The Influence of Hospital Brand Image, Sharia Service Standards, and Psychospiritual Factors on Patient Loyalty in Indonesian Sharia Hospitals

Authors

  • Fatnan Setyo Hariwibowo Universitas Telkom Bandung, Indonesia
  • Maya Ariyanti Universitas Telkom Bandung, Indonesia
  • Maria Apsari Sugiat Universitas Telkom Bandung, Indonesia
  • Riski Taufik Hidayah Universitas Telkom Bandung, Indonesia

DOI:

https://doi.org/10.37641/jimkes.v13i6.4353

Keywords:

Hospital Brand Image, Sharia Service Standards, Psychospiritual Factors, Patient Loyalty, Sharia Hospital

Abstract

This study examines the impact of hospital brand image, Sharia service standards, and psychospiritual factors on patient loyalty in Sharia hospitals. Sharia hospitals in Indonesia are growing amid demand for Islam-aligned healthcare. Revenue and patients rise yearly but miss targets: 12-15 percent growth versus 20 percent goal, and 5-7 percent versus 15 percent. This signals loyalty issues involving brand image, Sharia quality, religiosity, trust, attitudes, and satisfaction. The aim is to analyze their interactions. Quantitative surveys with purposive sampling target patients from the past three years. Structural Equation Modeling analyzes 315 responses. Results reveal brand image drives Sharia standards; religiosity and trust form attitudes; standards and attitudes build satisfaction, the top loyalty predictor. Direct paths are significant; satisfaction variance is 53.1 percent, and loyalty 34.8 percent, via mediation. Improving brand and Sharia elements raises satisfaction and loyalty for growth targets. Prioritize digital marketing and spiritual care for retention.

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References

Abidin, R. A., Yudistira, Y., & Ramli, A. H. (2025). The effect of customer experience, customer satisfaction and word of mouth on customer loyalty. Jurnal Ilmiah Manajemen Kesatuan, 13(2), 685–702.

Aji, H. M., & Muslichah, I. (2023). Is halal universal? The impact of self-expressive value on halal brand personality, brand tribalism, and loyalty: Case of Islamic hospitals. Journal of Islamic Marketing, 14(4), 1146–1165.

Akoglu, H. E., & Özbek, O. (2022). The effect of brand experiences on brand loyalty through perceived quality and brand trust: A study on sports consumers. Asia Pacific Journal of Marketing and Logistics, 34(10), 2130–2148.

Alfarizi, M., & Arifian, R. (2023). Patient satisfaction with Indonesian sharia hospital services: Halal healthcare tool and implications for loyalty-WoM. Asian Journal of Islamic Management (AJIM), 5(1), 18–35.

Anastasia, U., & Nurendah, Y. (2014). Pengaruh kualitas produk dan citra merek terhadap keputusan pembelian konsumen. Jurnal Ilmiah Manajemen Kesatuan, 2(2), 181–190.

Andrianto, T. R., & Rahmiyati, N. (2021). Shariah hospital social responsibility: Maqashid Syariah at Muhammadiyah Hospital. Journal of Economics Finance and Management Studies, 4(07), 45–60.

Armstrong, G., Adam, S., Denize, S., & Kotler, P. (2014). Principles of marketing. Pearson Australia, Sydney, Australia.

Ashidiqi, A. I., Shariff, S., & Kusbaryanto, K. (2025). Harmonizing faith and care: Analyzing inpatient satisfaction in Islamic healthcare at Unimus Hospital, Indonesia. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 14(1), 79–97.

Badrinarayanan, V., & Ramachandran, I. (2024). Relational exchanges in the sales domain: A review and research agenda through the lens of commitment-trust theory of relationship marketing. Journal of Business Research, 177(3), 634-644.

Bourdeau, B. L., Cronin, J. J., & Voorhees, C. M. (2024). Customer loyalty: A refined conceptualization, measurement, and model. Journal of Retailing and Consumer Services, 81(1), 104-120.

Cham, T. H., Lim, Y. M., Sia, B. C., Cheah, J. H., & Ting, H. (2021). Medical tourism destination image and its relationship with the intention to revisit: A study of Chinese medical tourists in Malaysia. Journal of China tourism research, 17(2), 163-191.

Chanda, B., & Majumder, D. D. (2011). Digital image processing and analysis. PHI Learning Pvt. Ltd., New Delhi, India.

Demir, Y., Dağ, E., Aydın Kılınç, Z., Oruç Karakuş, P., & Özpınar, S. (2024). Hospital brand image and determinants in medical tourism: The case of Samsun. GeoJournal of Tourism and Geosites, 43(2), 456–470.

Dewi, A. K. (2025). Sustainable finance in Islamic banking: A systematic review in the context of economic instability. Jurnal Ilmiah Manajemen Kesatuan, 13(4), 2395–2404.

