Overview of the Quality of Service for Participants Using the Health Social Security Administering Body and Non-Health Social Security User Body at Hospital X

Authors

  • Rebeca Stevany Putri Patricia Hutajulu Sekolah Tinggi Ilmu Kesehatan RS Husada
  • Ria Efkelin Sekolah Tinggi Ilmu Kesehatan RS Husada
  • Hardin La Ramba Sekolah Tinggi Ilmu Kesehatan RS Husada

DOI:

https://doi.org/10.55606/ijhs.v5i3.6156

Keywords:

BPJS Kesehatan, Healthcare, Hospital, non-BPJS, SERVQUAL

Abstract

The quality of healthcare services is a crucial factor in determining patient satisfaction, particularly in the context of the implementation of the National Health Insurance (JKN) through the BPJS Health (Social Security Agency for Health). This study aims to describe the differences in healthcare service quality between BPJS and non-BPJS patients at Hospital X. Using a descriptive qualitative approach with SERVQUAL theory, data were collected through in-depth interviews and direct observation of the administrative service process. The results indicate a gap in service delivery, particularly in the dimensions of responsiveness and empathy. Non-BPJS patients tend to receive faster, friendlier, and more personalized service, while BPJS patients experience longer waiting times and less empathetic interactions with staff. These findings indicate that services at Hospital X do not fully reflect the principles of justice and equality. Improvements to the service system and staff competency are necessary to enhance the quality of care for all patients, regardless of insurance status.

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References

A’aqoulah, A., Kuyini, A. B., & Albalas, S. (2022). Exploring the gap between patients’ expectations and perceptions of healthcare service quality. Patient Preference and Adherence, 16, 1295–1305. https://doi.org/10.2147/PPA.S360852

Agnaty, A. R., Andriyani, A., & Jaksa, S. (2025). Analysis of BPJS patient satisfaction towards the quality of outpatient services in hospital using the SERVQUAL approach. Journal of Health Service Management, 28(2), 44–49. https://doi.org/10.22146/jmpk.v28i02.21340

Andini, R. Y. N., Nurfikri, A., Shanty, J. D., & Achmadi, N. K. (2023). Analysis of BPJS health and non-BPJS health patient satisfaction on inpatient services at X hospital. International Journal of Nursing Information, 2(1), 19–25. https://doi.org/10.58418/ijni.v2i1.42

Apriliana, A., & Sukaris, S. (2022). Analysis of service quality at CV Singoyudho Nusantara. Jurnal Maneksi, 11(2), 498–504. https://doi.org/10.31959/jm.v11i2.1246

Arina, N., Hanesya, M., Bumi, C., & Prihatini, D. (2024). Application of lean management on the waiting time efficiency of outpatient services at Jember Hospital clinic. Journal of Health Policy and Management, 9, 211–223. https://doi.org/10.26911/thejhpm

Arviyanto, T. (2016). Study of BPJS health services according to service quality dimensions at Halmahera Public Health Center Semarang in 2016 [Unpublished report].

Attamimi, H. R., Darwin, K. H., Fauzi, D. H., Ramba, H. L., Oktafiani, D., Yulianto, A., … Ansel, M. F. (2023). Metode penelitian. PT Nusantara Abadi Literacy Group.

Ayuningtyas, F. D., & Wibowo, I. (2024). Analysis of medical personnel service performance for BPJS patients at Muhammadiyah Hospital, Bandung City. JEMSI (Journal of Economics, Management, and Accounting), 10(4), 2290–2299. https://doi.org/10.35870/jemsi.v10i4.2575

Aziza, S. N., Ayunina, Q., & Harsono, R. A. (2024). Analysis of Presidential Decree No. 59 of 2024 concerning the implementation of the JKN standard inpatient class (KRIS). https://doi.org/10.13140/RG.2.2.31667.95522

Badri, A. Z., Wahyuni, K. I., & Anindita, P. R. (2021). Analysis of BPJS patient satisfaction levels towards pharmaceutical services in outpatient pharmacy installation of Anwar Medika Hospital. Farmasains: Journal of Pharmacy and Pharmaceutical Sciences, 6(2), 1–6. https://doi.org/10.22219/farmasains.v6i2.13862

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Cilar Budler, L., & Stiglic, G. (2025). Ethical approval and informed consent in mental health research: A scoping review. AI & Society. https://doi.org/10.1007/s00146-025-02364-0

Creswell, J. W., & Creswell, J. D. (2019). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.

