Factors associated with patient satisfaction and behavioral intention by using the partial least squares structural equation modeling (PLS-SEM)

Abstract

Abstract Background: Patient satisfaction is used as an important marker of the quality of medical services. This has an impact on patient loyalty and increases patient retention. Generally, perceptions of the quality of hospital services are based on patients' assessments of the services provided by the hospital, for example the relationship between patients and nurses, doctors and staff. Purpose: To determine factors related to general patient satisfaction. Method: Quantitative research with hypothesis testing without special treatment of subjects during the research period. Data was obtained through a survey of all patients who visited the emergency room at Budi Mulia Bitung Hospital in January 2024, totaling 170 respondents. The sample in this study was taken using a non-probability sampling method with the criteria, being more than 19 years old, cooperative, having a cell phone, and being able to be guided to fill out an online questionnaire. Results: All indicators in each dimension have an outer loading value of >0.7 and an AVE value for satisfaction with doctor services (0.703), emergency staff (0.860), emergency environment (0.656), general patient satisfaction (0.674). Cronbach's alpha and Composite Reliability values for all variables are above 0.7. The RSquare value for the general satisfaction variable is 0.948 and behavioral intention (0.944), so it can be said to be overfit. Based on the t-statistic value, p-value, and path coefficient, all variables in the research model tested are all significant. Conclusion: Satisfaction with physician services, emergency department staff, and emergency department environment are factors that are associated with general patient satisfaction and behavioral intentions. Keywords: Behavioral Intention; Patient Satisfaction; Partial Least Squares Structural Equation Modeling (PLS-SEM)