Antecedents of Patient Satisfaction in Prenatal Care Quality in Rural Areas

Authors
C.T. Soetomo
H. Achmadi
M.F.B. Gunawan
Department of Hospital Administration, Faculty of Economics and Business, Pelita Harapan University, Jakarta, Indonesia
10.58209/hehp.13.4.711
Abstract
Aims: This study aimed to examine the influence of prenatal care quality on patient satisfaction and its subsequent effects on hospital reputation and intention to revisit among women receiving antenatal services in rural Indonesia.

Instrument & Methods: This cross-sectional analytical study was conducted at a maternal and child hospital in Tabanan, Bali, involving 181 pregnant women receiving antenatal care. Data were collected using the validated Quality of Prenatal Care Questionnaire and analyzed with partial least squares-structural equation modeling to evaluate the direct and mediating relationships among constructs.

Findings: The model demonstrated substantial explanatory power (R²=0.667 for satisfaction, 0.700 for reputation, and 0.718 for revisit intention). Three dimensions of prenatal care quality—sufficient time (β=0.260, p=0.041), availability (β=0.197, p=0.012), and support and respect (β=0.413, p=0.002)—significantly enhanced patient satisfaction. Satisfaction had a strong positive effect on hospital reputation (β=0.836, p<0.001) and a moderate effect on intention to revisit (β=0.276, p=0.013). Hospital reputation also significantly increased revisit intention (β=0.603, p<0.001).

Conclusion: Ensuring adequate consultation time, accessible services, and respectful, supportive care substantially improves satisfaction, strengthens hospital reputation, and fosters patient loyalty in rural maternal healthcare.

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Subjects

Health Education and Health Promotion
Volume 13, Issue 4
Autumn 2025
Pages 711-719