Dewi, A., & Ramadhan, N. K. (2016). The difference of satisfaction level in BPJS health insurance patient and non insurance patient toward health service. International Journal of Public Health Science, 5(1), 36–42. https://doi.org/10.11591/ijphs.v5i1.4760

Dewi, K. A. (2023). The relationship between health service quality and inpatient BPJS patient satisfaction at Sultan Agung Islamic Hospital, Semarang [Undergraduate thesis].

Dian, N., & Yanti, D. (2022). Factors affecting the quality of health services in the working area of the Mekar Health Center, Kendari City, 2020. Kendari Journal of Public Health (JKKM), 2(1), 18–29.

Dyanti, P., Cokki, C., & Zhafira, A. (2024). Comparative analysis of patient satisfaction with BPJS and non-BPJS-based health services at KRMT Wongsonegoro Regional General Hospital. Journal of Business Management and Entrepreneurship, 8(2), 355–366. https://doi.org/10.24912/jmbk.v8i2.29666

Erlinengsih, E., & Angraini, D. (2025). Analysis of the difference in satisfaction level of BPJS patients and non-BPJS patients towards the quality of health services. Saintika Meditory Health Journal, 8, 421–431. https://doi.org/10.30633/jsm.v8i1.3290

Eunike, D., & Cokki, C. (2024). Revealing the satisfaction of non-BPJS patients at RAA Soewondo Pati Regional Hospital. Journal of Business Management and Entrepreneurship, 8(4), 868–880. https://doi.org/10.24912/jmbk.v8i4.31639

Evandinnartha, N. A., Hidayat, S. M., & Rosyidah, R. (2023). Effect of service quality and patient satisfaction of BPJS on patient loyalty: Literature review. Indonesian Health Promotion Publication Media (MPPKI), 6(6), 1025–1032. https://doi.org/10.56338/mppki.v6i6.3256

Fachri, M. (2024). The effect of tangibles, reliability, responsiveness, assurance, and empathy aspects on hospitalization services in hospitals on patient satisfaction. International Journal of Psychology and Health Science, 2(2), 39–51.

Faeni, D. P. (2024). SERVQUAL measures: Indonesian government healthcare (BPJS) from a human resource perspective. Journal of Infrastructure, Policy and Development, 8(2), 1–21. https://doi.org/10.24294/jipd.v8i2.2271

Fatmasari, Y. E., Arso, P. S., & Dilla, I. H. (2021). Analysis of differences in outpatient service responsiveness for general patients and BPJS patients at the Indera Community Health Center (BKIM) of Central Java Province. Jurnal Kesehatan Masyarakat, 5, 51–60.

Fiqri, A. F., & Octavia, A. (2022). The impact of e-service quality, e-trust, and perceived risk on repurchase intention mediated by e-satisfaction in using e-commerce applications during the Covid-19 pandemic in Jambi City. Journal of Applied Management and Finance, 11(3), 602–615. https://doi.org/10.22437/jmk.v11i03.15332

Geofani, R. F., Masrul, M., & Kasra, K. (2023). Analysis of the causes of dissatisfaction of BPJS polyclinic patients at Dr. Reksodiwiryo Level III Hospital, Padang. JIK (Journal of Health Sciences), 7(2), 326–333. https://doi.org/10.33757/jik.v7i2.874

Hapsari, K., Sriatmi, A., & Kartini, A. (2023). Inpatient satisfaction with hospital services in Indonesia: A systematic review. Interdisciplinary Social Studies, 3(2), 10–22. https://doi.org/10.55324/iss.v3i2.563

Hasanah, U., Hermawan, D., & Amirus, K. (2024). The relationship between service quality and inpatient satisfaction at Hospital X, Bandar Lampung. Jurnal Medika Malahayati, 7(4), 1093–1102. https://doi.org/10.33024/jmm.v7i4.12037

Herani, C. E., & Mashabai, I. (2023). The effect of community health center service quality on BPJS patient satisfaction using the service quality method. Journal of Applied Process and Industrial Engineering, 1(3), 1–10. https://doi.org/10.59061/repit.v1i3.308

Hernawati, L., Rahman, L. O. A., Hariyati, R. T. S., Wildani, A. A., & Erwin, E. (2023). Efforts to improve patient safety by implementing risk management in inpatient units. Journal of Telenursing (JOTING), 5(2), 2972–2981. https://doi.org/10.31539/joting.v5i2.7913

Hio, A. D. (2025). The effect of service quality and the quality of the relationship on the effectiveness of services and implications for outpatient satisfaction (Survey at Sultan Imanuddin Pangkalan Bun Hospital). JARSI: Indonesian Journal of Hospital Administration, 4(1), 1–12.

