Islamic Spiritual Care and consumer loyalty in Islamic hospitals: the roles of trust and satisfaction

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Type of the article: Research Article

Abstract
Spiritual care has gained increasing relevance as an essential component of holistic healthcare, particularly within Islamic hospitals where religious values guide patient expectations and service experiences. This study aims to examine the influence of consumer trust, satisfaction, and service quality on the implementation of Integrated Islamic Spiritual Care (IISC), as well as to assess the mediating role of IISC in shaping consumer loyalty. A quantitative approach was employed, and data were collected through online and offline surveys, resulting in 265 valid patient responses from several Islamic hospitals in Indonesia. Structural Equation Modeling using the Partial Least Squares method was applied to evaluate the proposed relationships. The findings indicate that consumer trust (β = 0.330, p < 0.05), consumer satisfaction (β = 0.255, p < 0.05), and service quality (β = 0.366, p < 0.05) significantly contribute to the implementation of IISC. In turn, IISC exerts a substantial positive effect on consumer loyalty (β = 0.595, p = 0.000). The analysis of direct effects further reveals that only service quality has a significant impact on consumer loyalty (β = 0.703, p = 0.000), while the effects of trust and satisfaction are positive but not statistically significant (p > 0.05). Mediation testing confirms that IISC significantly mediates the effects of trust, satisfaction, and service quality on loyalty. These results demonstrate the strategic importance of spiritually integrated services in enhancing patient loyalty within Islamic hospital management.

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    • Table 1. Result of reliability and validity
    • Table 2. Results of R-square
    • Table 3. Path coefficient of research variables
    • Table 4. Mediation results of research variables
    • Conceptualization
      Muhammad Sadik Sahil, Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia
    • Data curation
      Muhammad Sadik Sahil, Rizky Yudaruddin
    • Formal Analysis
      Muhammad Sadik Sahil, Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia
    • Funding acquisition
      Muhammad Sadik Sahil, Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia
    • Investigation
      Muhammad Sadik Sahil, Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia
    • Methodology
      Muhammad Sadik Sahil, Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia, Rizky Yudaruddin
    • Project administration
      Muhammad Sadik Sahil, Rizky Yudaruddin
    • Resources
      Muhammad Sadik Sahil, Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia
    • Software
      Muhammad Sadik Sahil, Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia
    • Visualization
      Muhammad Sadik Sahil, Rizky Yudaruddin
    • Writing – original draft
      Muhammad Sadik Sahil
    • Supervision
      Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia, Rizky Yudaruddin
    • Validation
      Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia
    • Writing – review & editing
      Syarifah Hudayah, Herning Indriastuti, Saida Zainurossalamia, Rizky Yudaruddin