualitas Pelayanan Di Rumah Sakit : Sebuah Kajian Systematic Literature Review

Authors

  • Theresia Marditama Universitas Jenderal Achmad Yani
  • Nur Pudyastuti Pratiwi Universitas Jenderal Achmad Yani

Keywords:

Dimensi Pelayanan Kesehatan, Kepuasan Pasien, Kualitas Pelayanan, Rumah Sakit, Systematic Literature Review

Abstract

Kualitas pelayanan rumah sakit merupakan faktor determinan dalam membentuk kepuasan dan loyalitas pasien, namun sintesis komprehensif terhadap perkembangan literatur terkini masih sangat terbatas. Penelitian ini bertujuan mengidentifikasi dimensi dominan, instrumen pengukuran, faktor penghambat dan pendorong, serta tren perkembangan penelitian kualitas pelayanan rumah sakit periode 2021–2025. Metode yang digunakan adalah Systematic Literature Review (SLR) dengan protokol PRISMA, melalui penelusuran basis data Google Scholar, PubMed, Scopus, ScienceDirect, ProQuest, Garuda, dan SINTA. Dari 480 artikel teridentifikasi, sebanyak 25 artikel memenuhi kriteria inklusi dan dianalisis menggunakan sintesis naratif serta penilaian kualitas CASP. Hasil menunjukkan bahwa dimensi reliability paling dominan, diikuti assurance, responsiveness, empathy, dan tangibles dalam kerangka SERVQUAL yang mendominasi 76% studi. Kepuasan pasien terbukti sebagai mediator kunci antara kualitas layanan dan loyalitas pasien. Faktor internal seperti disiplin kerja dan internal service quality turut berkontribusi signifikan terhadap mutu layanan. Indonesia mendominasi konteks geografis dengan 13 studi. Disimpulkan bahwa peningkatan reliability dan assurance harus diprioritaskan, evaluasi SERVQUAL perlu dilakukan berkala, dan penelitian lanjutan disarankan menggunakan desain longitudinal dengan cakupan geografis lebih luas serta mengeksplorasi variabel kontemporer seperti digital patient experience dan sensory marketing.

References

Abdullah, M. I., Ivascu, L., & Riaz, A. (2021). Effects of internal service quality on nurses ’ job satisfaction , commitment and performance : Mediating role of employee. April 2020, 607–619. https://doi.org/10.1002/nop2.665

Agustina, D. (2023). Strategi peningkatan mutu pelayanan kesehatan di rumah sakit. 1(3), 64– 70.

Aladwan, M. A., Salleh, H. S., Anuar, M. M., & Almomani, I. (2021). The Relationship among Service Quality , Patient Satisfaction and Patient Loyalty : Case Study in Jordan Mafraq Hospital. 5(April), 27–40.

Ali, J., Jusoh, A., Idris, N., & Nor, K. M. (2023). Healthcare service quality and patient satisfaction: a conceptual framework. International Journal of Quality & Reliability Management, 41(2), 608–627. https://doi.org/10.1108/IJQRM-04-2022-0136

Alomari, F. (2025). The mediating role of hospital image : The impact of care cost and service quality on patient satisfaction. 06(01), 1–16.

AlOmari, F., & A. Hamid, A. B. (2022). Strategies to improve patient loyalty and medication adherence in Syrian healthcare setting: The mediating role of patient satisfaction. PLOS ONE, 17(11), 1–27. https://doi.org/10.1371/journal.pone.0272057

Andayani, M. (2022). Pengaruh kualitas pelayanan dan disiplin kerja terhadap kepuasan pasien rawat inap pada rumah sakit umum daerah kabupaten lahat.

Beyene, M. G., Zemedu, T. G., Gebregiorgis, A. H., Ruano, A. L., & Bailey, P. E. (2021). Cesarean delivery rates , hospital readiness and quality of clinical management in Ethiopia : national results from two cross- sectional emergency obstetric and newborn care assessments. 9, 1–11.

Buabbas, A. J., Mohammad, T., Ayed, A. K., Mallah, H., Shawaf, H. Al, & Khalfan, A. M. (2021). Evaluating the success of the tele ‑ pathology system in governmental hospitals in Kuwait : an explanatory sequential mixed methods design. 1–12. https://doi.org/10.1186/s12911-021-01567-x

Culture, S. (2025). International Journal of Economics , Accounting , and Management Impact of Risk Management , Safety Culture , and Service Quality on Patient Satisfaction. 1(6), 358–365.

Darzi, M. A., Islam, S. B., Khursheed, S. O., & Bhat, S. A. (2026). Service quality in the healthcare sector : a systematic review and meta-analysis. 21(1), 13–29. https://doi.org/10.1108/LBSJMR-06-2022-0025

Endeshaw, B. (2026). Healthcare service quality- measurement models : a review. April. https://doi.org/10.1108/JHR-07-2019-0152

Fachrurrozi, A., Prayogo, D. A., & Mulyanti, D. (2023). Strategi peningkatan mutu pelayanan kesehatan di rumah sakit: Systematic literature review. Jurnal Riset Rumpun Ilmu Kedokteran, 2(1), 123–134.