Jayanti, B., & Desi, W. N. (2023). The urgency of public participation in public governance in Indonesia. Journal of Contemporary Public Administration, 3(2), 51–58. https://doi.org/10.22225/jcpa.3.2.2023.51-58

Juliansyah, R., Aqid, B. M., Salsabila, A. P., & Nurfiyanti, K. (2024). Implementation of EMR system in Indonesian health facilities: Benefits and constraints. Implementation of EMR System in Indonesian Health Facilities. http://arxiv.org/abs/2410.12226

Khairuman, K., Juliani, A., & Fajira, E. (2024). Analysis of patient satisfaction with BPJS (Social Security Administration) and non-BPJS health services. Journal of Humanities Research Sustainability, 1(3), 126–133.

Khairunnisa, P. D., Katon, S. H., Salsabila, L., & Rohmatul, N. (2023). Implementation of BPJS health financing as a supporter of UHC (Universal Health Coverage). Universal Health Coverage, November.

Kur’aini, N. S., Anggraini, N. A., Surya, T. N., Kusumaning, A., & Widyastuti, F. (2023). Socialization of the JKN program through BPJS Kesehatan in an effort to increase worker participation. LOMAS, 4(2), 94–101. https://doi.org/10.53861/lomas.v4i2.378

Kurniawan, A. B., & Purwanto, N. H. (2024). Comparative study of BPJS Kesehatan patient perceptions regarding health services between BPJS Kesehatan and non-BPJS Kesehatan financing. Enfermeria Ciencia, 2(2), 117–128. https://doi.org/10.56586/ec.v2i2.30

Lasut, R. F., Mandey, S. L., & Jan, A. H. (2021). Analysis of the influence of service quality and premium amount on the level of collectibility and participant satisfaction as intervening variables at the Manado Branch of BPJS Kesehatan. Aksara: Journal of Nonformal Education, 7(2), 633–646. https://doi.org/10.37905/aksara.7.2.633-646.2021

Lestari, S. A. (2021). Comparison of BPJS and non-BPJS services in inpatient care: Literature review. Pharmacognosy Magazine, 75(17), 399–405.

Limisran, L., Yulianto, N., & Paganini, R. D. M. A. (2024). Review of waiting time for BPJS patient services in outpatient services at Siti Khadijah Islamic Hospital, Palembang. Quantum Wellness: Journal of Health Sciences, 1, 54–63. https://journal.lpkd.or.id/index.php/QuWell

M., R. F., Sety, L. O. M., & Hartoyo, A. M. (2024). [Article on health administration and policy]. Journal of Health Administration and Policy (JAKK-UHO), 5(2), 238–247. http://jakp.fisip.unand.ac.id/index.php/jakp/article/view/139

Madakusuma, R. A., Hatta, G., & Hutapea, F. (2025). Analysis of the causes of delayed claims for BPJS Kesehatan inpatients at the Jakarta Sukapura Islamic Hospital in 2023. Indonesian Journal of Hospital Management and Administration (MARSI), 9(1), 40–57. https://doi.org/10.52643/marsi.v9i1.5902

Maulana, N., Soewondo, P., Adani, N., Limasalle, P., & Pattnaik, A. (2022). How National Health Insurance (JKN) coverage influences out-of-pocket (OOP) payments by vulnerable populations in Indonesia. PLOS Global Public Health, 2(7), e0000203. https://doi.org/10.1371/journal.pgph.0000203

Menard, T. (2025). Exploring the evolving ethical challenges of randomized controlled trials through the lens of principles. OSF Preprints. https://doi.org/10.31235/osf.io/uxst9

Mumtaza, F. A., & Millanyani, H. (2023). The influence of service quality on customer satisfaction in urban travel. Scientific Journal of Management, Economics, & Accounting (MEA), 7(2), 1645–1661. https://doi.org/10.31955/mea.v7i2.3242

