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Patient revisit intention is a key indicator of hospital success in maintaining patient loyalty. In the digital era, the use of digital marketing and the quality of nurse communication play important roles in shaping patients’ perceptions of service quality and their decisions to return. This study aimed to analyze the effect of digital marketing utilization and nurse communication on patient revisit intention, with service quality as an intervening variable at Cabangbungin Regional General Hospital, Bekasi Regency.This research used a quantitative survey design with purposive sampling of outpatient participants. Data were analyzed using index analysis with the three-box method and hypothesis testing through Structural Equation Modeling–Partial Least Squares (SEM–PLS).The findings revealed that digital marketing utilization and nurse communication have a positive and significant effect on both service quality and patient revisit intention. Additionally, service quality was proven to mediate the relationship between digital marketing, nurse communication, and revisit intention. These results highlight the importance of integrating effective digital marketing strategies with empathetic and clear nurse communication to enhance perceived service quality.In conclusion, strengthening digital-based patient engagement, improving communication systems among healthcare professionals, and promoting empathetic service behavior are essential strategies to increase patient loyalty and revisit intention. This study provides practical insights for hospital management in optimizing service quality through digital transformation and communication improvement.

The digitalization of healthcare had prompted health institutions to adopt digital content marketing as an innovative strategy for service promotion and patient loyalty development, while preserving service reliability as a crucial loyalty factor. Recent empirical research had revealed inconsistent findings about the non-linear relationships among these variables, which necessitated additional investigation incorporating trust as a mediating factor. This research sought to provide empirical validation of how trust mediated the relationship between service reliability, digital content marketing, and patient loyalty within hospital settings. The study employed a cross-sectional methodology using purposive sampling with 119 outpatients from Hermina Kemayoran Hospital in Jakarta. The analytical approach utilized the three box method for descriptive analysis and Partial Least Square-Structural Equation Modeling (PLS-SEM) via Smart-PLS 4 for inferential analysis. Results demonstrated that both digital content marketing and service reliability influenced patient loyalty indirectly through trust mediation, though digital content marketing's indirect influence was considerably weaker than its direct impact. The research determined that trust served as a partial mediator in how digital content marketing and service reliability affected patient loyalty development in hospital environments.

Umi Barokah Boyolali Hospital is a private hospital with type D which is one of the private hospitals formed to provide services to the community in the form of services that prioritize service in carrying out its activities based on customer satisfaction. Umi Barokah Boyolali Hospital is currently developing to offer health services with target service coverage in Boyolali Regency. Currently, the marketing team at Umi Barokah Boyolali Hospital is starting to develop marketing efforts which are expected to increase patient visits. High competition between hospitals is one of the factors that patient visits at Umi Barokah Boyolali Hospital tend to fluctuate. The marketing team's lack of knowledge regarding Digital Marketing, the large number of job desks for each marketing team member and the lack of supporting equipment result in digital marketing efforts being less than optimal. The marketing strategy that is currently being implemented is still not optimal considering that views on various social media for hospitals are still lacking. The solutions offered through this Community Service activity are (1) Providing education regarding the Digital Marketing Hospital Transformation Strategy (2) Providing education regarding the Digital Marketing Hospital Transformation Strategy method which can be applied in hospitals (3) Training on the Digital Marketing Hospital Transformation Strategy which combines Media Content Marketing, Collaboration Transformation, Expanding Social Media Networks, Optimizing Patient Services through digital marketing. The methods used in this community service include: (1) Increasing the marketing team's knowledge regarding the Digital Marketing Hospital Transformation Strategy to increase the number of patient visits; (2) Increasing the skills of the marketing team in implementing the Digital Marketing Hospital Transformation Strategy (3) Increasing and developing strategies to produce user interfaces for collecting customer data (4) Mentoring. The outputs of this activity are (1) Publication of service results in the Community Service Journal (2) Videos of PkM activities which can be accessed online; (3) Increasing the knowledge of the Hospital Marketing team through the Digital Marketing Hospital Transformation Strategy; (4) Integration of the results of PkM activities in the Hospital Marketing Management course; (6) Increasing students' skills in implementing the Digital Marketing Hospital Transformation Strategy in the Hospital Marketing Management course