The Influence of Complaint Response Quality, Hospital Image, and Per-ceived Value on Referral Intention
DOI:
https://doi.org/10.61132/greeninflation.v3i2.724Keywords:
Complaint Response, FKTP, Hospital Image, Perceived Value, Referral IntentionAbstract
Patient referral intention is an important indicator of hospital sustainability and competitiveness. This study aimed to analyze the influence of complaint response quality, hospital image, and perceived value on referral intention at a Type C public hospital in Jakarta. A quantitative cross-sectional design was employed using a survey of patients who had received healthcare services at the hospital. Data were collected through structured questionnaires and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM).The results showed that complaint response quality had a significant positive effect on both hospital image and perceived value. Patients who perceived complaint handling as responsive, fair, and effective tended to develop a more favorable image of the hospital and higher perceived value. Furthermore, hospital image and perceived value significantly influenced referral intention. Among the variables examined, hospital image demonstrated the strongest effect on patients’ willingness to revisit and recommend the hospital to others. The findings also indicated that perceived value partially mediated the relationship between complaint response quality and referral intention.These results suggest that improving complaint management, strengthening a positive hospital image, and enhancing patient value perceptions are essential strategies for increasing referral intention. Hospital managers should prioritize responsive complaint handling and continuous service quality improvement to build patient trust and loyalty. This study contributes to healthcare management literature by providing empirical evidence on factors affecting referral intention in public hospital services.
Downloads
References
Abubakar, A. M., Ilkan, M., Meshall Al-Tal, R., & Eluwole, K. K. (2017). eWOM, revisit intention, destination trust and gender. Journal of Hospitality and Tourism Management, 31, 220–227. https://doi.org/10.1016/j.jhtm.2016.12.005
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Andreassen, T. W. (2001). From Disgust to Delight. Journal of Service Research, 4(1), 39–49. https://doi.org/10.1177/109467050141004
Boulding, W., Kalra, A., Staelin, R., & Zeithaml, V. A. (1993). A Dynamic Process Model of Service Quality: From Ex-pectations to Behavioral Intentions. Journal of Marketing Research, 30(1), 7–27. https://doi.org/10.1177/002224379303000102
Caruana, A. (2002). Service loyalty. European Journal of Marketing, 36(7/8), 811–828. https://doi.org/10.1108/03090560210430818
Cronin, J. J., Brady, M. K., & Hult, G. T. M. (2000). Assessing the effects of quality, value, and customer satisfaction on consumer behavioral intentions in service environments. Journal of Retailing, 76(2), 193–218. https://doi.org/10.1016/S0022-4359(00)00028-2
Ferdinand, A. (2014). Metode Penelitian Manajemen : Pedoman Penelitian untuk Penulisan Skripsi Tesis dan Desrtasi Ilmu Manajemen. Universitas Dipenogoro Press.
Han, H., & Ryu, K. (2009). The Roles of the Physical Environment, Price Perception, and Customer Satisfaction in De-termining Customer Loyalty in the Restaurant Industry. Journal of Hospitality & Tourism Research, 33(4), 487–510. https://doi.org/10.1177/1096348009344212
Javalgi, R., Whipple, T., McManamon, M. K., & Edick, V. L. (1992). Hospital image: A correspondence analysis approach. Journal of Health Care Marketing, 12(4). https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=07373252&asa=Y&AN=9602262444&h=09NEu%2BrDOmyjUnOvcS%2BTIQdQBo9TQQJy8dpmbnUDgu7BN3%2FBWFL7YjEFZKzSqcC%2FkXsxdTB7Y3caea88vbHINQ%3D%3D&crl=c
Kim, K. H., Kim, K. S., Kim, D. Y., Kim, J. H., & Kang, S. H. (2008). Brand equity in hospital marketing. Journal of Business Research, 61(1), 75–82. https://doi.org/10.1016/j.jbusres.2006.05.010
Kotler, P., & Keller, K. L. (2016). Marketing management (15th ed.). Pearson Education Limited.
Ladhari, R. (2009). A review of twenty years of SERVQUAL research. International Journal of Quality and Service Sci-ences, 1(2), 172–198. https://doi.org/10.1108/17566690910971445
Nguyen, N., & Leblanc, G. (2001). Corporate image and corporate reputation in customers’ retention decisions in ser-vices. Journal of Retailing and Consumer Services, 8(4), 227–236. https://doi.org/10.1016/S0969-6989(00)00029-1
Parasuraman, A., Zeithaml, V. A., & Berry, L. (1988). SERVQUAL: A multiple-item scale for measuring consumer per-ceptions of service quality. 1988, 64(1), 12–40.
Petrick, J. F. (2002). Development of a Multi-Dimensional Scale for Measuring the Perceived Value of a Service. Journal of Leisure Research, 34(2), 119–134. https://doi.org/10.1080/00222216.2002.11949965
Saha, G. C., & Theingi, T. (2009). Service quality, satisfaction, and behavioural intentions. Managing Service Quality: An International Journal, 19(3), 350–372. https://doi.org/10.1108/09604520910955348
Tax, S. S., Brown, S. W., & Chandrashekaran, M. (1998). Customer Evaluations of Service Complaint Experiences: Im-plications for Relationship Marketing. Journal of Marketing, 62(2), 60–76. https://doi.org/10.1177/002224299806200205
WHO. (2021). Global Patient Safety Action Plan. World Health Organization. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan
Wu, C.-C. (2011). The impact of hospital brand image on service quality, patient satisfaction and loyalty. African Journal of Business Management, 5(12), 4873. https://academicjournals.org/article/article1380701699_Wu.pdf
Zeithaml, V. A. (1988). Consumer Perceptions of Price, Quality, and Value: A Means-End Model and Synthesis of Ev-idence. Journal of Marketing, 52(3), 2–22. https://doi.org/10.1177/002224298805200302
Zeithaml, V. A., Berry, L. L., & Parasuraman, A. (1996). The Behavioral Consequences of Service Quality. Journal of Marketing, 60(2), 31–46. https://doi.org/10.1177/002224299606000203
Zeithaml, V. A., Bitner, M. J., & Gremler, D. D. (2018). Services Marketing: Integrating Customer Focus Across The Firm. McGraw-Hill.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Green Inflation: International Journal of Management and Strategic Business Leadership

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



