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Reassessing Patient Satisfaction: Social Determinants and Hospital Quality in Indonesia

Public Health of Indonesia · Vol. 11 No. 4 (2025) · hlm. 176–185

DOI
10.36685/phi.v11i4.1651
ISSN
2477-1570, 2528-1542
Terbit
2025-12-17
Penerbit
YCAB Publisher
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-nc/4.0

Abstrak

Background: Patient satisfaction is widely recognized as a crucial indicator of healthcare quality, shaped not only by clinical outcomes but also by social determinants of health such as education, economic stability, neighborhood environment, and social/community context. Objectives: This study aimed to identify the key social determinants influencing patient satisfaction at Undata General Hospital, Palu, Indonesia, assess the strength of associations between these determinants and satisfaction outcomes, and highlight practical implications for improving patient-centered care in resource-constrained hospital settings. By focusing on social determinants, the research addresses existing gaps in understanding how contextual and relational factors contribute to hospital service quality. Methods: A quantitative, cross-sectional design was employed between January and March 2025, with 97 patients recruited through proportionate stratified sampling across wards. Data were collected using structured questionnaires and analyzed with chi-square tests to examine associations between social determinants and patient satisfaction. Results: The findings revealed that education and economic stability, while descriptively linked to differences in satisfaction, were not statistically significant predictors. In contrast, neighborhood environment and social/community context showed strong and significant associations with patient satisfaction. Patients who perceived the hospital environment as clean, safe, and comfortable were markedly more satisfied, while those embedded in supportive social networks also reported higher satisfaction. These results align with global evidence that highlights environmental quality and social cohesion as decisive determinants of patient experience, particularly in resource-limited contexts. The discussion emphasized how expectation theory and cultural competence frameworks explain the observed patterns, reinforcing the importance of aligning care with both structural and social dimensions. Conclusion: In conclusion, this study contributes to the growing body of literature on patient satisfaction by demonstrating that environmental and community factors outweigh individual socioeconomic attributes in shaping perceptions of care. The findings highlight practical implications for hospital managers and policymakers, suggesting that investments in environmental improvements and community engagement strategies are crucial pathways to enhance patient-centered quality care in Indonesia and similar settings.

