The Influence of Digital Marketing and Service Quality on Patient Satisfaction: Brand Experience as a Mediating Variable

Authors

Keywords:

Brand Experience, Digital Marketing, Digital Transformation, Healthcare Marketing, Indonesia, Patient Experience, Patient Satisfaction, Public Hospitals, Service Quality, SERVQUAL

Abstract

The digital transformation of healthcare has fundamentally changed the way hospitals interact with patients, yet the relationship between digital marketing, service quality, brand experience, and patient satisfaction remains underexplored, particularly in public hospitals. This study investigates this relationship at RSUD dr. Mohamad Soewandhie Surabaya, a pioneering public hospital that has implemented digital initiatives since 2015. Using quantitative explanatory research with Partial Least Squares Structural Equation Modeling (PLS-SEM), data were collected from 100 patients who had interacted with the hospital's digital platforms. The results showed that digital marketing significantly influenced brand experience (path coefficient = 0.947, p < 0.05) and directly influenced patient satisfaction (0.520, p < 0.05). Brand experience also significantly influenced patient satisfaction (0.379, p < 0.05) and partially mediated the relationship between digital marketing and satisfaction (indirect effect = 0.359, p < 0.05). Surprisingly, traditional service quality dimensions showed no significant direct or indirect influence on brand experience or patient satisfaction, challenging the long-established SERVQUAL paradigm. These findings suggest a fundamental shift in patient expectations toward digital convenience and accessibility, requiring healthcare providers to prioritize digital platform development while maintaining service quality as a hygiene factor. This study contributes to healthcare marketing theory by demonstrating the dominance of digital factors in shaping patient experience and satisfaction in the contemporary healthcare environment.

References

Boulding, W., Glickman, S. W., Manary, M. P., Schulman, K. A., & Staelin, R. (2011). Relationship Between Patient Satisfaction With Inpatient Care and Hospital Readmission Within 30 Days. The American Journal of Managed Care, 17(1), 41–48.

Brakus, J. J., Schmitt, B. H., & Zarantonello, L. (2009). Brand Experience: What is It? How is it Measured? Does it Affect Loyalty? Journal of Marketing, 73(3). https://doi.org/10.1509/jmkg.73.3.052

Chaffey, D., & Ellis-Chadwick, F. (2019). Digital Marketing (7th ed.). Pearson UK.

Chaves, J. de A. (2024). Examining the Influence of Multi-Sensory Marketing Techniques on Customer Experience and Perceived Service Quality in the Paediatric Department of Hospital da Luz Lisboa3. Universidade NOVA de Lisboa (Portugal).

Felix, R., Rauschnabel, P. A., & Hinsch, C. (2017). Elements of Strategic Social Media Marketing: A Holistic Framework. Journal of Business Reearch, 70 (C), 118–126. https://doi.org/10.1016/j.jbusres.2016.05.001

Hagtvedt, H., & Brasel, S. A. (2017). Color Saturation Increases Perceived Product Size. Journal of Consumer Research, 44(2). https://doi.org/10.1093/jcr/ucx039

Mittal, V., Katrichis, J., & Kumar, P. (2001). Attribute Performance and Customer Satisfaction Over Time: Evidence From Two Field Studies. Journal of Service Marketing, 15(5), 343–356. https://doi.org/10.1108/EUM0000000005655

Nysveen, H., Pedersen, P. E., & Skard, S. (2013). Brand Experiences in Service Organizations: Exploring the Individual Effects of Brand Experience Dimensions. Journal of Brand Management, 20(5). https://doi.org/10.1057/bm.2012.31

Oliver, R. L. (1997). Kepuasan: Perspektif Perilaku Konsumen. McGraw-Hill.

Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality. Journal of Retailing, 64(1), 12–40.

Sarstedt, M., Ringle, C. M., & Hair, J. (2017). Partial Least Squares Structural Equation Modeling. Handbook of Market Research, 15. https://doi.org/10.1007/978-3-319-05542-8_15-1

Sweeney, J. C., & Soutar, G. N. (2001). Consumer Perceived Value: The Development of A Multiple Item Scale. Journal of Retailing, 77(2), 203–220. https://doi.org/10.1016/S0022-4359(01)00041-0

Taylor, C. (1994). The Politics of Recognition (D. T. Gold). Blackwell.

Yoon, S., & Suh, H. (2004). Ensuring IT Consulting SERVQUAL and User Satisfaction: A Modified Measurement Tool. Information Systems Frontiers, 6, 341–251. https://doi.org/10.1023/B:ISFI.0000046376.10364.16

Zeithaml, V. A., Berry, L. L., & Parasuraman, A. V. (1996). The Behavioral Consequences of Service Quality. Journal of Marketing, 60(2). https://doi.org/10.2307/1251929

Zeithaml, V. A., & Bitner, M. J. (2003). Services Marketing: Integrating Customer Focus Across the Firm (3rd ed.). McGraw-Hill.

Downloads

Published

2025-10-31