The Correlations Between Brand Image and Patient Loyalty at the Universitas Airlangga Hospital
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The rapid progression of technology and information has revolutionized public awareness and decision-making in healthcare, leading people to become more discerning based on perceived competency and brand reputation rather than only on cost or proximity. This research examines the correlation between brand image and patient loyalty at Universitas Airlangga Hospital (RS UNAIR), a teaching hospital in Surabaya that has seen substantial development since its inception in 2018. Data were acquired using a cross-sectional observational approach using questionnaires provided to 80 outpatient visitors (general and BPJS patients) chosen via purposive selection. The independent variable, brand image, was evaluated by hospital choice, strength, and uniqueness, whilst the dependent variable, patient loyalty, was quantified by interest in repeat visits and the propensity to suggest the hospital. Statistical analysis included descriptive and correlation tests, with significance established at p < 0.05. The findings revealed that patients with over three years of visits reported a more robust brand image than fresher patients. The research revealed that, while a favorable brand image correlates with increased competitiveness, employee morale, and public trust, there is no statistically significant relationship between brand image and patient loyalty. The results indicate that while brand image affects the hospital's reputation, other variables may impact long-term patient loyalty.
Babu, F., & Thomas, S. (2020). The relationship between total quality management practices and organisational image in the hospital industry: an empirical examination. International Journal of Productivity and Quality Management, 29(1), 1. https://doi.org/10.1504/IJPQM.2020.104517
Cao, H., Song, Y., Wu, Y., Du, Y., He, X., Chen, Y., Wang, Q., & Yang, H. (2023). What is nursing professionalism? a concept analysis. BMC Nursing, 22(1), 34. https://doi.org/10.1186/s12912-022-01161-0
Haimi, M. (2023). The tragic paradoxical effect of telemedicine on healthcare disparities- a time for redemption: a narrative review. BMC Medical Informatics and Decision Making, 23(1), 95. https://doi.org/10.1186/s12911-023-02194-4
Hardiker, N. R., & Grant, M. J. (2011). Factors that influence public engagement with eHealth: A literature review. International Journal of Medical Informatics, 80(1), 1–12. https://doi.org/10.1016/j.ijmedinf.2010.10.017
Havana, T., Kuha, S., Laukka, E., & Kanste, O. (2023). Patients’ experiences of patient‐centred care in hospital setting: A systematic review of qualitative studies. Scandinavian Journal of Caring Sciences, 37(4), 1001–1015. https://doi.org/10.1111/scs.13174
Holden, R. J., & Karsh, B.-T. (2010). The Technology Acceptance Model: Its past and its future in health care. Journal of Biomedical Informatics, 43(1), 159–172. https://doi.org/10.1016/j.jbi.2009.07.002
Hussain, A., Kanwel, S., Khan, S., Alonazi, W., Malik, A., & Khan, A. A. (2025). Antecedents of Patient Loyalty: Exploring Mediating and Moderating Paradigms in Public Hospitals. Patient Preference and Adherence, Volume 19, 527–542. https://doi.org/10.2147/PPA.S492710
Liang, Z., & Howard, P. (2023). Professionalism and patient-centred care—patients’ views and experience. Journal of Hospital Management and Health Policy, 7, 19–19. https://doi.org/10.21037/jhmhp-23-98
Mandagi, D. W., Rampen, D. C., Soewignyo, T. I., & Walean, R. H. (2024). Empirical nexus of hospital brand gestalt, patient satisfaction and revisit intention. International Journal of Pharmaceutical and Healthcare Marketing, 18(2), 215–236. https://doi.org/10.1108/IJPHM-04-2023-0030
Mosadeghrad, A. M. (2014). Factors Influencing Healthcare Service Quality. International Journal of Health Policy and Management, 3(2), 77–89. https://doi.org/10.15171/ijhpm.2014.65
Phonthanukitithaworn, C., Naruetharadhol, P., Gebsombut, N., Chanavirut, R., Onsa-ard, W., Joomwanta, P., Chanyuan, Z., & Ketkaew, C. (2020). An Investigation of the Relationship Among Medical Center’s Image, Service Quality, and Patient Loyalty. Sage Open, 10(4). https://doi.org/10.1177/2158244020982304
Shen, Y., & Tao, Y. (2022). Associations between spatial access to medical facilities and health-seeking behaviors: A mixed geographically weighted regression analysis in Shanghai, China. Applied Geography, 139, 102644. https://doi.org/10.1016/j.apgeog.2022.102644
Stavropoulou, A., Rovithis, M., Kelesi, M., Vasilopoulos, G., Sigala, E., Papageorgiou, D., Moudatsou, M., & Koukouli, S. (2022). What Quality of Care Means? Exploring Clinical Nurses’ Perceptions on the Concept of Quality Care: A Qualitative Study. Clinics and Practice, 12(4), 468–481. https://doi.org/10.3390/clinpract12040051
Sundell, E., Wångdahl, J., & Grauman, Å. (2022). Health literacy and digital health information-seeking behavior – a cross-sectional study among highly educated Swedes. BMC Public Health, 22(1), 2278. https://doi.org/10.1186/s12889-022-14751-z
Taneja, U. (2021). Brand image to loyalty through perceived service quality and patient satisfaction: A conceptual framework. Health Services Management Research, 34(4), 250–257. https://doi.org/10.1177/0951484820962303
Thiede, M. (2005). Information and access to health care: is there a role for trust? Social Science & Medicine, 61(7), 1452–1462. https://doi.org/10.1016/j.socscimed.2004.11.076
Zaid, A. A., Alnasr, F., & Asmar, H. M. (2025). Health Care Service Quality and Patients Trust: Does Hospital Image Mediate the Relationship? (pp. 275–288). https://doi.org/10.1007/978-3-031-92942-7_19
Zhang, Y. (2014). Beyond quality and accessibility: Source selection in consumer health information searching. Journal of the Association for Information Science and Technology, 65(5), 911–927. https://doi.org/10.1002/asi.23023
Zhou, W.-J., Wan, Q.-Q., Liu, C.-Y., Feng, X.-L., & Shang, S.-M. (2017). Determinants of patient loyalty to healthcare providers: An integrative review. International Journal for Quality in Health Care, 29(4), 442–449. https://doi.org/10.1093/intqhc/mzx058