Service Quality and Communication Mediating Services-cape Effects on Patient Experience in Pharmacy Installation
DOI:
https://doi.org/10.70062/globalmanagement.v3i1.524Keywords:
Effective Communication, Hospital, Patient Experience, Service Quality, ServicescapeAbstract
Patient experience reflects patient’s comprehensive perceptions of service quality, the physical environment, and communication with healthcare providers. This study was motivated by the need to foster positive patient experience in the Pharmacy Installation of Graha Sehat Hospital, Probolinggo through improvements in service quality, servicescape, and effective communication. The objective of this research was to analyze the effects of service quality and servicescape on patient experience, with effective communication serving as an intervening variable. A quantitative approach was employed using Structural Equation Modeling (SEM) with AMOS. A total of 180 outpatient pharmacy patients were selected through voluntary sampling, with the sample size determined based on Hair’s method. The findings indicate that service quality, servicescape, and effective communication simultaneously exert a positive and significant effect on patient experience. Partially, service quality has a positive and significant effect on patient experience, while servicescape does not have a direct significant effect on patient experience. Effective communication, however, demonstrates a positive and significant influence on patient experience. Furthermore, effective communication significantly mediates the relationship between servicescape and patient experience, but it does not mediate the relationship between service quality and patient experience. The managerial implications for hospital management highlight the need to strengthen service quality improvement strategies, optimize spatial layout and environmental comfort in the pharmacy setting, and establish concise communication standards that include essential medication counseling points. Such measures are necessary to ensure that communication quality remains consistent, even during peak patient volume periods with limited-service time.
References
Alfatafta, M., Alsubahi, N., Alfatafta, H., Alshawabka, A., McGarry, A., Ahmad, A., Derkacs, E., Varga, D., & Molics, B. (2025). Assessing service quality and its impact on patient experience and satisfaction in prosthetics and orthotics: A SERVQUAL-based cross-sectional study. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-13172-z
An, S., Lee, P., & Shin, C. H. (2023). Effects of servicescapes on interaction quality, service quality, and behavioral intention in a healthcare setting. Healthcare, 11(18). https://doi.org/10.3390/healthcare11182498
Ayele, Y., Hawulte, B., Feto, T., Basker, G. V., & Bacha, Y. D. (2020). Assessment of patient satisfaction with pharmacy service and associated factors in public hospitals, Eastern Ethiopia. SAGE Open Medicine, 8. https://doi.org/10.1177/2050312120922659
Berry, L. L., Parasuraman, A., & Zeithaml, V. A. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1).
Bitner, M. J. (1992). Servicescapes: The impact of physical surroundings on customers and employees. Journal of Marketing, 56(2). https://doi.org/10.1177/002224299205600205
Campos Andrade, C., Lima, M. L., Pereira, C. R., Fornara, F., & Bonaiuto, M. (2013). Inpatients' and outpatients' satisfaction: The mediating role of perceived quality of physical and social environment. Health and Place, 21. https://doi.org/10.1016/j.healthplace.2013.01.013
Elrayah, M., & Keong, O. C. (2025). Functional quality and patient satisfaction: The role of trust and communication. Journal of Natural Science, Biology and Medicine, 16(1). https://doi.org/10.5281/zenodo.15346754
Hadiwijaya, H. (2018). Pengaruh komunikasi dan kualitas pelayanan terhadap kinerja perawat di Rumah Sakit Bhayangkara Palembang. International Journal of Social Science and Business, 2(3). https://doi.org/10.23887/ijssb.v2i3.14142
Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (2019). Multivariate data analysis.
Kamila, A., Tinneke, A., & Tumbel, M. (2024). Pengaruh servicescape dan personal selling terhadap customer satisfaction pada PT Bank Rakyat Indonesia Unit Bahu. Productivity, 5(2). https://doi.org/10.35797/ejp.v5i2.54691
Malathi, A., & Jasim, K. M. (2022). Validating the relationship between service quality, patient sensitivity and experience towards medical applications using SERVQUAL. International Journal of Medical Informatics, 168. https://doi.org/10.1016/j.ijmedinf.2022.104883
Mody, M., Suess, C., & Dogru, T. (2020). Restorative servicescapes in health care: Examining the influence of hotel-like attributes on patient well-being. Cornell Hospitality Quarterly, 61(1). https://doi.org/10.1177/1938965519879430
Monica, M., Nofierni, N., & Pamungkas, R. (2024). Patient experience and effective communication and patient belief have positive prediction on patient loyalty to use. International Journal of Nursing and Health Services, 7(4). https://doi.org/10.35654/ijnhs.v7i4.802
Monroe, A. H., & Ehninger, D. (1969). Principles of speech communication. Scott, Foresman.
Notoatmodjo, S. (2018). Perilaku kesehatan dan promosi kesehatan. Rineka Cipta.
Octaviani, S., Antonio, F., & Andy, A. (2023). The antecedents of patient experience of aesthetic clinic and its impact on revisit intention. South African Journal of Business Management, 54(1). https://doi.org/10.4102/sajbm.v54i1.3832
Purcărea, V. L., Gheorghe, I. R., & Petrescu, C. M. (2013). The assessment of perceived service quality of public health care services in Romania using the SERVQUAL scale. Procedia Economics and Finance, 6. https://doi.org/10.1016/S2212-5671(13)00175-5
Putri, M. R., Ruswanti, E., & Ramadhan, Y. (2024). The influence of service quality, price fairness, physical environment on patient loyalty with patient experience as an intervening variable at Nuraida Hospital. Formosa Journal of Science and Technology, 3(3). https://doi.org/10.55927/fjst.v3i3.8417
R. P. Hutadjulu, R., Budidharmanto, L. P., & Padmalia, M. (2026). The influence of service quality and communication moderated by patient trust on patient satisfaction. Journal Research of Social Science, Economics, and Management, 5(6). https://doi.org/10.59141/jrssem.v5i6.1265
Sekaran, U., & Bougie, R. (2016). Research methods for business: A skill-building approach (7th ed.). John Wiley & Sons.
Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: A rapid review. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09869-8
Situmorang, W. R., Rini, E. S., & ... (2020). The effect of social media, servicescape and customer experience on revisit intention with visitor satisfaction as an intervening variable in the Tree House on ….
Sudarmiyanthi, N. P. A., Rusminingsih, N. K., Aryana, I. K., & Yulianti, A. E. (2025). Hubungan kondisi lingkungan fisik ruang tunggu poli rawat jalan dengan kepuasan pengunjung di RSUD Kabupaten Klungkung. Jurnal Kesehatan Lingkungan, 15(1), 11–16.
Varughese, Z., & Arnold, T. (2020). Patients’ choice of hospitals: What drives patients’ choice of destination hospitals—Cure, cost, or comfort? Oklahoma State Medical Proceedings, 4(1).
Zehra, S., Ranjan, J., & Shukla, M. (2025). Service quality in healthcare: Understanding the relationship between patient experience and healthcare outcomes. International Journal of Health Care Quality Assurance. https://doi.org/10.1108/IJHCQA-09-2024-0090