NAIC. (2023). US health insurance industry analysis report. https://content.naic.org/sites/default/files/industry-analysis-report-2023-health-mid-year.pdf

Noviyanti, N., Patisahusiwa, S., & Rahmawati, R. (2025). The role of service quality in improving patient recommendations towards hospitals. Jurnal Keperawatan, 6(2), 83–92. https://ejurnals.com/ojs/index.php/jken

Nurdiana, L. O., Menap, M., Khalik, L. A., Budiharjo, N., & Sismulyanto, S. (2022). Family satisfaction level of inpatients participating in the BPJS health program based on participant status. Braz Dent J., 33(1), 1–12.

Oktarina, N., & Novratilova, S. (2025). Evaluation of the casemix system in the BPJS claim process: Study. Journal of Nursing, 9, 3150–3154. https://doi.org/10.31004/jn.v9i2.44631

Parasuraman, A., Berry, L. L., & Zeithaml, V. A. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40.

Pohan, T. (2024). Analysis of BPJS and non-BPJS patient satisfaction levels regarding service quality in the inpatient ward of Gunung Tua Regional Hospital. Indonesian Health Scientific Journal, 9(1), 124–133. https://doi.org/10.51933/health.v9i1.1339

Prakoso, A. D. (2023). Analysis of differences in service quality for BPJS and MMUM patients at Hospital “X” Bekasi Regency. Journal of Nursing Practice and Education, 4(1), 85–95. https://doi.org/10.34305/jnpe.v4i1.857

Pratama, Y. Y., Hidayat, M. S., Marwati, T. A., Handayani, L., & Adnan, M. L. (2022). Differences in satisfaction levels between subsidized and non-subsidized JKN patients in the reliability and responsiveness dimensions: A case study at Rajawali Citra Hospital. Indonesian Journal of Hospital Administration, 5(2), 53–62. https://doi.org/10.21927/ijhaa.2022.5(2).53-62

Pratisara Putri, N. A., & Pink Berlianto, M. (2025). The influence of service quality dimensions, insurance system, and sincerity on BPJS patient satisfaction, trust, and loyalty in Indonesian hospitals. Dynasty International Journal of Economics, Finance & Accounting, 5(6), 6095–6109. https://doi.org/10.38035/dijefa.v5i6.3786

Pratiwi, A., & Muthia, N. (2023). The role of BPJS Kesehatan as the organizer of the National Health Insurance (JKN) program in the health financing subsystem in Indonesia. https://www.researchgate.net/publication/376787845

Pulungan, N., Fannya, P., Sonia, D., & Indawati, L. (2023). Patient satisfaction of BPJS outpatient users at Bhakti Mulia Hospital in 2023. Tambusai Health Journal, 4(September), 2168–2176.

Purba, M., Nasution, A. P., & Harahap, A. (2023). The effect of service quality, product quality, and company reputation on consumer satisfaction with trust as a moderating variable. Remik: Research and E-Journal of Computer Informatics Management, 7(2), 1091–1107. https://doi.org/10.33395/remik.v7i2.12268

Putri, N., & Wardana, W. (2024). Analysis of the quality of medical services for patients of the Social Security Administration (BPJS) Health at the Lembang Community Health Center. JEMSI (Journal of Economics, Management, and Accounting), 10(4), 2402–2408. https://doi.org/10.35870/jemsi.v10i4.2612

Putri, R. A., Makkasau, A. K. A., & Astriana, M. (2024). BPJS patients at Benteng Community Health Center, Selayar Islands Regency. Journal of Aafiyah Health Research (JAHR), 5(1), 30–39.

Radja, I. I., Kusnanto, H., & Hasanbasri, M. (2015). Social health insurance and out-of-pocket costs in Eastern Indonesia. Indonesian Journal of Health Policy, 4(2), 50–56.

Rahman, M. (2017). Quality of health services for patients participating in the Social Security Administration Agency (BPJS) at Hasanuddin University Hospital. Scientific Journal of Public Administration, 7(1), 30–39. https://doi.org/10.26858/jiap.v7i1.3437

Rahmawati, D. (2022). The influence of BPJS health service quality on consumer satisfaction from an Islamic economic perspective. Journal of Social Knowledge Education (JSKE), 3(1), 6–10. https://doi.org/10.37251/jske.v3i1.400

Ramadhan, A. S. (2025). Quality of health services for inpatients at the Garam Kalianget Islamic Hospital (Comparative study of BPJS and non-BPJS patients). Proceedings of the National Seminar of the Faculty of Social and Political Sciences, 2.

