Service Speed, Communication, and Attitude of Non-Medical Frontliners in Relation to Outpatient Satisfaction: A Cross-Sectional Study
Abstract
Background: Non-medical frontliner staff play a pivotal role in shaping outpatient experience, yet their specific contributions to patient satisfaction remain underexplored, particularly in private hospitals operating under a premium service concept. Objective: This study aimed to analyze the relationship between service speed, communication, and attitude of non-medical frontliner staff with outpatient satisfaction. Methods: A quantitative analytic observational study with a cross-sectional design was conducted at a private type D general hospital in Kudus, Indonesia. One hundred respondents were recruited through accidental sampling using the Slovin formula. Data were collected via a structured five-point Likert-scale questionnaire covering service speed (10 items), communication (10 items), attitude (14 items), and patient satisfaction (12 items). Univariate and bivariate analyses were performed; the Chi-square test was applied following confirmation of non-normal data distribution. Results: Service speed (OR = 103.5; 95% CI: 26.1–410.4), communication (OR = 11.034; 95% CI: 3.01–40.4), and attitude (OR = 180.0; 95% CI: 38.2–849.09) were each significantly associated with patient satisfaction (p < 0.001). Staff attitude was the most dominant predictor. Conclusion: Non-medical frontliner performance significantly influences outpatient satisfaction, with staff attitude constituting the strongest determinant. Strengthening interpersonal competence and service responsiveness among frontliner staff is essential to advancing patient-centered care in premium hospital settings.
References
Aini, Lestari, & Wahyudi. (2025). Komunikasi efektif tenaga kesehatan terhadap kepuasan pasien rawat inap. Jurnal Ilmu Keperawatan, 9(2), 101–109.
Akbar, R. (2025). Kecepatan pelayanan medis dan kepuasan pasien rawat inap. Jurnal Ilmu Kesehatan, 9(1), 55–63.
Darzi, A., & Smith, P. (2023). The relationship between service quality dimensions and patient satisfaction in healthcare facilities. International Journal of Health Services, 53(4), 789–802.
Fatmawati, R., Yani, A., & Rahayu, E. (2021). Pengaruh kecepatan pelayanan terhadap kepuasan pasien rawat jalan di rumah sakit. Jurnal Administrasi Kesehatan Indonesia, 9(2), 145–154.
Gunawan, Pratama, & Dewi. (2025). Pengaruh komunikasi terapeutik terhadap kepuasan pasien rawat inap. Patient Education and Counseling, 107, 45–52.
Harefa, J. (2025). Empathy and professional responsibility as determinants of patient satisfaction. Journal of Religion and Health, 64(2), 889–901. https://doi.org/10.1007/s10943-024-02186-5
Hasanah, K. (2023). Hubungan perilaku caring perawat dengan kepuasan pasien di Rumah Sakit Baladhika Husada Jember [Skripsi, Universitas dr. Soebandi]. Repository Universitas dr. Soebandi.
Herdiati, & Fitriyah. (2024). Pengaruh waktu tunggu pelayanan terhadap kepuasan pasien rawat jalan. Jurnal Keperawatan dan Pelayanan Medis, 7(2), 112–120.
Jurnal Kesehatan Manarang. (2025). Service quality and patient satisfaction at a community hospital. Jurnal Kesehatan Manarang, 11(1), 34–41.
Misniati, Hartono, B., Purnamawati, D., Thaha, A. R., & A'la, A. (2021). Analisis kualitas pelayanan terhadap peningkatan BOR di RSIJ Cempaka Putih. Muhammadiyah Public Health Journal, 2(1), 69–88.
Mukti, M. H. C., Rusnoto, & Suwandi, E. W. (2025). Hubungan komunikasi terapeutik, waktu tunggu dan kualitas pelayanan dengan kepuasan pasien di Klinik Asy-Syifa Kudus. Jurnal Keperawatan dan Kesehatan Masyarakat, 9(1). https://doi.org/10.35473/jkk.v9i1
Munandar, M. A., Kartiningrum, E. D., & Mahmudah, R. L. (2023). Analisis kualitas pelayanan pemeriksaan RT-PCR terhadap kepuasan pasien di UPTD Laboratorium Kesehatan Daerah Kabupaten Mojokerto. Hospital Majapahit: Jurnal Ilmiah Kesehatan Politeknik Kesehatan Majapahit Mojokerto, 15(2), 222–234.
