The Relationship Between Satisfaction and Expectations of the Healthcare Community and the Quality of Services in the Emergency Unit of the Klakah Community Health Center, Lumajang
DOI:
https://doi.org/10.58545/jrcnp.v4i1.631Abstract
Background: The quality of healthcare services is a crucial aspect of service delivery, particularly in emergencies, where timeliness and effectiveness are crucial for patient safety. As a primary healthcare facility, the Klakah Community Health Center plays a crucial role in providing emergency services to the community through its Emergency Unit (ER). However, the quality of services provided in the ER is often influenced by various factors, including community satisfaction and expectations. Purpose: This study aims to determine the relationship between community satisfaction and expectations regarding the quality of healthcare services in the emergency room of the Klakah Community Health Center, Lumajang. Methods: This study is a cross-sectional study. The population in this study consisted of all patients/patients' families who visited the emergency room at the Klakah Community Health Center, Lumajang. A total of 50 respondents were selected. Accidental sampling was used. To determine the effect of the two variables, a Spearman's rank correlation test was conducted at the 0.05 significance level. Results: The Spearman Rank test yielded a p-value of 0.000 (< 0.05), indicating a significant relationship between satisfaction and the quality of emergency room healthcare services, with a coefficient of 0.675 indicating a strong correlation. The Spearman Rank test yielded a p-value of 0.000 (< 0.05), indicating a significant relationship between expectations and the quality of emergency room healthcare services, with a coefficient of 0.604, indicating a strong correlation. Conclusions: Therefore, public satisfaction and expectations significantly influence perceptions of service quality in the emergency room. Patients with high expectations for speed, accuracy, and service friendliness will perceive the emergency room as good if these expectations are met.
Keywords:
Satisfaction, Expectation, Quality of Services, Emergency UnitDownloads
References
A’aqoulah, A., Kuyini, A. B., & Albalas, S. (2022). Exploring the gap between patients’ expectations and perceptions of healthcare service quality. Patient preference and adherence, 1295-1305. https://doi.org/10.2147/PPA.S360852
Abrar, N., & Mahendra, G. K. (2023). Analisis Kualitas Pelayanan UGD Puskesmas Woha Kabupaten Bima terhadap Pengguna Kartu BPJS. Wacana Publik, 16(2), 115–122. https://doi.org/10.37295/wp.v16i2.129
Alizadeh, H., Hasanpoor, E., Raoofi, S., & Haghgoshayie, E. (2026). Assessing emergency department service quality at Maragheh University Medical Centers (2024). International Journal of Health Care Quality Assurance, 1-17. https://doi.org/10.1108/IJHCQA-09-2025-0141
Fekonja, Z., Kmetec, S., Mlinar Reljić, N., Černe Kolarič, J., Pajnkihar, M., & Strnad, M. (2023, December). Perceptions of patient safety culture among triage nurses in the emergency department: a cross-sectional study. In Healthcare (Vol. 11, No. 24, p. 3155). MDPI. https://doi.org/10.3390/healthcare11243155
Friedel, A. L., Siegel, S., Kirstein, C. F., Gerigk, M., Bingel, U., Diehl, A., & Kreitschmann-Andermahr, I. (2023). Measuring patient experience and patient satisfaction—how are we doing it and why does it matter? A comparison of European and US American approaches. In Healthcare (Vol. 11, No. 6, p. 797). MDPI. https://doi.org/10.3390/healthcare11060797
Gonu, E., Agyei, P. M., Richard, O. K., & Asare-Larbi, M. (2023). Customer orientation, service quality and customer satisfaction interplay in the banking sector: An emerging market perspective. Cogent Business & Management, 10(1), 2163797. https://doi.org/10.1080/23311975.2022.2163797
Haldane, V., Chuah, F. L., Srivastava, A., Singh, S. R., Koh, G. C., Seng, C. K., & Legido-Quigley, H. (2019). Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PloS one, 14(5), e0216112. https://doi.org/10.1371/journal.pone.0216112
Hammanjoda, K., & Singh, A. G. (2024). The effect of healthcare service quality dimensions on patient satisfaction among primary care settings in Nigeria. Global Social Welfare, 11(4), 327-342. https://doi.org/10.1007/s40609-023-00329-z
Hussien, M. (2024). The role of perceived quality of care on outpatient visits to health centers in two rural districts of northeast Ethiopia: a community-based, cross-sectional study. BMC Health Services Research, 24(1), 614. https://doi.org/10.1186/s12913-024-11091-z
Karmacharya, B. (2022). Impact of Service Quality Dimensions on customer satisfaction in Nepalese financial institutions based on SERVPERF Model. Journal of Nepalese Business Studies, 15(1), 11-26. https://doi.org/10.3126/jnbs.v15i1.50375
Kemenkes, R.I. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor43 Tahun 2016 Tentang Standar Pelayanan Minimal Bidang Kesehatan.
