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This study seeks to assess patient satisfaction by examining the impact of trust, service quality, and hospital Sharia compliance on patient loyalty at Sharia hospitals in Pekanbaru City, Riau Province. The study takes an Islamic perspective and aims to enhance competitiveness by focusing on the development of high-quality and dependable services. The research uses structural equation modeling, a statistical methodology that combines quantitative data and qualitative causal assumptions to assess and estimate causal links. The study employed a questionnaire to gather primary data from 342 respondents, including patients. The research findings are as follows: (1) Trust has a positive and significant impact on patient loyalty. (2) Service quality does not have a significant impact on patient loyalty. (3) Sharia compliance has a positive and significant impact on patient loyalty. (4) Trust has a positive and significant impact on patient satisfaction. (5) Service quality has a positive and significant impact on satisfaction. (6) Sharia compliance has a positive and significant impact on satisfaction. (7) Satisfaction positively and significantly mediates the effect of trust on loyalty. (8) Satisfaction positively and significantly mediates the influence of service quality on patient loyalty. (9) Satisfaction positively and significantly mediates the influence of Sharia compliance on loyalty. (10) Satisfaction has a positive and significant influence on loyalty.

Revisit intention is a very important topic in a marketing context. However, previous literature is still rarely linked together with trust, satisfaction and two types of service, namely medical and non-medical with the hospital as the subject. Hospitals have the task of providing complete individual health services. This study aims to analyze the relationship between the quality of medical services and the quality of non-medical services on satisfaction, trust and revisit intention on the sub-urban hospitals. This research is a quantitative study using primary data from distributing questionnaires to 250 patients of the sub-urban hospitals. The data in this study were analyzed using the SEM (Structural Equation Model) method with AMOS 24 software. The results of this study indicate that the quality of medical services and the quality of non-medical services have a positive and significant effect on satisfaction. Meanwhile, patient satisfaction has a positive and significant effect on trust and revisit intention. However, trust was found to have a positive but insignificant effect on revisit intention. This research recommends several implications to the management of sub-urban hospitals. The managers of the sub-urban hospital are advised to pay more attention to and emphasize medical services, non-medical services, and patient satisfaction because it has been empirically proven to increase Revisit Intention