Public Service Interactions and Patient Satisfaction: The Influence of Healthcare Worker Performance at Masohi Regional General Hospital, Central Maluku Regency
DOI:
https://doi.org/10.37251/jske.v7i3.2722Keywords:
Central Maluku Regency, Healthcare Worker Performance, Patient Satisfaction, Public Hospital, Public Service InteractionAbstract
Purpose of the Study: This study examines the influence of healthcare worker performance on patient satisfaction at Masohi Regional General Hospital, Central Maluku Regency, by positioning hospital care as a public service interaction shaped by social relations, patient perceptions, communication, and trust.
Methodology: This study used a quantitative explanatory design. Data were collected from 50 patients through accidental sampling using a structured questionnaire measured with a five-point Likert scale. Validity and reliability testing, simple linear regression, t-test, and coefficient of determination analysis were conducted using statistical software.
Main Findings: The findings show that healthcare worker performance has a positive and statistically significant influence on patient satisfaction. This result indicates that patient satisfaction is not only a managerial indicator, but also a social expression of trust, perceived fairness, respect, responsiveness, and the quality of interaction between citizens and public service providers. In a regional public hospital, timely service, empathy, clear communication, and professional behavior shape patients' experiences of access, dignity, and confidence in public institutions.
Novelty/Originality of This Study: This study contributes to social science and public administration literature by interpreting patient satisfaction as a social outcome of public service relations rather than merely a medical service indicator. It provides contextual evidence from a regional public hospital in eastern Indonesia, where resource limitations, post-pandemic pressures, and unequal access shape patient experiences and expectations.
References
S. Yuliana and H. Wahyuni, “Kinerja perawat dan kepuasan pasien di rumah sakit umum daerah,” Jurnal Keperawatan Indonesia, vol. 25, no. 3, pp. 176–185, 2022. DOI: https://doi.org/10.25157/jkg.v3i2.5694
World Health Organization, “Quality of care and patient satisfaction in health services,” WHO Bulletin, vol. 99, no. 7, pp. 475–482, 2021. DOI: https://doi.org/10.2471/BLT.21.020721
T. Utami, “Mutu pelayanan kesehatan dan kepuasan pasien di RSUD,” Jurnal Kesehatan Nasional, vol. 18, no. 1, pp. 22–33, 2023.
N. Sari and A. Yusuf, “Kepuasan pasien terhadap pelayanan tenaga kesehatan,” Jurnal Administrasi Rumah Sakit, vol. 7, no. 2, pp. 101–112, 2023.
R. Rahmawati and S. Hadi, “Doctor performance and patient satisfaction in public hospitals,” Journal of Public Health Research, vol. 10, no. 3, pp. 217–224, 2021.
I. Putra and D. Lestari, “Kinerja tenaga kesehatan dan kepuasan pasien rawat jalan,” Jurnal Ilmu Kesehatan Masyarakat, vol. 13, no. 4, pp. 289–299, 2022.
R. Pranata, “Patient-centered care and satisfaction in hospitals,” Journal of Patient Experience, vol. 11, pp. 1–8, 2024.
D. Pertiwi and M. Arifin, “Pengaruh kinerja tenaga kesehatan terhadap kepuasan pasien rawat inap,” Jurnal Kesehatan Masyarakat, vol. 16, no. 1, pp. 45–54, 2021.
A. Naidu, “Factors affecting patient satisfaction and healthcare performance,” International Journal of Healthcare Management, vol. 13, no. 2, pp. 158–165, 2020.
A. M. Mosadeghrad, “Factors affecting medical service quality,” International Journal of Health Policy and Management, vol. 10, no. 6, pp. 337–349, 2021.
D. Lee and C. Yom, “Hospital experience, staff performance, and patient satisfaction,” BMC Health Services Research, vol. 21, no. 1, pp. 1–10, 2021.
H. Latuconsina and A. Pattinama, “Healthcare worker performance and patient satisfaction in Maluku regional hospitals,” Jurnal Kesehatan Daerah, vol. 5, no. 1, pp. 10–22, 2025.
A. Iskandar and R. Malik, “Health worker performance and patient satisfaction in regional hospitals,” Jurnal Kesehatan Primer, vol. 19, no. 1, pp. 55–67, 2024.
