• Fifi Achwani University Prima Indonesia North Sumatera, Indonesia
  • Ermi Girsang University Prima Indonesia North Sumatera, Indonesia
  • Sri Lestari Ramadhani Nasution University Prima Indonesia North Sumatera, Indonesia
Keywords: outpatient services, patient preferences, predictors


Intense competition in the health care market requires hospitals to be able to emphasize their advantages over their competitors. Previous studies have shown that patients demand more choice in the health care they receive. Previous research has shown that patient preferences influence patients' willingness to use health care services at a hospital. This study aims to analyze the factors that contribute to patient preferences in outpatient services. The research design used in this study was analytic descriptive non-experimental research with a cross sectional approach. The research was conducted at Royal Prima Marelan Hospital from November 2022 to January 2023. The sample in this study was 381 outpatients. Samples in this study were selected using accidental sampling method. From the Chi Square test results, it is known that education (p=0.714) and income (p=0.430) are not statistically significantly related to patient preferences for outpatient services. Whereas ownership of health insurance (p=0.045), distance (p=0.002), and patient perception (p=0.000) were statistically significantly related. From the results of the logistic regression test, it can be concluded that patient perception is the variable that most influences patient preferences for outpatient services. With an Exp(B) value of 3.739 (95%CI 2.301-6.077), respondents who have unfavorable patient perceptions are 3.7 times likely not to reuse outpatient services.


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Adistya, B. and Pradhanawati, A. (2017), Pengaruh Kesadaran Merek Dan Kualitas Pelayanan Terhadap Keputusan Pembelian, Universitas Diponegoro.
Aliman, N.K. and Mohamad, W.N. (2016), “Linking Service Quality, Patients’ Satisfaction and Behavioral Intentions: An Investigation on Private Healthcare in Malaysia”, Procedia - Social and Behavioral Sciences, Vol. 224, pp. 141–148.
Azwar, A. (2017), Menjaga Mutu Pelayanan Kesehatan: Aplikasi Prinsip Lingkaran Pemecahan Masalah, Pustaka Sinar Harapan, Jakarta.
Bahadori, M., Teymourzadeh, E., Ravangard, R., Nasiri, A., Raadabadi, M. and Alimohammadzadeh, K. (2016), “Factors contributing towards patient’s choice of a hospital clinic from the patients’ and managers’ perspective”, Electronic Physician, Vol. 8 No. 5, pp. 2378–2387.
Bastemeijer, C.M., Voogt, L., van Ewijk, J.P. and Hazelzet, J.A. (2017), “What do patient values and preferences mean? A taxonomy based on a systematic review of qualitative papers”, Patient Education and Counseling, Vol. 100 No. 5, pp. 871–881.
Berhane, A. and Enquselassie, F. (2015), “Patients’ preferences for attributes related to health care services at hospitals in amhara region, northern ethiopia: A discrete choice experiment”, Patient Preference and Adherence, Vol. 9, pp. 1293–1301.
Bhatt, J. and Bathija, P. (2018), “Ensuring Access to Quality Health Care in Vulnerable Communities”, Academic Medicine, Vol. 93 No. 9, pp. 1271–1275.
Braithwaite, J. (2018), “Changing how we think about healthcare improvement”, BMJ, p. k2014.
Brito Fernandes, Ó., Péntek, M., Kringos, D., Klazinga, N., Gulácsi, L. and Baji, P. (2020), “Eliciting preferences for outpatient care experiences in Hungary: A discrete choice experiment with a national representative sample”, PLOS ONE, Public Library of Science, Vol. 15 No. 7, p. e0235165.
Chambers, M. and LeMaster, J. (2019), “Collecting and using patient experience data: Caution, commitment and consistency are needed”, Health Expectations, John Wiley & Sons, Ltd, Vol. 22 No. 1, pp. 1–2.
Damayanti, M., Jati, S.P. and Arso, S.P. (2017), “Analisis Permintaan Masyarakat Terhadap Pelayanan Rawat Jalan Rumah Sakit Umum Daerah Dr. R. Soetijono Blora”, Jurnal Kesehatan Masyarakat Universitas Diponegoro, Vol. 5 No. 1.
Dirksen, C.D., Utens, C.M., Joore, M.A., van Barneveld, T.A., Boer, B., Dreesens, D.H., van Laarhoven, H., et al. (2013), “Integrating evidence on patient preferences in healthcare policy decisions: protocol of the patient-VIP study”, Implementation Science, Vol. 8 No. 1, p. 64.
Durmuş, A. and Akbolat, M. (2020), “The Impact of Patient Satisfaction on Patient Commitment and the Mediating Role of Patient Trust”, Journal of Patient Experience, SAGE Publications Inc, Vol. 7 No. 6, pp. 1642–1647.
