The Role of Customer Engagement Influenced Brand Image, Advertising, and Patient Experience on Customer Delight of Outpatients in Hospital X

Authors

  • Selvyana C. Palit Universitas Esa Unggul
  • Ratna Indrawati
  • Rian Adi Pamungkas

DOI:

https://doi.org/10.35654/ijnhs.v8i4.883

Keywords:

advertising, brand image, customer delight, customer engagement, patient experience

Abstract

Background: This research originates from a preliminary survey indicating that while most BSD area residents are aware of Hospital X, there is potential to enhance both the quality of its services and the extent of its utilization within the community. Objective: The aim of this study was to examine brand image, advertising, and patient experience on customer delight, with customer engagement serving as a mediating variable among Hospital outpatient population. Method: The study employed a quantitative approach using a cross-sectional design. The target population included all patients who had received care at Hospital X's Internal Medicine outpatient department in the past six months, though the exact number of patients is unknown. Using purposive sampling and the Lemeshow formula, 99 respondents were selected. Data was gathered through questionnaires and analyzed using the three-box method combined with multiple linear regression. Result: The findings demonstrate that brand image, advertising, and patient experience influence customer delight, with customer engagement as a mediating factor. However, brand image and advertising do not significantly affect customer engagement or customer delight among Hospital X's outpatients. Conversely, patient experience has a notable direct impact on both customer engagement and customer delight. Additionally, customer engagement directly enhances customer delight. Conclusion: Patient experience emerges as the most influential factor in boosting customer engagement and delight, whereas advertising is the least impactful in achieving these outcomes

Downloads

Download data is not yet available.

References

(1) Bhati D, Deogade MS, Kanyal D. Improving Patient Outcomes Through Effective Hospital Administration: A Comprehensive Review. Cureus. 2023 Oct 26;15(10):e47731. doi: 10.7759/cureus.47731

(2) Edgman-Levitan S, Schoenbaum SC. Patient-centered care: achieving higher quality by designing care through the patient's eyes. Isr J Health Policy Res. 2021 Mar 5;10(1):21. doi: 10.1186/s13584-021-00459-9

(3) Picker Institute Europe. Impact report 2019–2020 [Internet]. Oxford: Picker Institute Europe; 2020 [cited 2025 Aug 30]. Available from: https://picker.org/wp-content/uploads/2021/12/Picker_Impact-Report-2020_Web_spreads.pdf

(4) ACSQHC. Patient-Centred Care: Improving Quality and Safety by Focusing Care on Patients and Consumers [Internet]. Sydney: Australian Commission on Safety and Quality in Health Care; 2010 [cited 2025 Aug 30]. Available from: situs ACSQHC.

(5) Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of Sample Size in Health Studies. Chichester: John Wiley & Sons; 1990

(6) Brodie RJ, Hollebeek LD, Juric B, Ilic A. Customer Engagement: Conceptual Domain, Fundamental Propositions, and Implications for Research. J Serv Res. 2011;14(3):252–271

(7) Van Doorn J, Lemon KN, Mittal V, Pick D, Pirner P, Verhoef PC. Customer Engagement Behavior: Theoretical Foundations and Research Directions. J Serv Res. 2010;13(3):253–266

(8) Kotler P, Armstrong G. Principles of Marketing. 14th ed. Upper Saddle River (NJ): Pearson Education; 2012

(9) Belch GE, Belch MA. Advertising and Promotion: An Integrated Marketing Communications Perspective. 9th ed. New York: McGraw-Hill; 2011

(10) Dahlén M, Lange F, Smith T. Marketing Communications: A Brand Narrative Approach. Chichester: John Wiley & Sons; 20

(11) Wolf JA, Niederhauser V, Marshburn D, LaVela SL. Defining patient experience. Patient Exp J. 2014;1(1):7–19

(12) Anhang Price R, Elliott MN, Zaslavsky AM, Hays RD, Lehrman WG, Rybowski L, et al. Examining the role of patient experience surveys in measuring health care quality. Med Care Res Rev. 2014;71(5):522–54.

(13) Chinomona R, Maziriri ET. [Title not available]. JDMHI [Internet]. 2017;3(1):73–84

(14) Swani K, Milne G, Brown B. Should Tweets Differ for B2B and B2C? An Analysis of Fortune?500 Companies’ Twitter Communications. Ind Mark Manag. 2014;43:873–884

(15) Kwong KK, Yau OHM. The conceptualization of customer delight: A research framework. Asia Pac Manag Rev. 2002;7(2):255–265

(16) Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;3(1):e001570

(17) Epstein RM, Street RL Jr. The values and value of patient-centered care. Ann Fam Med. 2011;9(2):100–3

(18) Zeithaml VA, Bitner MJ, Gremler DD. Services Marketing: Integrating Customer Focus Across the Firm. 7th ed. New York: McGraw-Hill Education; 2018.

Downloads

Published

2025-08-20

Most read articles by the same author(s)

<< < 1 2 3 4 > >>