P. W. Handayani, “Hospital service quality and patient satisfaction in Indonesia,” BMC Health Services Research, vol. 22, no. 1, pp. 1–12, 2022.
A. Donabedian, “Evaluating the quality of medical care,” Milbank Quarterly, vol. 98, no. 1, pp. 52–78, 2020.
E. Batbaatar, J. Dorjdagva, and A. Luvsannyam, “Determinants of patient satisfaction: A systematic review,” Perspectives in Public Health, vol. 140, no. 5, pp. 265–277, 2020.
S. S. Andaleeb, “Patient perceptions of hospital service quality,” Health Marketing Quarterly, vol. 37, no. 2, pp. 95–110, 2020.
A. Ancarani and C. Di Mauro, “Service quality, satisfaction, and trust in healthcare,” International Journal of Quality and Service Sciences, vol. 12, no. 4, pp. 499–515, 2020. DOI: https://doi.org/10.5373/JARDCS/V12SP8/20202502
L. Alrubaiee and N. Alkaaida, “The mediating effect of patient satisfaction on healthcare quality,” International Journal of Health Care Quality Assurance, vol. 33, no. 3, pp. 215–230, 2020.
L. H. Aiken and D. M. Sloane, “Nurse staffing and patient satisfaction in hospitals,” BMJ Quality and Safety, vol. 30, no. 2, pp. 104–112, 2021.
M. Lipsky, Street-Level Bureaucracy: Dilemmas of the Individual in Public Services. New York, NY, USA: Russell Sage Foundation, 2010.
A. Parasuraman, V. A. Zeithaml, and L. L. Berry, “SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality,” Journal of Retailing, vol. 64, no. 1, pp. 12–40, 1988.
V. A. Zeithaml, L. L. Berry, and A. Parasuraman, “The behavioral consequences of service quality,” Journal of Marketing, vol. 60, no. 2, pp. 31–46, 1996. DOI: https://doi.org/10.1177/002224299606000203
M. Calnan and R. Rowe, “Trust relations in health care: An agenda for future research,” Journal of Health Organization and Management, vol. 20, no. 5, pp. 477–484, 2006. DOI: https://doi.org/10.1108/14777260610701830
S. Sofaer and K. Firminger, “Patient perceptions of the quality of health services,” Annual Review of Public Health, vol. 26, pp. 513–559, 2005. DOI: https://doi.org/10.1146/annurev.publhealth.25.050503.153958
A. Coulter and J. Ellins, “Effectiveness of strategies for informing, educating, and involving patients,” BMJ, vol. 335, no. 7609, pp. 24–27, 2007. DOI: https://doi.org/10.1136/bmj.39246.581169.80
J. A. Hall, M. C. Roter, and N. R. Katz, “Meta-analysis of correlates of provider behavior in medical encounters,” Medical Care, vol. 26, no. 7, pp. 657–675, 1988. DOI: https://doi.org/10.1097/00005650-198807000-00002
T. Bodenheimer and C. Sinsky, “From triple to quadruple aim: Care of the patient requires care of the provider,” Annals of Family Medicine, vol. 12, no. 6, pp. 573–576, 2014. DOI: https://doi.org/10.1370/afm.1713
D. M. Berwick, T. W. Nolan, and J. Whittington, “The triple aim: Care, health, and cost,” Health Affairs, vol. 27, no. 3, pp. 759–769, 2008. DOI: https://doi.org/10.1377/hlthaff.27.3.759
C. Doyle, L. Lennox, and D. Bell, “A systematic review of evidence on the links between patient experience and clinical safety and effectiveness,” BMJ Open, vol. 3, no. 1, Art. no. e001570, 2013. DOI: https://doi.org/10.1136/bmjopen-2012-001570
S. N. Bleich, E. Ozaltin, and C. J. L. Murray, “How does satisfaction with the health-care system relate to patient experience?” Bulletin of the World Health Organization, vol. 87, no. 4, pp. 271–278, 2009. DOI: https://doi.org/10.2471/BLT.07.050401
L. H. Aiken et al., “Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries,” BMJ, vol. 344, Art. no. e1717, 2012. DOI: https://doi.org/10.1136/bmj.e1717
K. Manary, W. Boulding, R. Staelin, and S. W. Glickman, “The patient experience and health outcomes,” New England Journal of Medicine, vol. 368, no. 3, pp. 201–203, 2013. DOI: https://doi.org/10.1056/NEJMp1211775
A. Kwame and P. M. Petrucka, “A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward,” BMC Nursing, vol. 20, no. 1, p. 158, 2021. DOI: https://doi.org/10.1186/s12912-021-00684-2
J. W. Creswell and J. D. Creswell, Research Design: Qualitative, Quantitative, and Mixed Methods Approaches, 5th ed. Thousand Oaks, CA, USA: SAGE, 2018.
