INFLUENCE OF SERVICE QUALITY AND DRUG AVAILABILITY ON PATIENT SATISFACTION THROUGH PATIENT TRUST MEDIATION
Abstract
Research Objective: This study intends to investigate and explain the impact of service quality and medicine availability on patient satisfaction, both directly and indirectly, using patient trust as a mediating variable at RSUD Natuna’s Pharmacy Installation. Research Type: This study is quantitative explanatory research. Data were collected through questionnaires distributed to 100 outpatient respondents. The data analysis technique used was Structural Equation Modeling (SEM) based on Partial Least Squares (PLS), implemented in SmartPLS. Research Findings: The results indicate that service quality positively impacts patient trust and satisfaction. The availability of drugs has been demonstrated to boost patient trust, although it has no significant direct impact on patient satisfaction. Furthermore, patient trust was found to positively affect satisfaction and to successfully mediate the relationship between service quality and satisfaction. However, trust cannot mediate the relationship between medicine availability and patient satisfaction, as low medicine stock acts as a physical barrier that cannot be compensated for by the emotional factor of trust alone.
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References
Ali, M. A. S., Amirthalingam, P., Alatawi, Y., & Aljabri, A. (2022). Patient Satisfaction of Ambulatory Care Pharmacy Services. Journal of Patient Experience, 9, 1–8. https://doi.org/10.1177/23743735221112631
AlOmari, F., & Hamid, A. B. A. (2022). Strategies to improve patient loyalty and medication adherence in Syrian healthcare setting?: The mediating role of patient satisfaction. PLOS One, 1–27. https://doi.org/10.1371/journal.pone.0272057
Aziz, A. F., Hermawati, A., & Anam, C. (2025). Pengaruh Customer Relationship Management Terhadap Pembelian Ulang di Mediasi Kepercayaan Pelanggan Toko Ritel Makkiyah. Pusat Publikasi Ilmu Manajemen, 3(3), 132–145.
Chang, C., Chen, S., & Lan, Y. (2013). Service quality , trust , and patient satisfaction in interpersonal-based medical service encounters. BMC Health Services Research, 13(22), 1–11.
Chin W, M. G. (1998). The Partial Least Squares Approach to Structural Formula Modeling. Advances in Hospitality and Leisure, 8?2?(January 1998), 5.
Hair, J. F., Hult, T. M., Ringle, C. M., & Sarstedt, M. (2017). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). In SAGE Publications, Inc (Second Edi). SAGE Publications, Inc.
Hambawudi, R. L. (2023). Pengaruh Ketersediaan Obat Dan Kualitas Pelayanan Farmasi Terhadap Kepuasan Pasien Di Apotik 2B Farma Melolo. Sekolah Tinggi Ilmu Bisnis Kumala Nusa Yogyakarta.
Harun, F. S., Adam, A., & Alim, A. (2025). Pengaruh Budaya Organisasi terhadap Kinerja dan Pelayanan Kesehatan di Puskesmas?: Studi Tinjauan Literatur. Jurnal Berita Kesehatan?: Jurnal Kesehatan, 18(1), 122–130.
Nurmiwiyati, DS, A. O., Aritonang, M., & Kosasih. (2020). Pengaruh Ketersediaan Obat Dan Kualitas Pelayanan Farmasi Terhadap Kepuasan Dan Loyalitas Pasien Rawat Jalan. Jurnal Surya Medika (JSM), 6(1), 32–28.
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–37.
Pribadi, P., Kristina, S. A., & Syahlani, S. P. (2021). Building Patient Loyalty in Pharmacy Service?: A Comprehensive Model. Indonesian Journal of Pharmacy, 32(2), 241–250.
Quick, J. D. (1997). Managing Drug Supply: The Selection, Procurement, Distribution, and Use of Pharmaceuticals (2nd ed.). Kumarian Press.
Santoso, S. A., Suci, R. P., & Faida, E. W. (2026). Mutu Pelayanan Sebagai Mediator Antara Pelayanan Prima, Keselamatan Pasien, Dan Kepuasan Pasien Rawat Inap Di Rumah Sakit Mitra Keluarga Kenjeran. Jurnal Ekonomi & Ekonomi Syariah, 9(1), 560–583.
Sugiyono, S. (2019). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (S. Sutopo, Ed.). Alfabeta.
Suhermin, & Hermawati, A. (2021). Membangun Kepercayaan Kepada Rumah Sakit Berdasarkan Kualitas Layanan Dan Kepuasan Pasien. Equilibrium: Jurnal Ilmiah Ekonomi, Manajemen Dan Akuntansi, 10(1), 51–59.
Viegas, R., Dineen-Griffin, S., Söderlund, L.-Å., Acosta-Gómez, J., & Guiu, J. M. (2022). Telepharmacy and pharmaceutical care: A narrative review by International Pharmaceutical Federation. Farmacia Hospitalaria, 46(1), 86–91. https://doi.org/10.7399/fh.13244
Authors
Copyright (c) 2026 Winggia Antena, Rahayu Puji Suci, Anif Prasetyorini, Adya Hermawati, Emma Budi Sulistiarini

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