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  • Universitas Islam Negeri Maulana Malik Ibrahim
  • University of Bengkulu
  • Universitas Muhammadiyah Palu
  • Institut Kesehatan dan Teknologi Graha Medika
  • Tunghai University
  • Yogyakarta State University
  • Afiliasi tidak diketahui
  • Organisasi berbeda
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  • Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel
Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Ramadhita RamadhitaUniversitas Islam Negeri Maulana Malik Ibrahim3
Syabbul BachriUniversitas Islam Negeri Maulana Malik Ibrahim3
Ake Royke Calvin LangingiAfiliasi tidak diketahui1
Grace Irene Viodyta WatungAfiliasi tidak diketahui1
Mareyke Yolanda Lusia SepangAfiliasi tidak diketahui1
Siska N. SibuaAfiliasi tidak diketahui1
Ignatia Yohana RembetAfiliasi tidak diketahui1
Zaenul MahmudiUniversitas Islam Negeri Maulana Malik Ibrahim1
Erfaniah ZuhriahUniversitas Islam Negeri Maulana Malik Ibrahim1
Darmin DarminInstitut Kesehatan dan Teknologi Graha Medika1
Desak Eka SusianawatiAfiliasi tidak diketahui1
Sri PurwiningsihAfiliasi tidak diketahui1
Fitri ArniAfiliasi tidak diketahui1
Sitti FajrahInstitut Kesehatan dan Teknologi Graha Medika1
Afrizal MayubUniversity of Bengkulu1
Henny JohanUniversity of Bengkulu1
Asmida HerawatiTunghai University1
Rendy Wikrama WardanaUniversity of Bengkulu1
Noni NovianaUniversity of Bengkulu1
Umaya UmayaUniversity of Bengkulu1
Nurhidayati NurhidayatiYogyakarta State University1
Herlina YusufUniversitas Muhammadiyah Palu1
Maya AriandiniUniversitas Muhammadiyah Palu1
Saiful AmbodaleAfiliasi tidak diketahui1
Niluh Desy Purnama SariAfiliasi tidak diketahui1
Subardin ABAfiliasi tidak diketahui1
Ni Kadek ArminiAfiliasi tidak diketahui1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) http://stikbar.org/ycabpublisher/index.php/PHI/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc)
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	<dc:title xml:lang="en-US">Reassessing Patient Satisfaction: Social Determinants and Hospital Quality in Indonesia</dc:title>
	<dc:creator>Sudirman, Sudirman</dc:creator>
	<dc:creator>Yani, Ahmad</dc:creator>
	<dc:creator>Andri, Mohamad</dc:creator>
	<dc:subject xml:lang="en-US">Patient Satisfaction</dc:subject>
	<dc:subject xml:lang="en-US">Social Determinants of Health</dc:subject>
	<dc:subject xml:lang="en-US">Hospital Environment</dc:subject>
	<dc:subject xml:lang="en-US">Community Context</dc:subject>
	<dc:subject xml:lang="en-US">Healthcare Quality</dc:subject>
	<dc:subject xml:lang="en-US">Indonesia</dc:subject>
	<dc:description xml:lang="en-US">Background: Patient satisfaction is widely recognized as a crucial indicator of healthcare quality, shaped not only by clinical outcomes but also by social determinants of health such as education, economic stability, neighborhood environment, and social/community context.
Objectives: This study aimed to identify the key social determinants influencing patient satisfaction at Undata General Hospital, Palu, Indonesia, assess the strength of associations between these determinants and satisfaction outcomes, and highlight practical implications for improving patient-centered care in resource-constrained hospital settings. By focusing on social determinants, the research addresses existing gaps in understanding how contextual and relational factors contribute to hospital service quality.
Methods: A quantitative, cross-sectional design was employed between January and March 2025, with 97 patients recruited through proportionate stratified sampling across wards. Data were collected using structured questionnaires and analyzed with chi-square tests to examine associations between social determinants and patient satisfaction.
Results: The findings revealed that education and economic stability, while descriptively linked to differences in satisfaction, were not statistically significant predictors. In contrast, neighborhood environment and social/community context showed strong and significant associations with patient satisfaction. Patients who perceived the hospital environment as clean, safe, and comfortable were markedly more satisfied, while those embedded in supportive social networks also reported higher satisfaction. These results align with global evidence that highlights environmental quality and social cohesion as decisive determinants of patient experience, particularly in resource-limited contexts. The discussion emphasized how expectation theory and cultural competence frameworks explain the observed patterns, reinforcing the importance of aligning care with both structural and social dimensions.
Conclusion: In conclusion, this study contributes to the growing body of literature on patient satisfaction by demonstrating that environmental and community factors outweigh individual socioeconomic attributes in shaping perceptions of care. The findings highlight practical implications for hospital managers and policymakers, suggesting that investments in environmental improvements and community engagement strategies are crucial pathways to enhance patient-centered quality care in Indonesia and similar settings.</dc:description>
	<dc:publisher xml:lang="en-US">YCAB Publisher</dc:publisher>
	<dc:date>2025-12-17</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/1651</dc:identifier>
	<dc:identifier>10.36685/phi.v11i4.1651</dc:identifier>
	<dc:source xml:lang="en-US">Public Health of Indonesia; Vol. 11 No. 4 (2025): October - December; 176 - 185</dc:source>
	<dc:source>2477-1570</dc:source>
	<dc:source>2528-1542</dc:source>
	<dc:source>10.36685/phi.v11i4</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/1651/632</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2025 Sudirman Sudirman, Ahmad Yani, Mohamad Andri</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-nc/4.0</dc:rights>
</oai_dc:dc>