The Relationship between the Quality of Prolanis Services and the Loyalty of Prolanis Participants at the Kedungwuni II Health Center in 2026
##plugins.themes.academic_pro.article.main##
Abstract
The Chronic Disease Management Program (Prolanis) is a BPJS Kesehatan initiative designed to improve the quality of life of patients with chronic diseases through continuous healthcare services. However, its implementation at primary healthcare facilities remains suboptimal due to low participant activity and service quality, which may affect participant loyalty. This study aimed to analyze the relationship between Prolanis service quality and participant loyalty at Kedungwuni II Public Health Center in 2026. A quantitative correlational study with a cross-sectional design was conducted involving 76 respondents selected through probability sampling. Data were collected using questionnaires on service quality and participant loyalty and analyzed using the Spearman Rank test (α = 0.05). The results showed that 56.6% of respondents perceived Prolanis service quality as poor, while 51.3% were categorized as less loyal. Significant relationships were found between the dimensions of reliability (p=0.000), responsiveness (p=0.000), and empathy (p=0.000) and participant loyalty. In contrast, tangibles (p=0.251) and assurance (p=0.436) were not significantly associated with loyalty. Improving reliability, responsiveness, and empathy is recommended to enhance participant loyalty.
##plugins.themes.academic_pro.article.details##
References
- Cahyaningrum, I. C., Rosdiana, Y., Pajojang, A. L., & Erwanto, E. (2024). Factors Influencing Active Participation in the Battle of the Chronic Disease Management Program (Prolanis). Care: Scientific Journal of Health Sciences, 12(2), 195–204. Central Regency, 2020. Journal for Quality in Public Health, 4(2),
- 38–48. https://doi.org/10.30994/jqph.v4i2.192
- Febriyanti, R. M., Irawan, A. A., Anggriani, N., Andriyana, Y., & Abdulah, R. (2025). Challenges in implementing Indonesia's community-based chronic disease management program (Prolanis): A scoping review.
- Hay, S.I., Abajobir, A.A., Abate, K.H., Abbafati, C., (2025). Global Disease Burden Study 2023: Global, regional, and national disability-adjusted life years (DALY) for 369 diseases and injuries, 1990–2023: A systematic analysis for the Global Disease Burden Study 2023. The Lancet , 405(10325), 115–170.
- Maarif, S., Setiaji, B., Noviansyah, N., & Pratiwi, D. U. (2021). The Factors that are Related to Visiting Participants of the Chronic Disease Management Program to the Prolanis Aerobic Club in Lampung
- Nabilfavian Evandinnartha, A., Syamsu Hidayat, M. (2023). Master of Public Health, P., Master of Public Health, F., Ahmad Dahlan, U., & Istimewa Yogyakarta, D. The Indonesian Journal of Health Promotion. 6(6).
- Purwati, A. A., & Hamzah, M. L. (2020). The Effect of Service Quality and Satisfaction on Patient Loyalty at Santa Maria Hospital Pekanbaru. Journal of Economics, Business and Accounting (COSTING), 2(2).
- Ramadhani, A. F., Prapanca, Y., & Dewi, S. (2026). Analysis of the Influence of Service Quality on Patient Loyalty at the Special Hospital for the Oral Dental Region, South Sulawesi Province. Journal of Management and Administration of Indonesian Hospitals (MARSI), 10(1), 228–239.
- Rosdiana Oktaviani Pasaribu, Zahroh Shaluhiyah, Dwi Sutiningsih (2023), Mental Health Services and Factors Affecting Them in Public Health Centers
- Santoso, SB (2022). The effect of service quality on the loyalty of BPJS health participants with emotional satisfaction as a mediating variable (Master's Thesis, University of Muhammadiyah Surakarta). University of Muhammadiyah Surakarta. https://eprints.ums.ac.id/
- Sari Fitri, D., Furwanti Alwie, A., Tawila Berampu, L., & Riau, U. (2024). Analysis of Service Quality Factors on the Satisfaction and Loyalty of BPJS Kesehatan Participants in the First Level of Health Facilities (FKTP) of Pekanbaru City. In Journal of Management Dayasaing (Vol. 26, Issue 1).
- Sihombing, P. R., Suryadiningrat, Sunarjo, D. A., & Yuda, Y. P. A. C. (2022). Identification of Outlier Data and Data Normality in Univariate Data and Alternative Solutions. Indonesian Journal of Economics and Statistics, 2(3), 307–316.
- Thaifur, A. Y. B. R. (2024). Strategies to improve the quality of health services: Literature review. Surya Medika Health Journal
- Tyas Purnamasari, A., Dwi Ningrum, H., Health, A., Applied Health, J., & Ministry of Health Malang Jl Besar, P. (2023). Implementation of the Chronic Disease Management Program (Prolanis) during the COVID-19 Pandemic at FKTPs in Malang City. In Journal of Indonesian Health Policy: JKKI (Vol. 12).
- Umam, M. K., Imaningtias, W., Listyaningrum, N. H., Ners, P., & Health, I. (2021). Overview of Dietary Compliance in PROLANIS Members During the COVID-19 Pandemic in Sumurjomblang Bogo Village, Bojong District, Pekalongan Regency. Journal of Independent Health, 16. http://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm
- Zahra Hamidah, L., Budiarto, W., Public Health, F., & Airlangga, U. (2023). Individual factors related to the use of PROLANIS : Scoping Review.