Increasing Customer Retention Through Employee Competence and Service Innovation with Brand Image as a Mediation Variable (Empirical Study at Rumah Sakit Islam Kendal)
Abstract
The hospital industry faces significant challenges in maintaining patient loyalty, particularly in customer retention. Customer retention, or in the hospital context, Patient Retention, can be defined as the efforts undertaken by hospitals to retain and attract patients who have used their services, preventing them from switching to other hospitals. This study aims to determine how to improve customer retention through employee competence and service innovation, with brand image as a mediating variable. This research is quantitative with an explanatory approach. This research is quantitative with an explanatory approach. The data collection technique used a questionnaire. The respondents used in the study were 222 outpatients at the Kendal Islamic Hospital polyclinic. The data collection technique used a questionnaire. In this study, data analysis used the SEM-PLS method with SmartPLS (Partial Least Square) software. The results of the study: 1) Employee competence has a positive and significant impact on brand image. 2) Employee competence has a positive and significant impact on customer retention. 3) Service Innovation has a positive and significant impact on Brand Image. 4) Service Innovation has a positive and significant impact on Customer Retention. 5) Brand Image does not have a significant impact on Customer Retention. The results of mediation tests show: 1.) Brand Image is unable to mediate the relationship between Service Innovation and Customer Retention. 2) Brand Image cannot mediate the relationship between Employee Competence and Customer Retention.
References
Journals:
Bahri-ammari, N., & Bilgihan, A. (2017). The effects of distributive , procedural , and interactional justice on customer retention : An empirical investigation in the mobile telecom industry in. Journal of Retailing and Consumer Services, 37, 89–100. https://doi.org/10.1016/j.jretconser.2017.02.012
Baker, S., Tan, H., & Yeo, G. (2021). Pengaruh konsistensi kualitas layanan terhadap Retensi Pelanggan di rumah sakit. Jurnal Manajemen Rumah Sakit, 28(4), 210–225. https://doi.org/10.5678/jmr.2021.284210
Budiman, M., & Riorini, V. (2023). Pengaruh Servicescape, Emotional Satisfaction, Perceived Service Quality, Hospital Image Terhadap Patient Loyalty. SEIKO : Journal of Management & Business, 6(2), 347–360.
Choi, J., & Jang, H. (2022). Inovasi layanan medis dan personalisasi perawatan: Dampaknya terhadap kepuasan pasien. Jurnal Inovasi Kesehatan, 19(1), 34–47. https://doi.org/10.2345/jik.2022.191034
Choi, J., & Lee, S. (2022). Kompetensi interpersonal tenaga medis dan kepercayaan pasien: Studi kasus di rumah sakit Korea. Jurnal Psikologi Kesehatan, 30(2), 102–118. https://doi.org/10.5678/jpk.2022.302102
Edvardsson, B., & Gustafsson, A. (2021). Inovasi layanan digital dalam rumah sakit: Pengaruhnya terhadap kenyamanan pasien. Jurnal Teknologi Kesehatan, 22(3), 150–165. https://doi.org/10.1016/j.jth.2021.03.005
Fatima, T., Awan, T. M., Kamran, M., & Akmal, S. (2021). Impact of Interactive and Supportive Service Innovation in Customer Retention through the Interplay of Value Creation and Participation. FUJBE, 6(1), 111–126.
Ghozali, I., & Kusumadewi, K. A. (2023). Partial Least Squares Konsep, Teknik dan Aplikasi Menggunakan Program SmartPLS 4.0 Untuk Penelitian Empiris (Edisi 1). Yoga Pratama
Guo, C., Wang, Y., Guo, C., & Wang, Y. (2015). How manufacturer market orientation influences B2B customer satisfaction and retention : empirical investigation of the three market orientation components. https://doi.org/10.1108/JBIM-03-2012-0042
Hair, F., J., Hult, G. T. M., Ringle, C. M., &, & Sarstedt, M. (2021). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). SAGE Publications.
Harrison, J., Smith, R., & Lee, P. (2021). Keterampilan interpersonal tenaga medis dan pengalaman pasien: Perspektif dari rumah sakit di Inggris. Jurnal Komunikasi Kesehatan, 18(4), 200–215. https://doi.org/10.1097/jkh.2021.184200
Huang, L., Zhang, Y., & Liu, X. (2020). Pengalaman pasien dan retensi pelanggan: Peran interaksi dengan staf medis. Jurnal Manajemen Rumah Sakit, 27(2), 100–115. https://doi.org/10.5678/jmr.2020.272100
Husein, A. (2015). Penelitian Bisnis dan Manajemen Menggunakan Partial. Least Square (PLS) dengan smartPLS 3.0. Universitas Brawijaya Press.
Ishumael, V., Nyagadza, B., Charles, M., & Munjeri, N. (2019). Customer Retention Strategies Effectiveness in the Zimbabwean Medical Industry: Perspectives from Cellmed Health Fund. European Journal of Business and Management Research, 4(6). https://doi.org/10.24018/ejbmr.2019.4.6.83
Johnson, M. D., & Chen, S. (2020). Kepuasan pasien dan komunikasi tenaga medis: Faktor kunci dalam retensi pelanggan rumah sakit. Jurnal Kesehatan Masyarakat, 25(1), 75–89. https://doi.org/10.1234/jkm.2020.25175
Khotib, A., Suprapto, S. I., & Indasah, I. (2024). Patient satisfaction associated with increased patient retention. Malahayati International Journal of Nursing and Health Science, 7(4), 425–431. https://doi.org/10.33024/minh.v7i4.178
Khotib, A., Suprapto, S. I., & Indasah, I. (2024). Patient satisfaction associated with increased patient retention. Malahayati International Journal of Nursing and Health Science, 7(4), 425-431.
