Integration of Service Quality Method (SERVQUAL) and Lean Concept to Improve Service Quality: Case Study in Medical Center of ITS


Integrasi Service Quality (SERVQUAL) dan Konsep Lean untuk Meningkatkan Kualitas Layanan: Studi Kasus pada UPT Medical Center ITS


  • (1) * Atikah Aghdhi Pratiwi            Institut Teknologi Sepuluh Nopember  
            Indonesia

  • (2)  Isnaini Mutiara Nabilah            Institut Teknologi Sepuluh Nopember  
            Indonesia

  • (3)  Naning Aranti Wessiani            Institut Teknologi Sepuluh Nopember  
            Indonesia

    (*) Corresponding Author

Abstract

The government is responsible for ensuring the right to health, one of its efforts is the Healthy Campus program. This initiative underpins the establishment of the ITS Medical Center at Institut Teknologi Sepuluh Nopember (ITS) to fulfill students' rights to healthcare services. ITS Medical Center aims to become the leading healthcare service provider for the ITS academic community and the public in East Surabaya. However, numerous complaints persist, with 50% related to extended service waiting times. Additionally, ITS Medical Center experienced an 11% increase in visitors in 2023. Consequently, a service quality evaluation was conducted by integrating Service Quality (SERVQUAL) and lean concepts to identify service gaps, eliminate waste, and enhance services. The study revealed negative results across all SERVQUAL attributes. Out of 24 identified wastes, 17 were deemed critical. These critical wastes and their associated attributes were grouped and analyzed for root causes using Fault-Tree Analysis. The prioritized wastes include patients waiting for medication preparation, the reprocessing of old patient medical records, and the excessive accumulation of medical records. Recommendations for improvement prioritize recording dispensed medications in stock cards at the end of the day and developing a system for medical record recapitulation. These improvements are expected to enhance service quality and increase consumer satisfaction at the ITS Medical Center.

References

T. Aurelya, Nurhayati, and S. F. Purba, "Pengaruh Kondisi Sektor Kesehatan terhadap Pertumbuhan Ekonomi," Jurnal STEI Ekonomi (JEMI), vol. 31, no. 2, pp. 83–92, 2022.

J. C. Pualamsyah and Sudiro, "Identifikasi Waste pada Waktu Tunggu Pasien Rumah Sakit Nasional Diponegoro dengan Pendekatan Lean Hospital," Jurnal Manajemen Kesehatan, vol. 5, no. 2, pp. 94–103, 2017, doi: 10.14710/jmki.5.2.2017.94-103.

S. Kabir, "An overview of fault tree analysis and its application in model-based dependability analysis," Expert Systems with Applications, vol. 77, pp. 114–135, 2017, doi: 10.1016/j.eswa.2017.01.058.

A. Parasuraman, V. A. Zeithaml, and L. L. Berry, "A Conceptual model of service quality and its implications for future research," Journal of Marketing, vol. 49, pp. 41–50, 1985, doi: 10.2307/1251430.

M. Ulfah, D. L. Trenggonowati, F. Arina, P. F. Ferdinant, and A. Sonda, "Peningkatan kualitas pelayanan kesehatan menggunakan metode Servqual dan Lean healthcare," Journal Industrial Servicess, vol. 8, no. 1, pp. 38–45, 2022, doi: 10.36055/jiss.v8i1.14443.

T. Kumar, A. E. Post, I. Ray, M. Otsuka, and F. Pardo-Bosch, "From Public Service Access to Service Quality: The Distributive Politics of Piped Water in Bangalore," World Development, vol. 151, 2022, doi: 10.1016/j.worlddev.2021.105736.

T. Lupo, "A Fuzzy Framework to Evaluate Service Quality in The Healthcare Industry: An Empirical Case of Public Hospital Service Evaluation in Sicily," Applied Soft Computing, vol. 40, pp. 468–478, 2016, doi: 10.1016/j.asoc.2015.12.010.

B. Chang et al., "Quality Gaps and Priorities for Improvement of Healthcare Service for Patients with Prolonged Mechanical Ventilation in The View of Family," Journal of The Formosan Medical Association, vol. 118, no. 5, pp. 922–931, 2019.

B. Melovic, S. Mitrovis, A. Zhuravlev, and N. Braila, "The role of the concept of LEAN management in modern business," MATEC Web of Conferences, vol. 86, 2016, doi: 10.1051/matecconf/20168605029.

J. Antony, V. Sunder, R. Sreedharan, A. Chakraborty, and A. Gunasekaran, "A Systematic Review of Lean in Healthcare: A Global Prospective," Int. J. of Quality and Reliability Management, vol. 36, no. 8, pp. 1370–1391, 2019.

M. Kaltenbrunner, S. E. Mathiassen, L. Bengtsson, and M. Engstrom, "Lean Maturity and Quality in Primary Care," Journal of Health Organization and Management, vol. 33, no. 2, pp. 141–154, 2019.

A. D. Andreamatteo, I. L. Luca, F. Lega, and M. Sargiacomo, "Lean in Healthcare: A Comprehensive Review," Health Policy, vol. 119, no. 9, pp. 1197–1209, 2015.

A. Vanichchinchai, "The Effect of Lean Manufacturing on a Supply Chain Relationship and Performance," Sustainability, vol. 11, no. 20, pp. 1–15, 2019.

B. B. Poksinska, M. Fialkowska-Filipek, and J. Engstrom, "Does Lean Healthcare Improve Patient Satisfaction? A Mixed-Method Investigation into Primary Care," BMJ Quality and Safety, vol. 26, no. 2, pp. 95–103, 2016.

M. Yazdi, J. Mohammadpour, H. Li, et al., "Fault tree analysis improvements: A bibliometric analysis and literature review," Quality and Reliability Engineering International, vol. 39, pp. 1639–1659, 2023, doi: 10.1002/qre.3271.

J. Bicheno and M. Holweg, The Lean Toolbox: A handbook for lean transformation, 5th ed. PICSIE Books, 2016.

C. Z. Radulescu, M. Radulescu, and R. Boncea, "A Hybrid Group Weighting Method based on the Borda and the Group Best Worst Method with application for digital development indicators," Procedia Computer Science, vol. 214, pp. 10–17, 2022, doi: 10.1016/j.procs.2022.11.142.

D. Apriliania, K. Adib, and R. Gernowo, "Implementasi Metode Promethee Dan Borda Dalam Sistem Pendukung Keputusan Pemilihan Lokasi Pembukaan Cabang Baru Bank," Jurnal Sistem Informasi Bisnis, vol. 5, no. 2, pp. 145–150, 2015, doi: 10.21456/vol5iss2pp145-150.

Published
2025-06-20
 
How to Cite
Pratiwi, A. A., Nabilah, I. M., & Wessiani, N. A. (2025). Integration of Service Quality Method (SERVQUAL) and Lean Concept to Improve Service Quality: Case Study in Medical Center of ITS. PROZIMA (Productivity, Optimization and Manufacturing System Engineering), 9(1), 1-13. https://doi.org/10.21070/prozima.v9i1.1714
Section
Articles