The Effect of Pandawa Service Quality and Switching Cost on Loyalty of National Health Insurance Participants


Social Security Administrator (Badan Penyelenggara Jaminan Sosial, BPJS) for Health is a national health insurance. The variable “Loyalty” needs to be researched for the continuity of programs of the National Health Insurance (Jaminan Kesehatan Nasional, JKN) through participants’ satisfaction. With the occurrence of COVID-19, BPJS Kesehatan made innovation by opening a non-face-to-face channel service via WhatsApp known as Pandawa. The presence of COVID-19 has reduced the use of healthcare services in the JKN program, so there is a need for a study of the effect of switching costs on the loyalty of JKN participants. This research was conducted by distributing questionnaires via Google form to JKN participants who accessed Pandawa in October 2023, totaling 148 respondents. The novelty of this research is that innovation in membership administration services carried out by the Pandawa is still rarely studied. Smart PLS is used as a test tool with Pandawa service quality results which influence satisfaction and loyalty. It shows that good service quality will increase satisfaction and loyalty. Switching costs impact satisfaction but do not influence loyalty. JKN participants who switch to other healthcare service financing are not related to loyalty but to satisfaction.

Keywords: Service quality, Switching Cost, Loyalty, JKN, Pandawa, Satisfaction

[1] Sambodo NP, Van Doorslaer E, Pradhan M, Sparrow R. Does geographic spending variation exacerbate healthcare benefit inequality? A benefit incidence analysis for Indonesia [Internet]. Health Policy Plan. 2021 Aug;36(7):1129–39.

[2] Kesehatan BP. Arahan Direktur Utama. Jakarta; 2023.

[3] Parasuraman A, Berry LL. Zeithaml V a. Guidelines for Conducting Service Quality Research. Mark Res [Internet]. 1990;2(4):34–45. Available from: Conducting+Service+Quality+Research#0

[4] BPJS Kesehatan. Petunjuk Teknis Pelaksanaan Sentralisasi Pelayanan Peserta pada Pelayanan Administrasi Melalui Whatsapp. Jakarta: Surat Edaran Nomor 29 Tahun 2023; 2023.

[5] Kesehatan BP. Laporan Pengelolaan Program Tahun 2021 dan Laporan Keuangan Tahun 2021 (Auditan) [Internet]. Jakarta; 2022. Available from: https://web.bpjskesehatan.

[6] Negara KS. Peraturan Presiden Nomor 64 Tahun 2020 tentang Perubahan Kedua atas Peraturan Presiden Nomor 82 Tahun 2018 tentang Jaminan Kesehatan [Internet]. Jakarta; 2020. Available from:

[7] Richards TJ, Liaukonytė J. Switching cost and store choice [Internet]. Am J Agric Econ. 2023;105(1):195–218.

[8] Mofokeng TE. Switching costs, customer satisfaction, and their impact on marketing ethics of medical schemes in South Africa: an enlightened marketing perspective. Cogent Bus Manag [Internet]. 2020;7(1):1811000.

[9] Ha VD. The effects of attitude, trust and switching cost on loyalty in commercial banks in Ho Minh city. Accounting [Internet]. 2020;6(2):151–60.

[10] Supriyanto A, Wiyono BB, Burhanuddin B. Effects of service quality and customer satisfaction on loyalty of bank customers. Cogent Bus Manag [Internet]. 2021;8(1):1937847.

[11] Hair JF Jr, Hult GT, Ringle CM, Sarstedt M. A primer on partial least squares structural equation modeling (PLS-SEM)-Third Edition [Internet]. 2021. 385 p. Available from: ISSN 9781544396408

[12] Fida BA, Ahmed U, Al-Balushi Y, Singh D. Impact of Service Quality on Customer Loyalty and Customer Satisfaction in Islamic Banks in the Sultanate of Oman [Internet]. SAGE Open. 2020;10(2):

[13] Nguyen DT, Pham VT, Tran DM, Pham DB. Impact of service quality, customer satisfaction and switching costs on customer loyalty. J Asian Financ Econ Bus [Internet]. 2020;7(8):395–405.

[14] Eklof J, Podkorytova O, Malova A. Linking customer satisfaction with financial performance: an empirical study of Scandinavian banks [Internet]. Total Qual Manage Bus Excell. 2020;31(15–16):1684–702.