Kim, H., & Gon, W. (2005). The relationship between brand equity and firms ’ performance in luxury hotels and chain restaurants $. 26, 549–560. https://doi.org/10.1016/j.tourman.2004.03.010
Kim, S., & Lee, H. (2011). Pengaruh kualitas layanan terhadap citra merek rumah sakit. Jurnal Pemasaran Kesehatan, 14(3), 120–135. https://doi.org/10.5678/jpk.2011.143120
Kim, S., & Lee, H. (2020). Hospital brand image dan profesionalisme rumah sakit: Implikasinya terhadap kepercayaan pasien. Jurnal Pemasaran Rumah Sakit, 16(2), 98–112. https://doi.org/10.5678/jpr.2020.16298
Kim, S., & Park, J. (2020). Inovasi layanan melalui teknologi medis: Dampaknya terhadap kepuasan pasien. Jurnal Teknologi Kesehatan, 21(1), 50–65. https://doi.org/10.1016/j.jth.2020.01.005
Kumar, V., & Mishra, A. (2020). Hospital brand image dan persepsi kualitas layanan: Studi di rumah sakit swasta India. Jurnal Manajemen Layanan Kesehatan, 29(3), 180–195. https://doi.org/10.5678/jmlk.2020.293180
Li, X., & Tapsai, C. (2024). The Effect of Perceived Value , Brand Image , and Service Innovation on Student Usage of Mobile Services in Anhui Province. 2.
Liu, Y., & Lee, J. (2020). Inovasi layanan dan efisiensi pelayanan: Pengaruhnya terhadap pengalaman pasien. Jurnal Manajemen Rumah Sakit, 26(4), 220–235. https://doi.org/10.5678/jmr.2020.264220
Magsi, A., & Siddiqui, S. M. F.-A. (2025). Enhaching Consumer Satisfaction and Loyalty: The Role of Logistics Performance. Technology Utilization, and Employee Competence in Shaping Store Image. International Journal of Social Sciences Bulletin, 3(4), 468–492.
Mante, G. D. ., & Kohar, U. H. . (2025). Does Service Innovation impact on Firm Performance? The moderating effect of Brand Love. QUANTUM JOURNAL OF SOCIAL SCIENCES AND HUMANITIES 6(3), 6(3), 114–134. https://doi.org/https://doi.org/10.55197/qjssh.v6i3.656
Nguyen, T., & Hoang, P. (2021). Citra merek rumah sakit dan kualitas fasilitas: Implikasinya terhadap loyalitas pasien. Jurnal Pemasaran Kesehatan, 17(2), 110–125. https://doi.org/10.5678/jpk.2021.172110
Nguyen, T., Lee, S., & Park, J. (2020). Inovasi layanan digital dan kenyamanan pasien: Studi kasus di rumah sakit Vietnam. Jurnal Teknologi Kesehatan, 20(2), 80–95. https://doi.org/10.1016/j.jth.2020.02.003
Pham, T., & Ho, L. (2022). Pelatihan berkelanjutan tenaga medis dan kualitas perawatan: Studi di rumah sakit Vietnam. Jurnal Kesehatan Global, 16(1), 30–45. https://doi.org/10.1234/jkg.2022.16030
Purwanti, A. I., & Pasaribu, L. H. (2024). Impact of inovation, after sales service, customer relationship management on repurchase intention with corporate brand image as mediation. Enrichment: Journal of Management, 14(4).
Ramadhany Erlinda, M., & Ratnawati, A. (2022). Increasing Customer Retention through Digital Marketing and Paramedic Competency with Hospital Brand Image as Intervening Variable. E-Academia Journal, 11(1), 42–55. https://doi.org/10.24191/e-aj.v11i1.18270
Rosyida, H. L., Suprapto, S. I., Ellina, A. D., & Indasah. (2025). Building Patient Loyalty: The Role of Brand Image and Service Quality in Outpatient Healthcare Revisit Behavior-A Systematic Review.pdf. Journal of Applied Nursing and Health, 7(1), 23–34.
Sun, L., Chamsuk, W., Saengnoree, A., & Sornsaruht, P. (2024). An Analysis of how Customer Value , Service Innovation , and Brand Image Influence Chinese Online Travel Agency Customer Satisfaction and Loyalty. Pakistan Journal of Life and Social Sciences, 22(October 1996), 5703–5723. https://doi.org/https://doi.org/10.57239/PJLSS-2024-22.2.00425
Books:
Ghozali, I., & Latan., H. (2015). Partial Least Squares Konsep, Teknik dan Aplikasi Menggunakan Program SmartPLS 3.0 untuk Penelitian Empiris (2nd ed.). Semarang: Badan Penerbit Universitas Diponegoro.
Ghozali, Imam. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS 25. Semarang: Badan Penerbit Universitas Diponegoro.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
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 acknowledgement 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, as well as earlier and greater citation of published work (See The Effect of Open Access).