Service Quality and Patient Satisfaction Assessment Using Servqual and ZoT Models
DOI:
https://doi.org/10.37287/ijghr.v8i4.1619Keywords:
primary healthcare center, SERVQUAL, ZoTAbstract
Healthcare service quality is a critical determinant of patient satisfaction, particularly in primary healthcare settings such as Puuwatu Primary Healthcare Center, which continues to receive complaints regarding service timeliness, staff courtesy, and physical facilities. Objective: This study aimed to assess service quality at Puuwatu Primary Healthcare Center and to identify service dimensions requiring improvement using the SERVQUAL and Zone of Tolerance (ZoT) models. Method: This descriptive quantitative study involved 100 outpatients selected using the Slovin formula. Data were collected through a structured questionnaire comprising 29 SERVQUAL indicators and were analyzed using gap (GAP) scores, Mean Service Adequacy (MSA), Mean Service Superiority (MSS), and ZoT analysis. Result: The findings revealed negative GAP scores across all service dimensions, indicating that the services provided did not meet patient expectations. ZoT analysis demonstrated that only the assurance dimension achieved a positive score, while responsiveness, empathy, and reliability remained within the tolerance zone but below expected standards. The tangible dimension exhibited the highest level of dissatisfaction. Conclusion: Service quality improvement efforts should prioritize upgrading physical facilities and strengthening service consistency and responsiveness to enhance overall patient satisfaction.
References
Aziza, N. (2023). Metodologi penelitian 1 : deskriptif kuantitatif. ResearchGate, July, 166–178.
Bachtiar, M. Y., Ismiyah, E., & Rizqi, A. W. (2022). Analisis Kualitas Pelayanan Dengan Metode Servqual Guna Meningkatkan Kepuasan Pelanggan Pada Pelayanan Jasa Transportasi Terminal Maulana Malik Ibrahim. Jurnal Teknik Industri: Jurnal Hasil Penelitian Dan Karya Ilmiah Dalam Bidang Teknik Industri, 8(2), 362. https://doi.org/10.24014/jti.v8i2.20075
Daswita, M., Nazaki, N., & Putra, A. (2024). Tingkat Kepuasan Masyarakat Terhadap Pelayanan di Puskesmas Kecamatan Midai Kabupaten Natuna Tahun 2023 Universitas Maritim Raja Al Haji , Indonesia Sedangkan dalam Peraturan Menteri Pendayagunaan Aparatur Negara dan Reformasi Birokrasi. 4.
Heni Anggit et.al. (2023). Analisis Kualitas Pelayanan Menggunakan Metode Servqual Untuk Meningkatkan Kepuasan Pelanggan Di Pt Jalur Nugraha Ekakurir Kranji. Industri Inovatif : Jurnal Teknik Industri, 13(1), 39–44. https://doi.org/10.36040/industri.v13i1.5252
Irfyrza, R., Nurwati, N., & Dermawan, A. (2022). Implementation Service Quality Method in Measuring Level Satisfaction Bpjs Patient. JURTEKSI (Jurnal Teknologi Dan Sistem Informasi), 8(2), 239–246. https://doi.org/10.33330/jurteksi.v8i2.1562
Kemenkes. (2009). Undang-Undang Republik Indonesia nomer 25 tahun 2009. Pelayanan Publik, 19(19), 19.
Kemenkes. (2019). PMK no 4 tahun 2019 tentang SPM. Sustainability (Switzerland), 11(1), 1–14. http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0Ahttps://www.researchgate.net/publication/305320484_Sistem_Pembetungan_Terpusat_Strategi_Melestari
Kemenkes RI. (2024a). Peraturan Menteri Kesehatan Republik Indonesia No 6 Tahun 2024 tentang Standar Pelayanan Minimal Kesehatan. Kementrian Kesehatan, 31–34.
Kemenkes RI. (2024b). PMK No. 19 Th. 2024 tentang Puskesmas. Αγαη, 15(1), 37–48.
Marliyani, Ilmi, M. bahrul, Ernadi, E., & Ariyanto, E. (2023). Pengaruh Kualitas Pelayanan Kesehatan Terhadap Tingkat Kepuasan Pasien BPJS di Puskesmas Martapura 1 Tahun 2022. Health Research Journal of Indonesia, 1(5), 190–195. https://wpcpublisher.com/jurnal/index.php/HRJI/article/view/140
Mohammad Rofiudin, Kasianto, Tasnim Nikmatullah Realita, & Moh. Shabri. (2024). Analisis Kualitas Pelayanan Kesehatan Terhadap Kepuasan Pasien DiPuskesmas Kesehatan Bantur Kecamatan. Sinar, 2(2), 9–13.
