Waiting Time Experiences and Perceptions Among National Health Insurance Patients in Outpatient Care
Abstract
Waiting time is a critical aspect of healthcare service quality that influences patient satisfaction and overall service evaluation. This study aims to explore patients’ perceptions of waiting time in healthcare services by examining experiential factors that shape how waiting is interpreted and tolerated. A qualitative research design was employed, using in-depth interviews with four patients who had direct experience with healthcare service delivery. Data were analyzed thematically to identify recurring patterns in participants’ accounts. The findings reveal that perceptions of waiting time were influenced not only by its duration but also by procedural clarity, staff responsiveness, communication and information transparency, service environment, and the presence of personalization and emotional support. Clear service procedures and timely, understandable information reduced uncertainty and moderated negative perceptions of waiting. Additionally, clean and comfortable environments, along with empathetic and attentive staff interactions, enhanced patients’ ability to tolerate waiting and contributed to more positive service experiences. The study concludes that waiting time should be understood as a multidimensional experience shaped by both operational and interpersonal factors. These findings highlight the importance of adopting patient-centered strategies that integrate effective communication, environmental comfort, and emotional support in managing waiting time within healthcare services.
References
Abah, V. O. (2022). Poor health care access in Nigeria: A function of fundamental misconceptions and misconstruction of the health system. In Healthcare Access-New Threats, New Approaches. IntechOpen. https://doi.org/10.5772/intechopen.108530
Allen, L. N., Azab, H., Jonga, R., Gordon, I., Karanja, S., Thaker, N., ... & Bastawrous, A. (2023). Rapid methods for identifying barriers and solutions to improve access to community health services: a scoping review. BJGP open, 7(4). https://doi.org/10.3399/bjgpo.2023.0047
Aminabee, S. (2024). The future of healthcare and patient-centric care: Digital innovations, trends, and predictions. In Emerging technologies for health literacy and medical practice (pp. 240-262). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-1214-8.ch012
Balogun, J. A. (2022). The vulnerabilities of the Nigerian healthcare system. In The Nigerian healthcare system: pathway to universal and high-quality health care (pp. 117-152). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-88863-3_5
Bankole, F. A., & Lateefat, T. (2021). Leadership strategies in transitional finance roles: Enhancing budgeting, forecasting, and capital adequacy planning. Leadership, 2(2). https://doi.org/10.54660/.IJMRGE.2021.2.2.496-512
Bowling, A., Rowe, G., Lambert, N., Waddington, M., Mahtani, K. R., Kenten, C., ... & Francis, S. A. (2012). The measurement of patients' expectations for health care: a review and psychometric testing of a measure of patients' expectations. Health technology assessment, 16(30). https://doi.org/10.3310/hta16300
Coombs, N. C., Campbell, D. G., & Caringi, J. (2022). A qualitative study of rural healthcare providers’ views of social, cultural, and programmatic barriers to healthcare access. BMC Health Services Research, 22(1), 438. https://doi.org/10.1186/s12913-022-07829-2
Dahyanto, D., & Arofiati, F. (2018). The analysis of inpatients satisfaction on service quality at Yogyakarta Respira Hospital. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 7(2), 162-169. https://doi.org/10.18196/jmmr.7269
Dwiyovita, R., Marsim, E., & Bahri, Y. L. (2024). Implementation of Social Security Agency on Health (BPJS) Policy in Hospitals: A Systematic Review. Jurnal Kesehatan, 237-245. https://doi.org/10.23917/jk.v17i3.6288
Entwistle, V. A., France, E. F., Wyke, S., Jepson, R., Hunt, K., Ziebland, S., & Thompson, A. (2011). How information about other people's personal experiences can help with healthcare decision-making: a qualitative study. Patient education and counseling, 85(3), e291-e298. https://doi.org/10.1016/j.pec.2011.05.014