Fachrurazi, Silalahi, S. A. F., Hariyadi, & Fahham, A. M. (2023). Building halal industry in Indonesia: The role of electronic word of mouth to strengthen the halal brand image. Journal of Islamic Marketing, 14(8), 2109–2129.

Fadila, D., Lupikawaty, M., & Africano, F. (2022). The mediation role of trust on the effect of commitment to religiosity and marketing communication on customer loyalty of Islamic banks. International Journal of Communication and Society, 4(1), 137–152.

Fadila, E. F., Wahyudi, M., & Khotijah, S. A. (2025). Comparative performance of Islamic banks in Indonesia and Malaysia using Islamic performance index and financial ratios. Jurnal Ilmiah Akuntansi Kesatuan, 13(1), 119–128.

Firmansyah, M. A. (2023). Pemasaran produk dan merek: Planning & strategy. Jakarta: Penerbit Qiara Media.

Hakim, A., Nurhayati, A., & Sukmawati, N. (2024). The effect of service quality and consumer satisfaction on customer loyalty. Jurnal Ilmiah Manajemen Kesatuan, 12(6), 2759–2770.

Hair, J., & Alamer, A. (2022). Partial least squares structural equation modeling (PLS-SEM) in second language and education research: Guidelines using an applied example. Research Methods in Applied Linguistics, 1(3), 987-1000.

Hanin, H. F., & Kamilah, K. (2024). Cash disbursement accounting systems and procedures from a Sharia accounting perspective. Jurnal Ilmiah Akuntansi Kesatuan, 12(1), 147–154.

Hoşgör, H., & Sevim, E. (2022). Relationship between patient satisfaction and hospital brand image: A meta-analytic study. International Journal of Health Management and Tourism, 7(2), 171–185.

Hwang, J., Choe, J. Y. J., Kim, H. M., & Kim, J. J. (2021). Human baristas and robot baristas: How does brand experience affect brand satisfaction, brand attitude, brand attachment, and brand loyalty? International Journal of Hospitality Management, 99(1), 103-115.

Ibrahim, B. (2022). Social media marketing activities and brand loyalty: A meta-analysis examination. Journal of Promotion Management, 28(1), 60–90.

Indrawan, R., & Yaniawati, R. P. (2016). Metodologi penelitian: Kuantitatif, kualitatif dan campuran untuk manajemen, pembangunan, dan pendidikan. Yogyakarta: Penerbit Andi.

Jamaludin, F. I. C., Abdullah, M. R. T. L., Endut, M. N. A. A., Saifuddeen, S. M., Hamimi, K. A., & Harun, S. (2025). Developing a Shariah-compliant medical services framework in Malaysia: An expert system approach using fuzzy Delphi method and interpretive structural modelling. BMJ Open, 15(1), 82-96.

Kasolati, K., & Kamilah, K. (2024). Data collection on MSME creative industries in Medan City according to a Sharia accounting perspective. Jurnal Ilmiah Akuntansi Kesatuan, 12(1), 189–196.

Kotler, P., Kartajaya, H., & Setiawan, I. (2025). Marketing 6.0: Il futuro è immersivo. Milan: Hoepli.

Le, M. T. H. (2021). The impact of brand love on brand loyalty: The moderating role of self-esteem, and social influences. Spanish Journal of Marketing-ESIC, 25(1), 156–180.

Mulyani, S., Diana, I. N., & Yuliana, I. (2025). Determinants of Sharia bank customer loyalty in Abu Zahrah's Maqashid Syariah approach. Jurnal Ilmiah Akuntansi Kesatuan, 13(4), 791–804.

Muin, A., Menap, M., & Setiawan, S. (2024). The impact of hospital image on patient loyalty: A study on private Islamic hospitals in Mataram City West Nusa Tenggara. Bioscientist: Jurnal Ilmiah Biologi, 12(2), 2159–2171.

Nadratuzzaman, M., Taufiki, M., & Yumna, L. (2021). Management evaluation and Sharia certified hospitals compliance. Alqalam, 38(1), 1–20.

Ngatindriatun, N., Alfarizi, M., & Widiastuti, T. (2024). Impact of Sharia hospital service standards and religiosity commitment on patient satisfaction and loyalty: Insights from certified Sharia hospital in Indonesia. Journal of Islamic Accounting and Business Research, 15(2), 234–250.

Nurmartiani, E. (2025). The influence of product attributes, price, and image on customer loyalty. Jurnal Ilmiah Manajemen Kesatuan, 13(4), 2449–2458.

Rahadi, D. R. (2023). Pengantar partial least squares structural equation modeling (PLS-SEM). Bandung: Lentera Ilmu Madani.

Rahma, Z., & Fitri, M. (2025). E-Service quality, Islamic service, and branding in building customer loyalty of Islamic banks. Jurnal Ilmiah Manajemen Kesatuan, 13(4), 2673–2684.

