The Relationship Between Length of Stay (LOS) and Patient Satisfaction With Hospitality Services at Haji General Hospital Medan
Abstract
The length of stay (LOS) or duration of hospitalization is a key indicator of hospital service quality. Prolonged LOS often signals inefficiencies and can lead to lower patient satisfaction. The core issue in this study is the high percentage of patients dissatisfied with services at the Haji General Hospital Medan citing unresponsive staff and inadequate facilities. This research aims to determine the relationship between LOS and patient satisfaction following hospitalization. A quantitative research method with a cross-sectional design was employed. The study took place at Haji General Hospital Medan, North Sumatra, from January to May 2023. The population included 60 patients treated in the Jabal Rahma and Safa wards, with a purposive sample of 35 respondents who met the inclusion criteria. Data were gathered through questionnaires and medical record observations. Patient satisfaction was measured using a validated Likert-scale questionnaire, while LOS was recorded from hospital records. Data analysis was conducted using the Chi-square test. Results revealed that 57.1% of patients had a LOS of less than five days, and 60.0% reported being very satisfied with their care. Statistical analysis showed a significant relationship between LOS and patient satisfaction (p = 0.005 < 0.05). Shorter LOS was correlated with higher satisfaction levels, suggesting more effective medical performance. In conclusion, patients with shorter hospital stays tended to report greater satisfaction, highlighting LOS as a crucial factor in evaluating healthcare service quality. It is recommended that hospitals strive to optimize care efficiency without compromising outcomes. Further research is suggested to explore additional factors affecting satisfaction, such as staff communication and facility adequacy, to improve service delivery
Keywords: Length of Stay (LOS), Patient Satisfaction, Hospitalization, Healthcare Quality.
Full Text:
PDFReferences
Agil, M., Hariri, A., & Prasetya, D. (2022). The effect of hospital stay duration on patient satisfaction: A systematic review. Journal of Health Services Research, 15(2), 88–96.
Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2021). Patient satisfaction and hospital stay length: A cross-national study. The Lancet Global Health, 9(3), 412–419.
Alyasin, A., & Liu, J. (2025). Patient satisfaction trends in tertiary hospitals: A SERVQUAL analysis. Asian Journal of Hospital Management, 18(1), 22–34.
Cai, Y., Liu, Y., Liu, S., Wang, C., & Jiang, Y. (2025). A cross-sectional study on the relationship between length of stay and patient satisfaction based on the SERVQUAL model. Scientific Reports, 15(1), 5605. https://doi.org/10.1038/s41598-025-90176-z
Carreira, M. G. (2024). Cross-sectional study on the association between distance to hospital and inpatient outcomes in hip fracture cases. Universidade NOVA de Lisboa.
Chang, Y., Liu, C., & Lin, J. (2021). Early discharge and patient satisfaction in tertiary hospitals. International Journal of Health Care Quality Assurance, 34(4), 350–362.
Chatterjee, R., & Patel, V. (2023). Project Sarathi: Streamlining hospital workflows to improve satisfaction. Indian Institute of Health Systems.
CMS. (2024). HCAHPS Fact Sheet. Centers for Medicare & Medicaid Services.
Glickman, S. W., & Boulding, W. (2024). The impact of LOS optimization programs on patient experience. Journal of Health Care Quality, 46(2), 101–109.
Jones, D. R., Patel, R., & Wang, S. (2020). Length of hospital stay as a quality metric in patient care. Healthcare Management Review, 45(1), 15–24.
Kovner, C. T., Djukic, M., Fatehi, F., Brewer, C. S., & Bernstein, I. (2019). Factors associated with patient satisfaction and hospital stay duration. Journal of Nursing Administration, 49(6), 320–326.
Lee, M., Kim, H., & Choi, J. (2020). Factors influencing patient satisfaction in surgical wards: A SERVQUAL approach. Korean Journal of Health Policy, 14(3), 112–119.
Li, X., & Zhou, Y. (2023). Understanding the role of LOS in perceived hospital service quality. Chinese Journal of Public Health, 40(1), 89–96.
Martínez-González, N. A., Berchtold, P., & Busato, A. (2021). Inpatient length of stay and patient satisfaction: An integrative review. BMC Health Services Research, 21, 326.
Mohan, R., & Khan, S. (2021). A study on patient satisfaction using SERVQUAL in Indian hospitals. Journal of Hospital Administration, 8(2), 19–27.
Nguyen, T. H., & Le, H. T. (2023). Reducing LOS to improve patient satisfaction in public hospitals: Evidence from Vietnam. Asia Pacific Journal of Health Management, 18(1), 14–28.
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multi-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40.
RAND Corporation. (2022). Improving patient satisfaction through discharge process optimization. RAND Health Quarterly.
Saeed, A., & Mehmood, A. (2022). The impact of length of stay on patient satisfaction in Pakistan. International Journal of Health Policy and Management, 11(5), 439–446.
Santos, F. D., & Almeida, P. J. (2019). Hospital stay duration and patient satisfaction: A Portuguese case study. Health Systems Journal, 7(3), 140–152.
Sharma, P., & Singh, R. (2022). Does length of stay impact patient satisfaction? Empirical evidence from Indian hospitals. Journal of Health Economics and Outcomes Research, 10(4), 67–75.
Wang, H., Zhang, L., & Li, Y. (2023). The role of empathy and communication in long-stay hospital care. International Journal of Nursing Studies, 135, 104328.
WHO. (2020). Patient satisfaction and hospital performance indicators: A technical brief. World Health Organization.
Zhao, L., Chen, R., & Liu, Y. (2021). Predicting hospital length of stay using machine learning: A case study in China. BMC Health Services Research, 21(1), 754.
Zhu, Y., & He, X. (2023). Using SERVQUAL to assess patient satisfaction in rural hospitals of China. Journal of Rural Health Management, 6(2), 78–90.
DOI: http://dx.doi.org/10.30829/contagion.v%25vi%25i.24071
Refbacks
- There are currently no refbacks.
Copyright (c) 2025 Titin Nasiatin

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