Nisa, Rahman, & Putra. (2025). Hubungan komunikasi petugas pendaftaran dengan kepuasan pasien. Jurnal Administrasi Pelayanan Kesehatan, 10(1), 23–31.
Putri, R. A., Sari, D., & Nugroho, A. (2024). Hubungan ketepatan waktu pelayanan dengan kepuasan pasien rawat jalan BPJS. Jurnal Administrasi Kesehatan Indonesia, 12(1), 45–53.
Putri, S. N. (2025). Pengaruh penerapan teknologi informasi rekam medis dan kecepatan pelayanan terhadap kepuasan pasien pada Klinik Medika Sejahtera I Kabupaten Bogor [Skripsi, Universitas Bina Sarana Informatika]. Repository UBSI.
Rahmawati, A. M., Iza, I. N., Khairunnisa, Z., & Istriawan, B. (2024). Transformational leadership meningkatkan efikasi diri pada pasien skizofrenia: Systematic literature review. Jurnal Medika Indonesia, 5(2), 61–73.
Rahmawati, N., & Putri, S. (2024). Pengaruh komunikasi layanan terhadap kepuasan pasien di rumah sakit umum. Jurnal Ilmiah Kesehatan, 12(1), 87–95.
Sabila, Hasan, & Utami. (2025). Sikap petugas kesehatan dan kepuasan pasien. Jurnal Kesehatan Masyarakat, 8(1), 66–74.
Sarifudin, M. (2022). Pengaruh pelayanan frontliner terhadap kepuasan nasabah haji pada Bank Syariah Mandiri (EX BSI) Unit 2 Tulang Bawang. Jurnal Accounting, Tax and Audit, 3(1), 42–47.
Sastroasmoro, S., & Ismael, S. (2020). Dasar-dasar metodologi penelitian klinis (5th ed.). Sagung Seto.
Sugiyono. (2021). Metode penelitian kuantitatif, kualitatif, dan R&D (3rd ed.). Alfabeta. https://www.alfabeta.co.id/
Suwandi, E. W., Purnomo, M., Iza, I. N., Kumalasari, N., & Qonitah, Z. N. (2024). Quality of health services and outpatient satisfaction in public health center. Indonesian Journal of Nursing Research (IJNR), 9(1), 63–73. https://doi.org/10.35473/ijnr.v9i1.2515
Suwarto, T., Yulisetyaningrum, Y., & Indanah, I. (2022). Pengaruh ronde keperawatan terhadap tingkat kepuasan kerja perawat pelaksana di Ruang Rawat Inap RSU Aisyiyah Kudus. Indonesian Journal of Nursing Research (IJNR), 5(1), 43–50. https://doi.org/10.35473/ijnr.v5i1.991
Tian, Y., Liu, X., & Wang, H. (2024). The impact of service attitude of medical staff on patient satisfaction and the mediating role of patient commitment. Applied Journal of Management and Social Sciences, 7(4). https://doi.org/10.54536/ajmss.v7i4.27433
Waruwu, R. B. (2025). Hubungan komunikasi interpersonal petugas pendaftaran rawat jalan dengan kepuasan pasien di Rumah Sakit Santa Elisabeth Medan [Skripsi, Sekolah Tinggi Ilmu Kesehatan Santa Elisabeth Medan]. Repository STIKes Santa Elisabeth.
Windi, Y. K., Harnani, B. D., & Asnani. (2021). Pengembangan instrumen evaluasi tingkat kepuasan pasien BPJS Kesehatan terhadap kualitas layanan kesehatan mengadopsi model SERVQUAL di Puskesmas Kabupaten Sidoarjo Jawa Timur. Politeknik Kesehatan Kemenkes Surabaya.
World Health Organization. (2024). Quality health services. https://www.who.int/news-room/fact-sheets/detail/quality-health-services





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