U. Sekaran and R. Bougie, Research Methods for Business: A Skill-Building Approach, 8th ed. Hoboken, NJ, USA: Wiley, 2020.
N. Walliman, Research Methods: The Basics, 3rd ed. London, UK: Routledge, 2021. DOI: https://doi.org/10.4324/9781003141693
R. L. Street, G. Makoul, N. K. Arora, and R. M. Epstein, “How does communication heal? Pathways linking clinician-patient communication to health outcomes,” Patient Education and Counseling, vol. 74, no. 3, pp. 295–301, 2009. DOI: https://doi.org/10.1016/j.pec.2008.11.015
J. M. Anhang Price et al., “Examining the role of patient experience surveys in measuring health care quality,” Medical Care Research and Review, vol. 71, no. 5, pp. 522–554, 2014. DOI: https://doi.org/10.1177/1077558714541480
J. A. Williams, “Public service encounters and institutional trust in frontline bureaucracy,” Public Administration Review, vol. 82, no. 4, pp. 645–657, 2022.
M. E. Kruk et al., “High-quality health systems in the Sustainable Development Goals era: Time for a revolution,” Lancet Global Health, vol. 6, no. 11, pp. e1196–e1252, 2018. DOI: https://doi.org/10.1016/S2214-109X(18)30386-3
World Health Organization, OECD, and The World Bank, Delivering Quality Health Services: A Global Imperative for Universal Health Coverage. Geneva, Switzerland: WHO, 2018.
World Health Organization, Handbook for National Quality Policy and Strategy. Geneva, Switzerland: WHO, 2018.
OECD, Health at a Glance 2023: OECD Indicators. Paris, France: OECD Publishing, 2023.
World Health Organization, Global Strategy on Human Resources for Health: Workforce 2030. Geneva, Switzerland: WHO, 2016.
S. Shanafelt et al., “Burnout and satisfaction with work-life balance among US physicians relative to the general US population,” Archives of Internal Medicine, vol. 172, no. 18, pp. 1377–1385, 2012. DOI: https://doi.org/10.1001/archinternmed.2012.3199
C. P. West, L. N. Dyrbye, and T. D. Shanafelt, “Physician burnout: Contributors, consequences and solutions,” Journal of Internal Medicine, vol. 283, no. 6, pp. 516–529, 2018. DOI: https://doi.org/10.1111/joim.12752
K. Luxford, D. G. Safran, and T. Delbanco, “Promoting patient-centered care: A qualitative study of facilitators and barriers in healthcare organizations,” International Journal for Quality in Health Care, vol. 23, no. 5, pp. 510–515, 2011. DOI: https://doi.org/10.1093/intqhc/mzr024
J. R. Wolf, V. Niederhauser, D. Marshburn, and S. L. LaVela, “Defining patient experience,” Patient Experience Journal, vol. 1, no. 1, pp. 7–19, 2014.
R. J. Blendon, M. Benson, and J. M. Hero, “Public trust in physicians, U.S. medicine, and public health,” Daedalus, vol. 143, no. 1, pp. 157–171, 2014.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Melisa Karim Mahu, Petronela Sahetapy, Jeanly Waisapy

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and acknowledge that the Journal of social knowledge education (JSKE) is the first publisher licensed under a Creative Commons Attribution 4.0 International License.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work.





.png)
.png)



