Farrokhi, P., Bagherzadeh, R., Zozani, M. A., & Zarei, E. (2023). Assessing the quality of hospital outpatient services in Iran : a systematic review and meta ‑ analysis. BMC Health Services Research, 1–9. https://doi.org/10.1186/s12913-023-09506-4

Ferreira, D. C., Pedro, M. I., Caldas, P., & Varela, M. (2023). Patient Satisfaction with Healthcare Services and the Techniques Used for its Assessment : A Systematic Literature Review and a Bibliometric Analysis.

Gile, P. P., Klundert, J. Van De, & Samardzic, M. B. (2022). Human resource management in Ethiopian public hospitals. BMC Health Services Research, 1–12. https://doi.org/10.1186/s12913-022-08046-7

Gultom, R. J. (2021). Hubungan Kualitas Pelayanan Rawat Jalan Dengan Kepuasan Pasien Bpjs Di Rumah Sakit Bhayangkara Tk Iii Tebing Tinggi. 7(2), 1281–1298.

Handy Winata. (2022). Pengaruh Kualitas Layanan terhadap Loyalitas Pasien yang Dimediasi oleh Citra Rumah Sakit dan Kepuasaan Pasien. 6(2), 120–127.

Herudiansyah, G., & Suandini, M. (2022). Pengaruh Kualitas Pelayanan Reliability, Responsiveness Dan Assurance Terhadap Kepuasan Pasien Rumah Sakit Muhammadiyah.

Hussein, M., Pavlova, M., Ghalwash, M., & Groot, W. (2021). The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Services Research, 21(1), 1–12. https://doi.org/10.1186/s12913-021-07097-6

Inap, R., Rumah, D. I., Umum, S., & Citra, R. (2022). Pengaruh kualitas pelayanan terhadap kepuasan pasien rawat inap di rumah sakit umum rajawali citra 2022. 7(2).

Jonkisz, A., & Karniej, P. (2022). The Servqual Method as an Assessment Tool of the Quality of Medical Services in Selected Asian Countries. 1–15.

Kabbani, R., & Santoso, R. P. (2023). Pengaruh Fasilitas dan Kualitas Pelayanan Terhadap Kepuasan Pasien di Rumah Sakit Nahdlatul Ulama Jombang. 5, 236–240.

Karno, D. (2023). Hubungan Kualitas Pelayanan Kesehatan Dengan Tingkat Kepuasan Pasien Di Rumah Sakit. 1(2), 22–32.

Khoirunnisa, S., & Ramadhika, A. (2024). Pengaruh Kualitas Pelayanan Kesehatan terhadap Kepuasan Pasien di Rumah Sakit Umum Bina Sehat. 4(2), 727–735.

Novitasari, D. (2022). Hospital Quality Service and Patient Satisfaction : How The Role of Service Excellent and Service Quality ? 01(01), 29–36.

Pantih, S., Natsir, S., & Adda, H. W. (2021). Optimization of Public Services of State Civil Services in Human Resource Management Perspective in Poso Regional Public Hospital ( RSUD ). 959–965.

Parantri, A. (2023). Analisis Pengaruh Faktor Kepuasan Pasien Terhadap Kualitas Pelayanan Dalam Perspektif Manajemen Rumah Sakit : Systematic Literature Review. 2(1).

Preference, P. (2021). Impact of Service Quality on In-Patients ’ Satisfaction , Perceived Value

, and Customer Loyalty : A Mixed-Methods Study from a Impact of Service Quality on In- Patients ’ Satisfaction , Perceived Value , and Customer Loyalty : A Mixed-Methods Study from a Developing Country. https://doi.org/10.2147/PPA.S333586

Puthanveettil, B. A., Vijayan, S., Raj, A., & MP, S. (2020). TQM implementation practices and performance outcome of Indian hospitals: exploratory findings. The TQM Journal, 33(6), 1325–1346. https://doi.org/10.1108/TQM-07-2020-0171

Rahim, A. H., Manajemen, M., Adhirajasa, U., & Sanjaya, R. (2023). Pengaruh Kualitas Layanan Dan Kepuasan Pasien Terhadap Loyalitas Pasien Rawat Jalan Rumah Sakit Khusus Paru Karawang. 3, 9151–9164.

Rajab, M. Al, Andilah, S., Studi, P., Rumah, A., Stikes, S., & Ibu, P. (2023). Pengaruh Mutu Pelayanan Terhadap Tingkat Kepuasan Pasien Rawat Jalan. 18(1), 73–86.

Rawat, P., Di, J., Kartini, R., Surachman, S. S., & Agustina, F. (2023). Pengaruh Kualitas Pelayanan dan Kepuasan Pasien terhadap Loyalitas. 6(2), 421–429.

Rodrigues, N. J. P. (2023). Public – Private Partnerships Model Applied to Hospitals — A. 1– 15.

Setianingsih, A. (2021). PENGARUH KUALITAS PELAYANAN KESEHATAN TERHADAP KEPUASAN PASIEN DI RUMAH SAKIT “S.” 4(1), 22–27.