Gil, M.-R. and Choi, C.G. (2019), “Factors Affecting the Choice of National and Public Hospitals Among Outpatient Service Users in South Korea”, INQUIRY: The Journal of Health Care Organization, Provision, and Financing, SAGE Publications Inc, Vol. 56, p. 0046958019833256.
Gilmore, K.J., Pennucci, F., De Rosis, S. and Passino, C. (2019), “Value in Healthcare and the Role of the Patient Voice.”, Healthcare Papers, Canada, Vol. 18 No. 4, pp. 28–35.
Güdük, Ö. (2020), “Satisfaction of Patients and Their Relatives Who Received Health Service at Home”, BOĞAZİÇİ TIP DERGİSİ, available at:
Horn, J., Allen, S. V., Boehmer, K.R. and Pecina, J.L. (2021), “Patient Voice and Mission: Why Do Patients Choose Family Medicine and What Do They Value?”, Journal of Patient Experience, Vol. 8, p. 237437352110340.
Irawan, B. and Ainy, A. (2018), “Analisis Faktor-Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan pada Peserta Jaminan Kesehatan Nasional di Wilayah Kerja Puskesmas Payakabung, Kabupaten Ogan Ilir”, Jurnal Ilmu Kesehatan Masyarakat, Vol. 9 No. 3, pp. 189–197.
Janis, N. (2015), BPJS Kesehatan, Supply, Dan Demand Terhadap Layanan Kesehatan.
Juhnke, C. and Mühlbacher, A.C. (2013), “Patient-centredness in integrated healthcare delivery systems - needs, expectations and priorities for organised healthcare systems.”, International Journal of Integrated Care, Vol. 13, p. e051.
Jumriati, Satrianegara, M.F. and Habibi. (2020), “Pemanfaatan Kembali Pelayanan Kesehatan Oleh Pasien Umum Rawat Inap di Rumah Sakit Syekh Yusuf Tahun 2019”, Higiene, Vol. 6 No. 1, pp. 1–7.
Kassaw, C., Eskeziya, A. and Anbesaw, T. (2022), “Magnitude of patient satisfaction and its associated factors at the outpatient psychiatry service of Dilla university referral hospital, Southern Ethiopia, Dilla, 2020”, edited by Mockridge, J.PLOS ONE, Vol. 17 No. 8, p. e0272485.
Kruk, M.E., Gage, A.D., Arsenault, C., Jordan, K., Leslie, H.H., Roder-DeWan, S., Adeyi, O., et al. (2018), “High-quality health systems in the Sustainable Development Goals era: time for a revolution”, The Lancet Global Health, Vol. 6 No. 11, pp. e1196–e1252.
Leutner, F. (2016), Profiling Consumers: The Role of Personal Values in Consumer Preferences, University College London.
Li, Y., Li, W., Wu, Z., Yuang, J., Wei, Y., Huang, C. and Huang, D. (2022), “Findings About Patient Preferences for Medical Care Based on a Decision Tree Method Study Design for Influencing Factors”, INQUIRY: The Journal of Health Care Organization, Provision, and Financing, Vol. 59, p. 004695802210928.
Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti, P. and Prawira, J. (2017), The Republic of Indonesia Health System Review, WHO Regional Office for South-East Asia.
Mappiare, A. (2015), Definisi Preferensi, Alumni, Bandung.
Monfared, I.G., Garcia, J. and Vollmer, S. (2021), “Predictors of patients’ choice of hospitals under universal health coverage: a case study of the Nicaraguan capital”, BMC Health Services Research, Vol. 21 No. 1, p. 1356.
Napirah, M.R., Rahman, A. and Tony, A. (2016), “Faktor-Faktor Yang Berhubungan Dengan Pemanfaatan Pelayanan Kesehatan di Wilayah Kerja Puskesmas Tambarana Kecamatan Poso Pesisir Utara Kabupaten Poso”, Jurnal Pengembangan Kota, Vol. 4 No. 1, p. 29.
National Academies of Sciences, Engineering, and M. (2018), Health-Care Utilization as a Proxy in Disability Determination, Health-Care Utilization as a Proxy in Disability Determination, The National Academies Press, Washington DC, available at:
Raadabadi, M., PurSharayati, F., Askarzadeh, E. and Mousav, S.M. (2019), “Factors Affecting Patients’ Preferences Based on the Mixing Factors of Marketing Services in Hospital Selection”, International Journal of Health Studies, Vol. 5 No. 4, pp. 38–42.
Rademakers, J., Delnoij, D., Nijman, J. and de Boer, D. (2012), “Educational inequalities in patient-centred care: patients’ preferences and experiences”, BMC Health Services Research, Vol. 12 No. 1, p. 261.
Raghupathi, V. and Raghupathi, W. (2020), “The influence of education on health: an empirical assessment of OECD countries for the period 1995–2015”, Archives of Public Health, Vol. 78 No. 1, p. 20.