Muhammad Anzar, Nur Afni, & Mohamad Afaldi. (2023). Pengaruh Kualitas Pelayanan Keperawatan terhadap Kepuasan Pasien Rawat Inap di Puskesmas Tinombo. Jurnal Kolaboratif Sains, 6(7), 765–772. https://doi.org/10.56338/jks.v6i7.3855
Palinggi, F., Sudirman, & Muh. Jufri. (2020). Kualtas Pelayanan Berdasarkan Pendekatan Servqual (Service Quality) diPuskesmas Pantoloan Palu. Jurnal Kolaboratif Sains, 03(April 2020), 1–10.
Parasuraman, A., Zaithaml, V. A., & L., A. B. L. (2008). SERVQUAL : A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality. Jurnal Of Retailing, 64(January), 12–35.
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing, 49(4), 41. https://doi.org/10.2307/1251430
Rahayu, S., & Nasrawati. (2024). Servqual dalam Kualitas Pelayanan terhadap Kepuasan Pasien Pengguna JKN di Puskesmas Karangrayung. Pro Health Jurnal Ilmiah Kesehatan, 6(1), 41–47. https://doi.org/10.35473/proheallth.v6i1.2702
Rahmawati, D., Aulawi, H., & Kurniawati, R. (2023). Pengukuran Kualitas Layanan Berdasarkan Dimensi Service Quality (Servqual) Dengan Metode Zone of Tolerance (Zot) Dan Kano Pada Pet World. J@ti Undip: Jurnal Teknik Industri, 18(1), 21–32. https://doi.org/10.14710/jati.18.1.21-32
Rahmi, A. N. F., & Zulvia, P. (2024). Pengintegrasian Metode Zone Of Tolerance ( ZOT ) dan Kano dalam Upaya Meningkatkan Kualitas Layanan Sistem Rujukan Pengguna BPJS ( Studi Kasus : Puskesmas Dago ). Ilmu Administrasi 8.0, 273–281. https://knia.stialanbandung.ac.id/index.php/knia/article/view/1093
Rosita, E., Hidayat, W., & Yuliani, W. (2021). Uji Validitas Dan Reliabilitas Kuesioner Perilaku Prososial. FOKUS (Kajian Bimbingan & Konseling Dalam Pendidikan), 4(4), 279. https://doi.org/10.22460/fokus.v4i4.7413
Sendi Gustiandi, Nugraha, & Dewi Shofi Mulyati. (2024). Usulan Perbaikan Kualitas Pelayanan Jasa Menggunakan Model Service Quality (Servqual) dan Model Kano. Bandung Conference Series: Industrial Engineering Science, 4(1), 11–18. https://doi.org/10.29313/bcsies.v4i1.9912
Vernanda, A., & Zuraidah, E. (2022). Analisa Kualitas Layanan Pendaftaran Pasien Secara Online Pada RS Mekar Sari Bekasi Menggunakan Metode Servqual. Resolusi : Rekayasa Teknik Informatika Dan Informasi, 2(6), 243–250. https://doi.org/10.30865/resolusi.v2i6.378
Wida, W., & Ida, I. J. F. (2023). Efektivitas Dan Efisiensi Pelayanan Kesehatan Pada Puskesmas DTP Gununghalu. EKONOMIKA45 : Jurnal Ilmiah Manajemen, Ekonomi Bisnis, Kewirausahaan, 11(1), 195–209. https://doi.org/10.30640/ekonomika45.v11i1.1152
Wiwik Sulistyawati, Wahyudi, S. T. (2022). Analisis (Deskriptif Kuantitatif) Motivasi Belajar Siswa Dengan Model Blended Learning Di Masa Pandemi Covid19. 13(1), 67–72.
Yusransyah, Ahmad Sofan, Tuty Sriwahyuni, Tuty Sriwahyuni, Lydya Elfira Sari Nasution, & Raiyan. (2022). Pengaruh Pelatihan Farmasi Klinik Terhadap Peningkatan Kompetensi Apoteker Di Puskesmas Provinsi Banten Di Era Pandemi Covid-19. Jurnal Ilmiah Manuntung, 8(1), 89–99. https://doi.org/10.51352/jim.v8i1.497
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.








