Antecedents of Patient Satisfaction in Prenatal Care Quality in Rural Areas

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 ۱۸۱ 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=۰.۶۶۷ for satisfaction, ۰.۷۰۰ for reputation, and ۰.۷۱۸ for revisit intention). Three dimensions of prenatal care quality—sufficient time (β=۰.۲۶۰, p=۰.۰۴۱), availability (β=۰.۱۹۷, p=۰.۰۱۲), and support and respect (β=۰.۴۱۳, p=۰.۰۰۲)—significantly enhanced patient satisfaction. Satisfaction had a strong positive effect on hospital reputation (β=۰.۸۳۶, p<۰.۰۰۱) and a moderate effect on intention to revisit (β=۰.۲۷۶, p=۰.۰۱۳). Hospital reputation also significantly increased revisit intention (β=۰.۶۰۳, p<۰.۰۰۱). 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.

کلیدواژه ها:

Prenatal care ، Patient Satisfaction ، Hospital Reputation ، Maternal Health Services