Ridwan, A. (2022). Analysis of health service quality from the perspective of JKN implementation at Chasan Boesoirie Hospital, Ternate. SCIENTIA: Journal of Multi Disciplinary Science, 1(1), 1–16. https://doi.org/10.62394/scientia.v1i1.1

Rosidah, R., Harokan, A., Priyanto, D. A., & Wahyudi, A. (2024). Analysis of service quality on inpatient satisfaction of regional general hospitals in 2024. Cendekia Medika: Journal of Stikes Al-Ma’arif Baturaja, 9(1), 135–144. https://doi.org/10.52235/cendekiamedika.v9i1.350

Saputra, A. G., Nadhifah, N. K., Tri Ananda, M. N., Raharjo, S. T., & Resnawaty, R. (2020). Implementation of employee welfare as a form of corporate social responsibility through the BPJS employment program. Proceedings of Research and Community Service, 6(3), 246–252. https://doi.org/10.24198/jppm.v6i3.26213

Simanjuntak, K. M. O., Sriatmi, A., & Purnami, C. T. (2023). Comparison of patient satisfaction levels between the use of National Health Insurance (NHI) and private health insurance (PHI) in hospital financing: A systematic review and meta-analysis. OPSearch: American Journal of Open Research, 2(11), 158–765. https://doi.org/10.58811/opsearch.v2i11.80

Soares, M. I., Araujo, R. C., Natalino, D. A., Ximenes, S. D. R., & Gomes, D. C. D. M. (2024). Qualitative research: Qualitative research methods. Equilibrium Journal, 5, 1–7.

Sulistiyowati, W. (2018). Service quality: Theory and its application.

Sumarsid, S., & Paryanti, A. B. (2022). The effect of service quality and price on customer satisfaction at GrabFood (regional study of Setiabudi District). M-Progress Scientific Journal, 12(1), 70–83. https://doi.org/10.35968/m-pu.v12i1.867

Uloh Ramdani, W. N., & Raden Rama Satya. (2024). Effectiveness and efficiency of outpatient health services at Oto Iskandar Regional General Hospital in Nata Soreang. JEMSI (Journal of Economics, Management, and Accounting), 10(4), 2710–2720. https://doi.org/10.35870/jemsi.v10i4.2912

Ultavia B. A., Jannati, P., Malahati, F., Qathrunnada, Q., & Shaleh, S. (2023). Qualitative: Understanding the characteristics of research as a methodology. Journal of Elementary Education (JPD), 11(2), 341–348. https://doi.org/10.46368/jpd.v11i2.902

Widianto, H., & Zunaidi, R. A. (2021). [Article from Faculty of Government Management, IPDN]. Jurnal Tingkat Peradaban, 13(1), 79–93. http://ejournal.ipdn.ac.id/JTP

Yuniasih, I. (2021). Analysis of BPJS and non-BPJS patient services (Study at a clinic in Kranji Bekasi). Journal of Business Administration, 1(2), 132–140. https://doi.org/10.31294/jab.v1i2.930

Zikra, S., & Nurdin, A. (1945). ASJo: Aceh Sanitation Journal. Aceh Sanitation Journal (ASJo), 2(1), 28–31. https://journal.poltekkesaceh.ac.id/index.php/asjo

Zumria, Z., Narmi, N., & Tahiruddin, T. (2020). Differences in satisfaction levels of BPJS and non-BPJS patients regarding service quality in the inpatient ward of Kendari City Hospital. Jurnal Ilmiah Karya Kesehatan, 1, 76–83. https://stikesks-kendari.e-journal.id/JIKK/article/view/465

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Published

2025-11-04

How to Cite

Rebeca Stevany Putri Patricia Hutajulu, Ria Efkelin, & Hardin La Ramba. (2025). Overview of the Quality of Service for Participants Using the Health Social Security Administering Body and Non-Health Social Security User Body at Hospital X. International Journal Of Health Science, 5(3), 162–170. https://doi.org/10.55606/ijhs.v5i3.6156

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