Rifkin, S.B. (2018), “Alma Ata after 40 years: Primary Health Care and Health for All—from consensus to complexity”, BMJ Global Health, Vol. 3 No. Suppl 3, p. e001188.
Rochmiati, C.S. (2021), “Faktor-faktor yang mempengaruhi keputusan pilihan pasien Rawat Inap di Rumah Sakit Syariah”, Jurnal Kesehatan Masyarakat, Vol. 8 No. 2, pp. 152–164.
Santana, M.-J., Ahmed, S., Lorenzetti, D., Jolley, R.J., Manalili, K., Zelinsky, S., Quan, H., et al. (2019), “Measuring patient-centred system performance: a scoping review of patient-centred care quality indicators”, BMJ Open, Vol. 9 No. 1, p. e023596.
Seo, E.-W. and Lee, K.-S. (2015), “Difference in Healthcare Utilization for Percutaneous Transluminal Coronary Angioplasty Inpatients by Insurance Types: Propensity Score Matching Analysis”, Health Policy and Management, Vol. 25 No. 1, pp. 3–10.
Soekhai, V., Whichello, C., Levitan, B., Veldwijk, J., Pinto, C.A., Donkers, B., Huys, I., et al. (2019), “Methods for exploring and eliciting patient preferences in the medical product lifecycle: a literature review”, Drug Discovery Today, Vol. 24 No. 7, pp. 1324–1331.
Srikandi, P.I. (2017), Analisis Preferensi Pedagang Pasar Tradisional Terhadap Sumber Permodalan Dalam Perspektif Ekonomi Islam (Studi Pada Pedagang Pasar Bawah Kota Bandar Lampung), UIN Raden Intan Lampung.
Tampi, J., Rumayar, A.A. and Tucunan, A.A.. (2016), “Hubungan Antara Pendidikan, Pendapatan dan Pekerjaan Dengan Pemanfaatan Pelayanan Kesehatan di Rumah Sakit Umum Daerah Manembo-Nembo Bitung”, KESMAS: Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi, Vol. 5 No. 1.
Tang, C., Xu, J. and Zhang, M. (2016), “The choice and preference for public-private health care among urban residents in China: evidence from a discrete choice experiment”, BMC Health Services Research, Vol. 16 No. 1, p. 580.
Thompson, A.E., Anisimowicz, Y., Miedema, B., Hogg, W., Wodchis, W.P. and Aubrey-Bassler, K. (2016), “The influence of gender and other patient characteristics on health care-seeking behaviour: a QUALICOPC study”, BMC Family Practice, Vol. 17 No. 1, p. 38.
Vahdat, S., Hamzehgardeshi, L., Hessam, S. and Hamzehgardeshi, Z. (2014), “Patient Involvement in Health Care Decision Making: A Review”, Iranian Red Crescent Medical Journal, Vol. 16 No. 1, available at:
Valentina, R. and Pujianto. (2019), “Faktor-Faktor Yang Berhubungan Dengan Pemanfaatan Layanan Rawat Jalan”, Poltekita: Jurnal Ilmu Kesehatan, Vol. 13 No. 1, pp. 12–16.
Wahyuni, T. (2017), “Analisis Preferensi Terhadap Sosiodemografi Pada Pasien Umum Instalasi Rawat Jalan RSUD BDH Surabaya”, Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo, Vol. 3 No. 1, p. 109.
Widyastika, W. (2015), Hubungan Antara Persepsi Pasien Tentang Kualitas Pelayanan Dengan Minat Pemanfaatan Ulang Pelayanan Rawat Inap Di Puskesmas Mijen Kota Semarang, Universitas Negeri Semarang.
Yu, T.-H., Chung, K.-P., Wei, C.-J., Chien, K.-L. and Hou, Y.-C. (2016), “Do the Preferences of Healthcare Provider Selection Vary among Rural and Urban Patients with Different Income and Cause Different Outcome?”, edited by WANG, Q.PLOS ONE, Vol. 11 No. 4, p. e0152776.
Yu, W., Li, M., Ye, F., Xue, C. and Zhang, L. (2017), “Patient preference and choice of healthcare providers in Shanghai, China: a cross-sectional study”, BMJ Open, Vol. 7 No. 10, p. e016418.
Zeng, Y., Wan, Y., Yuan, Z. and Fang, Y. (2021), “Healthcare-Seeking Behavior among Chinese
How to Cite
Fifi Achwani, Ermi Girsang, & Sri Lestari Ramadhani Nasution. (2023). AN ANALYSIS OF DETERMINANTS OF PATIENT PREFERENCES IN OUTPATIENT SERVICES AT HOSPITAL ROYAL PRIMA MARELAN. Jurnal Scientia, 12(04), 200-208. Retrieved from