Liu, J., Ding, P., & Jiang, H. (2024). Exploring sources of patient dissatisfaction in mobile health communication: A text analysis based on structural topic model. Digital Health, 10. https://doi.org/10.1177/20552076241287890
Ma, C., Qirui, C., & Lv, Y. (2023). “One community at a time”: promoting community resilience in the face of natural hazards and public health challenges. BMC Public Health, 23(1), 2510. https://doi.org/10.1186/s12889-023-17458-x
Ministry of Health of the Republic of Indonesia. (2020). Pedoman Pelayanan Gawat Darurat di Rumah Sakit. Jakarta: Kemenkes RI.
Ministry of Health of the Republic of Indonesia. (2020). Pedoman Pemantauan dan Evaluasi Mutu Pelayanan Kesehatan. Jakarta: Kemenkes RI.
Mukinda, F. K., Van Belle, S., & Schneider, H. (2020). Perceptions and experiences of frontline health managers and providers on accountability in a South African health district. International journal for equity in health, 19(1), 110. https://doi.org/10.1186/s12939-020-01229-w
Norrahimi, D. D., Affrian, R., & Munawarah. (2024). Kepuasan Masyarakat terhadap Pelayanan pada Puskesmas Birayang Kecamatan Batang Alai Selatan Kabupaten Hulu Sungai Tengah. Jurnal Pelayanan Publik, 1(2):172-176. https://ejurnal.stiaamuntai.ac.id/index.php/JPP/article/view/374
Noviana, L., & Gorda, A. E. S. (2018). Harapan Pasien, Kompetensi Pegawai, Kualitas Pelayanan dan Kepuasan Pasien. Jurnal Manajemen Bisnis, 15(3), 118-134. https://doi.org/10.38043/jmb.v15i3.610
Rao, X., Luo, L., Xiang, J., & Wang, X. (2025). The impact of perceived value, customer expectations, and patient experience on the satisfaction of contracted patients in hospitals. BMC Health Services Research, 25(1), 7. https://doi.org/10.1186/s12913-024-12118-1
Rudiyanti, N., & Utomo, B. (2024). Challenges of health workers in primary health facilities in implementing obstetric emergency referrals to save women from death in Indonesia: A qualitative study. Belitung nursing journal, 10(6), 644–653. https://doi.org/10.33546/bnj.3525
Shie, A. J., Huang, Y. F., Li, G. Y., Lyu, W. Y., Yang, M., Dai, Y. Y., ... & Wu, Y. J. (2022). Exploring the relationship between hospital service quality, patient trust, and loyalty from a service encounter perspective in elderly with chronic diseases. Frontiers in public health, 10, 876266. https://doi.org/10.3389/fpubh.2022.876266
Sitorus, R., & Mayasari, N. (2022). Keperawatan Gawat Darurat: Konsep dan Aplikasi Praktis. Yogyakarta: Deepublish.
Skaf, Y., Eid, C., Thrassou, A., El Nemar, S., & Rebeiz, K. S. (2026). Technology and service quality: achieving insurance industry customer satisfaction and loyalty under crisis conditions. EuroMed journal of business, 21(1), 120-141. https://doi.org/10.1108/EMJB-01-2024-0027
World Health Organization (WHO). (2021). Emergency Care Systems Framework. Geneva: WHO Press.
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