Shie, A., Huang, Y., Li, G., Lyu, W., Yang, M., & Dai, Y. (2022). Exploring the Relationship Between Hospital Service Quality , Patient Trust , and Loyalty From a Service Encounter Perspective in Elderly With Chronic Diseases. 10(May). https://doi.org/10.3389/fpubh.2022.876266

Shyju, P. J., Singh, K., Kokkranikal, J., Bharadwaj, R., & Antony, J. (2023). Service Quality and Customer Satisfaction in Hospitality , Leisure , Sport and Tourism : An Assessment of Research in Web of Science Service Quality and Customer Satisfaction in Hospitality

,. Journal of Quality Assurance in Hospitality & Tourism, 24(1), 24–50. https://doi.org/10.1080/1528008X.2021.2012735

Silas, G., Dung, G. P., & Bagobiri, E. (2022). Service Quality and Customer Loyalty : The Mediating Effect of Customer Brand Identification in the Nigerian Hospitality Industry. 3(1), 38–51.

Sinyiza, F. W., Kaseka, P. U., Rodgers, M., Chisale, O., Chimbatata, C. S., Mbakaya, B. C., Kamudumuli, P. S., Shu, T., Wu, J., & Kayira, A. B. (2022). Patient satisfaction with health care at a tertiary hospital in Northern Malawi : results from a triangulated cross ‑ sectional study. BMC Health Services Research, 1–9. https://doi.org/10.1186/s12913- 022-08087-y

Siregar, R. M. (2023). Analisis Mutu Pelayanan Kesehatan terhadap Kepuasan Pasien di Rumah Sakit Umum Daerah Sipirok Kabupaten Tapanuli Selatan. 6(6), 1193–1199.

Susanto, F. X. H., Simbolon, N. I., & Monica, E. (2021). Analisis Hubungan antara Kualitas Pelayanan dan Kepuasan Pasien Rawat Jalan Instalasi Farmasi Rumah Sakit Universitas Muhammadiyah Malang Analysis of the Relationship between Service Quality and Patient Satisfaction in Outpatient Pharmacy Installation at the University of Muhammadiyah Malang Hospital. 18(01), 10–20.

Suwarno, B., Rizal, S., Ginting, C. N., Girsang, E., Alamsyah, B., & Siregar, R. T. (2023). Analysis of Post-COVID-19 Hospital Service Quality : A Study Based on Patient Perceptions. 9(2), 22–31. https://doi.org/10.11648/j.ebm.20230902.11

Takruri, A., Radwan, M., Jabari, C. El, Nawajah, I., & Hassan, S. (2023). Experiences of Palestinian patients with hospital services : a mixed- - methods study. 1–10. https://doi.org/10.1136/bmjoq-2022-002118

Titilayo, O., Oyewole, O., Chidera, A., & Omosuzi, M. (2023). Perception and level of satisfaction with the quality of antenatal care services among pregnant women attending antenatal clinic at plateau state specialist hospital , Jos , Nigeria. 23(3).

Tran, V. A., Tran, Q. N., Doan, H. M., & La, G. L. (2024). How sensory marketing affects perceived service quality and customer satisfaction : study in Vietnam. https://doi.org/10.1108/JHOM-03-2024-0125

Ungaro, V., Pietro, L. Di, & Mugion, R. G. (2026). A systematic literature review on transformative practices and well-being outcomes in healthcare service. 34(3), 432–463. https://doi.org/10.1108/JSTP-03-2023-0071

Wasihun, G. A., Addise, M., Nega, A., Kifle, A., Taye, G., & Gebrekidan, A. Y. (2024). Gap analysis of service quality and associated factors at the oncology center of Tikur Anbessa Specialized Hospital , Addis Ababa , Ethiopia , 2022 : a cross- - sectional study. https://doi.org/10.1136/bmjopen-2023-078239

Windasari, N. A., Azhari, N. P. D. A., & Putra, I. F. (2023). Assessing consumer preferences on halal service: the emergence of Sharia hospitals for Muslim consumer. Journal of Islamic Marketing, 15(1), 22–41. https://doi.org/10.1108/JIMA-07-2022-0192

Wu, D. C., Zhao, X., & Wu, J. (2023). Online physician-patient interaction and patient satisfaction: empirical study of the internet hospital service. Journal of Medical Internet Research, 25, e39089.

Zygiaris, S., Hameed, Z., Alsubaie, M. A., & Rehman, S. U. (2022). Service Quality and Customer Satisfaction in the Post Pandemic World : A Study of Saudi Auto Care Industry. 13(March), 1–9. https://doi.org/10.3389/fpsyg.2022.842141

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Published

25-09-2026

How to Cite

Marditama, T. ., & Pratiwi, N. P. . (2026). Kualitas Pelayanan Di Rumah Sakit : Sebuah Kajian Systematic Literature Review. Journal of Innovative and Creativity (Joecy), 6(2), 50131–50146. Retrieved from https://joecy.org/index.php/joecy/article/view/14550

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