Abstract :
Background: Hospital performance is vital for sustaining quality healthcare services. At Husada Hospital, fluctuations in inpatient numbers and workforce trends from 2019 to 2024 underscore the need to understand how governance and job satisfaction influence performance. Employee loyalty may play a key mediating role, yet this relationship remains underexplored.
Objective: This study aims to analyze the effects of governance and job satisfaction on hospital performance, and to assess the mediating role of employee loyalty in these relationships.
Methods: This quantitative study was conducted at Husada Hospital, Jakarta, from June 9–13, 2025, involving 160 employees selected through proportionate stratified random sampling. Data were collected using Likert-scale questionnaires and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS) via SMARTPLS to assess direct and mediated relationships among governance, job satisfaction, employee loyalty, and hospital performance.
Results: PLS-SEM analysis showed that governance and job satisfaction significantly influenced employee loyalty (R² = 0.580) and hospital performance (R² = 0.413). Employee loyalty had the strongest direct effect on performance (β = 0.642) and significantly mediated the effects of both governance and job satisfaction, highlighting its key role in improving hospital outcomes.
Conclusion: Governance and job satisfaction significantly influence employee loyalty, which plays a key role in enhancing hospital performance. Job satisfaction had the strongest effect on loyalty, while loyalty emerged as the most dominant predictor of performance. Loyalty also mediated the effects of governance and job satisfaction on performance, confirming its central role in linking internal organizational factors to hospital outcomes.
Keywords :
Employee Loyalty, governance, Hospital performance., Job SatisfactionReferences :
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