Wartiningsih Minarni, Supriyanto Stefanus, Widati Sri, Ernawaty Ernawaty, Lestari Retno
Doctoral Program of Public Health, Faculty of Public Health.
Department of Health Policy and Administration Faculty of Public Health.
J Public Health Res. 2020 Jul 2;9(2):1832. doi: 10.4081/jphr.2020.1832. eCollection 2020 Jul 3.
The Health-Promoting Hospital (HPH) aims to improve the overall quality of health services for patient, families, and the community as a whole, with assessment and intervention as the essential components. In hospitals, this activity needs to be vigorously developed through interdisciplinary teamwork, shared decision-making process, and by involving patients and families during treatment and through the delivery of an evidence-based health promotion process. Previous studies analyzed some steps to improve patient loyalty through the HPH. However, limited studies were carried out on its use in the public sector. This study, therefore, aims to analyze the impact of HPHs to improve patient loyalty in the public sector. The simple random sampling method was used to obtain data from 101 respondents in a public hospital, with the cross-sectional design used to gain a better understanding of patient loyalty. The result showed that HPHs influenced patient expectations (P=0.030), which in turn affected perceived value (P=0.014) and satisfaction (P=0.002). In addition, perceived value and satisfaction have effects on patients' loyalty (P=0.001). In conclusion, HPHs have a positive impact on patient loyalty. Therefore, the public sector needs to enhance its services in accordance with the standards and guidelines.
健康促进医院（HPH）旨在提升为患者、家庭以及整个社区提供的医疗服务的整体质量，评估和干预是其核心组成部分。在医院中，需要通过跨学科团队合作、共同决策过程，并在治疗期间让患者及其家庭参与进来，以及通过提供基于证据的健康促进过程，大力开展这项活动。以往的研究分析了通过健康促进医院提高患者忠诚度的一些步骤。然而，关于其在公共部门应用的研究较少。因此，本研究旨在分析健康促进医院对提高公共部门患者忠诚度的影响。采用简单随机抽样方法从一家公立医院的101名受访者中获取数据，采用横断面设计以更好地了解患者忠诚度。结果表明，健康促进医院影响患者期望（P = 0.030），进而影响感知价值（P = 0.014）和满意度（P = 0.002）。此外，感知价值和满意度对患者忠诚度有影响（P = 0.001）。总之，健康促进医院对患者忠诚度有积极影响。因此，公共部门需要按照标准和指南加强其服务。
