The Influence of Health Worker Communication, Patient Engagement, and Service Coordination on the Quality of Service at Harapan Bunda Banda Aceh Hospital Based on Patient-Centered Care

Authors

  • Dewi Yuliana Fithri Universitas Pelita Harapan
  • Innocentius Bernarto Universitas Pelita Harapan

DOI:

https://doi.org/10.59261/jbt.v7i3.676

Keywords:

Health Worker Communication, Hospital Service Quality , Patient Engagement, Patient-Centered Care, Service Coordination

Abstract

Background: Hospital service quality remains a challenge in Indonesian private hospitals, and evidence on how Patient-Centered Care (PCC) influences service quality remains limited.

Objective: This study aimed to analyze the influence of health worker communication, patient engagement, and service coordination on the quality of hospital services based on Patient-Centered Care at Harapan Bunda Banda Aceh Hospital.

Methods: This quantitative cross-sectional study involved 287 outpatients and inpatients selected through purposive sampling. Data were collected using a validated Likert-scale questionnaire and analyzed using Pearson’s correlation and binary logistic regression.

Results: The results showed that health worker communication had a positive and significant relationship with hospital service quality, with a correlation coefficient of 0.64 and an odds ratio (OR) of 3.74 (p = 0.001). Patient engagement also significantly influenced service quality, with a correlation coefficient of 0.58 and an OR of 2.59 (p = 0.004). Furthermore, service coordination had a positive and significant influence on service quality, with a correlation coefficient of 0.60 and an OR of 2.86 (p = 0.003). Collectively, the three variables accounted for 66% of the variation in hospital service quality (Nagelkerke R² = 0.66). The Hosmer–Lemeshow goodness-of-fit test indicated that the model adequately fit the data (χ² = 5.874, p = 0.672). Health worker communication was identified as the most dominant variable influencing hospital service quality.

Conclusion: This study concludes that implementing Patient-Centered Care principles through effective health worker communication, active patient engagement, and well-coordinated services can significantly improve the quality of hospital services.

References

Amos, D., Au-Yong, C. P., & Musa, Z. N. (2020). Developing key performance indicators for hospital facilities management services: a developing country perspective. Engineering, Construction and Architectural Management, 27(9), 2715–2735. https://doi.org/10.1108/ECAM-11-2019-0642

Andrieiev, I., Trehub, D., Khatsko, K., Sokolovska, I., & Ganzhiy, I. (2023). Strategic decisions in healthcare: Impact on goals and enhancing service quality for organizational success. Amazonia Investiga, 12(69), 325–335. https://doi.org/10.34069/AI/2023.69.09.29

Barry, M. J., & Edgman-Levitan, S. (2012). Shared decision making—the pinnacle of patient-centered care. New England Journal of Medicine, 366(9), 780–781. https://doi.org/10.1056/NEJMp1109283

Bhaladhare, R., & Rishipathak, P. (2025). Strategies of quality improvement in healthcare organizations on sustainable healthcare system. Discover Social Science and Health, 5(1), 74. https://doi.org/10.1007/s44155-025-00226-0

Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., Onate, K., Denis, J.-L., & Pomey, M.-P. (2018). Engaging patients to improve quality of care: a systematic review. Implementation Science, 13(1), 98. https://doi.org/10.1186/s13012-018-0784-z

Cinaroglu, S., & Baser, O. (2018). Understanding the relationship between effectiveness and outcome indicators to improve quality in healthcare. Total Quality Management & Business Excellence, 29(11–12), 1294–1311. https://doi.org/10.1080/14783363.2016.1253467

Epstein, R. M., & Street Jr, R. L. (2011). The values and value of patient-centered care. In The annals of family medicine (Vol. 9, Issue 2, pp. 100–103). American Academy of Family Physicians. https://doi.org/10.1370/afm.1239

Hannawa, A. F., Wu, A. W., Kolyada, A., Potemkina, A., & Donaldson, L. J. (2022). The aspects of healthcare quality that are important to health professionals and patients: A qualitative study. Patient Education and Counseling, 105(6), 1561–1570. https://doi.org/10.1016/j.pec.2021.10.016

Hoffman, W. B. (2021). The Function of Communication Adjustment in Patient-Provider Interactions: A Communication Accommodation Approach to Giving Preventive Health Advice for the Reduction of Type-2 Diabetes. University of Kansas.

Jani, K., & Chaudhary, B. (2023). Importance of hospital management. In A Guide to Hospital Administration and Planning (pp. 25–41). Springer. https://doi.org/10.1007/978-981-19-6692-7_2

Krist, A. H., Tong, S. T., Aycock, R. A., & Longo, D. R. (2017). Engaging patients in decision-making and behavior change to promote prevention. Information Services and Use, 37(2), 105–122. https://doi.org/10.3233/ISU-170826

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2

Lee, D. (2019). A model for designing healthcare service based on the patient experience. International Journal of Healthcare Management, 12(3), 180–188. https://doi.org/10.1080/20479700.2017.1359956

Mohd Salim, N. A., Roslan, N. S., Hod, R., Zakaria, S. F., & Adam, S. K. (2023). Exploring critical components of physician-patient communication: a qualitative study of lay and professional perspectives. Healthcare, 11(2), 162. https://doi.org/10.3390/healthcare11020162

Muscat, D. M., Shepherd, H. L., Nutbeam, D., Trevena, L., & McCaffery, K. J. (2020). Health literacy and shared decision-making: exploring the relationship to enable meaningful patient engagement in healthcare. Journal of General Internal Medicine, 36(2), 521. https://doi.org/10.1007/s11606-020-05912-0

O’Toole, G. (2024). Communication-E-Book: Core Interpersonal Skills for Healthcare Professionals. Elsevier Health Sciences.

Saultz, J. W., & Lochner, J. (2005). Interpersonal continuity of care and care outcomes: a critical review. The Annals of Family Medicine, 3(2), 159–166. https://doi.org/10.1370/afm.285

Simion Ludușanu, D.-G., Fertu, D.-I., Tinică, G., & Gavrilescu, M. (2025). Integrated quality and environmental management in healthcare: impacts, implementation, and future directions toward sustainability. Sustainability, 17(11), 5156. https://doi.org/10.3390/su17115156

Westbrook, J. I., Urwin, R., McMullan, R., Badgery-Parker, T., Pavithra, A., Churruca, K., Cunningham, N., Loh, E., Hibbert, P., & Maddern, G. (2024). Evaluation of a culture change program to reduce unprofessional behaviours by hospital co-workers in Australian hospitals. BMC Health Services Research, 24(1), 722.

Zhao, J., Gao, S., Wang, J., Liu, X., & Hao, Y. (2016). Differentiation between two healthcare concepts: Person-centered and patient-centered care. International Journal of Nursing Sciences, 3(4), 398–402. https://doi.org/10.1016/j.ijnss.2016.08.009

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Published

2026-08-10