Rahman, M. K., Bhuiyan, M. A., & Zailani, S. (2021). Healthcare services: Patient satisfaction and loyalty lessons from Islamic friendly hospitals. Patient Preference and Adherence, 15(7), 2633–2646.

Rindasiwi, D. T., & Pattyranie, P. H. (2024). The influence of hospital brand image, health service quality and patient satisfaction on loyalty at Arosuka Regional Hospital. International Journal, 6(4), 247–267.

Sahil, M. S., Ramdan, I. M., & Rohmah, N. (2025). Integration of Islamic spiritual care (ISC), service quality and patient loyalty: A cross-sectional study at one of the Islamic hospitals in Indonesia. Jurnal Ilmiah Kesehatan Masyarakat: Media Komunikasi Komunitas Kesehatan Masyarakat, 17(3), 146–155.

Siddiqui, M. S., Siddiqui, U. A., Khan, M. A., Alkandi, I. G., Saxena, A. K., & Siddiqui, J. H. (2021). Creating electronic word of mouth credibility through social networking sites and determining its impact on brand image and online purchase intentions in India. Journal of Theoretical and Applied Electronic Commerce Research, 16(4), 1008–1024.

Siau, C. S., Wee, L.-H., Wahab, S., Visvalingam, U., Yeoh, S. H., Halim, N. A. A., & Ibrahim, N. (2021). The influence of religious/spiritual beliefs on Malaysian hospital healthcare workers’ attitudes towards suicide and suicidal patients: A qualitative study. Journal of Research in Nursing, 26(8), 723–740.

Sudirawarda, S. U., Afif, M. N., & Aziz, A. J. (2025). Analysis of the health level of Sharia savings and loan cooperatives in the regulation of the Minister of Cooperatives. Jurnal Ilmiah Akuntansi Kesatuan, 13(1), 53–62.

Suginam, S., Pamungkas, B., Rahayu, S., & Hashim, N. (2025). Integrating Islamic values and financial strategy: The role of Shariah-based financial management in enhancing the performance of Muslim MSMEs. Jurnal Ilmiah Akuntansi Kesatuan, 13(3), 451–466.

Sulaiman, R., Toulson, P., Brougham, D., Lempp, F., & Haar, J. (2022). The role of religiosity in ethical decision-making: A study on Islam and the Malaysian workplace. Journal of Business Ethics, 179(1), 297–313.

Sulistiadi, W., Ayuningtyas, D., Permanasari, V. Y., Jati, P., Gustina, I., & Widyasanti, N. (2025). Development of Sharia hospitals as a source of new economic growth. Journal of Islamic Monetary Economics and Finance, 11(3), 669–688.

Sulistiadi, W., Rahayu, S., Veruswati, M., & Asyary, A. (2020). Narrative study of Shariah hospitals in Indonesia: A review of Islamic brand communities innovation for health care. Journal of Islamic Marketing, 11(5), 1123–1140.

Sunjaya, D. K. (2021). Validity and reliability of community satisfaction measurement instrument in health care institution. Jurnal Kesehatan Prima, 15(2), 133–140.

Tahir, A. H., Adnan, M., & Saeed, Z. (2024). The impact of brand image on customer satisfaction and brand loyalty: A systematic literature review. Heliyon, 10(16), 5873-5892.

Tjiptono, F. (2023). Riset pemasaran. Yogyakarta: Penerbit Andi.

Usman, H., Mulia, D., Chairy, C., & Widowati, N. (2022). Integrating trust, religiosity and image into technology acceptance model: The case of the Islamic philanthropy in Indonesia. Journal of Islamic Marketing, 13(2), 381–409.

Wahyuningsih, E., Mariyanti, T., & Hatta, Z. M. (2023). Patient satisfaction mediates the influence of trust, service quality and hospital Sharia compliance on patient loyalty in Sharia hospitals in Riau province from an Islamic perspective. International Journal of Research in Business and Social Science, 12(9), 39–59.

Widiastuti, W., Indartono, S., & Sa'adah, N. (2024). Islamic service quality and patient loyalty: Investigating the role of satisfaction in healthcare contexts. Society, 12(2), 538–555.

Wongsansukcharoen, J. (2022). Effect of community relationship management, relationship marketing orientation, customer engagement, and brand trust on brand loyalty: The case of a commercial bank in Thailand. Journal of Retailing and Consumer Services, 64(3), 812-826.

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Published

2025-11-30

How to Cite

Hariwibowo, F. S., Ariyanti, M., Sugiat, M. A., & Hidayah, R. T. (2025). The Influence of Hospital Brand Image, Sharia Service Standards, and Psychospiritual Factors on Patient Loyalty in Indonesian Sharia Hospitals. Jurnal Ilmiah Manajemen Kesatuan, 13(6), 5647–5660. https://doi.org/10.37641/jimkes.v13i6.4353