Frazier, T. L., Lopez, P. M., Islam, N., Wilson, A., Earle, K., Duliepre, N., ... & Thorpe, L. E. (2023). Addressing financial barriers to health care among people who are low-income and insured in New York City, 2014–2017. Journal of Community Health, 48(2), 353-366. https://doi.org/10.1007/s10900-022-01173-6
Gavahi, S. S., Hosseini, S. M. H., & Moheimani, A. (2023). An application of quality function deployment and SERVQUAL approaches to enhance the service quality in radiology centres. Benchmarking: An International Journal, 30(5), 1649-1671. https://doi.org/10.1108/BIJ-07-2021-0411?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle
He, W., Tuersun, Y., Yang, T., Wan, Y., Yong, M., Huang, Z., ... & Xu, D. R. (2025). Mapping the interactions of critical factors in China’s first-contact healthcare systems using causal loop diagrams. BMC Public Health, 25(1), 2874. https://doi.org/10.1186/s12889-025-23884-w
Hidayah, N., Arbianingsih, & Ilham. (2022). The impact of integrated quality management-based health services on general hospital quality. Frontiers in public health, 10, 1011396. https://doi.org/10.3389/fpubh.2022.1011396
Isibor, N. J., Ibeh, A. I., Ewim, C. P. M., Sam-Bulya, N. J., & Martha, E. (2022). A financial control and performance management framework for SMEs: Strengthening budgeting, risk mitigation, and profitability. International Journal of Multidisciplinary Research and Growth Evaluation, 3(1), 761-768. https://doi.org/10.54660/.IJMRGE.2022.3.1.761-768
Jauhar, A. (2025). Analyzing the factors influencing public vs private helthcare utilization under JKN program in Indonesia. Quantum Journal of Medical and Health Sciences, 4(2), 78-85. https://doi.org/10.55197/qjmhs.v4i2.140
Jonkisz, A., Karniej, P., & Krasowska, D. (2021). SERVQUAL method as an “old new” tool for improving the quality of medical services: A literature review. International journal of environmental research and public health, 18(20), 10758. https://doi.org/10.3390/ijerph182010758
Juliá Nehme, B., Torres Irribarra, D., Cumsille, P., & Yoon, S. Y. (2021). Waiting room physical environment and outpatient experience: The spatial user experience model as analytical tool. Journal of Interior Design, 46(4), 27-48. https://doi.org/10.1111/joid.12205
Khatri, R. B., Endalamaw, A., Erku, D., Wolka, E., Nigatu, F., Zewdie, A., & Assefa, Y. (2024). Enablers and barriers of community health programs for improved equity and universal coverage of primary health care services: A scoping review. BMC primary care, 25(1), 385. https://doi.org/10.1186/s12875-024-02629-5
Laeliyah, N., & Subekti, H. (2017). Waktu tunggu pelayanan rawat jalan dengan kepuasan pasien terhadap pelayanan di rawat jalan RSUD Kabupaten Indramayu. Jurnal Kesehatan Vokasional, 1(2), 102. https://doi.org/10.22146/jkesvo.27576
Lamb, M. D. (2021). Health inequity by design: waiting rooms and patient stress. Frontiers in communication, 6, 667381. https://doi.org/10.3389/fcomm.2021.667381
Liew, J. E. S., Chong Cheng, Y., Tai, N. L., Pereira, A., Manivannan, V., Khoo, S. L., ... & Lee, Y. L. (2024). A before–after study to evaluate the effect of pharmacy workflow redesign to improve pharmacy waiting time and reduce medication near misses in Malaysia. International Journal of Pharmacy Practice, 32(1), 83-90. https://doi.org/10.1093/ijpp/riad083
Moe, J., Wang, E. Y., McGregor, M. J., Schull, M. J., Dong, K., Holroyd, B. R., ... & McGrail, K. M. (2022). Subgroups of people who make frequent emergency department visits in Ontario and Alberta: a retrospective cohort study. Canadian Medical Association Open Access Journal, 10(1), E232-E246. https://doi.org/10.9778/cmajo.20210132
Nie, W. (2000). Waiting: integrating social and psychological perspectives in operations management. Omega, 28(6), 611-629. https://doi.org/10.1016/S0305-0483(00)00019-0
Ogueji, I. A., Ogunsola, O. O., Abdalla, N. M., & Helmy, M. (2024). Mistrust of the Nigerian health system and its practical implications: qualitative insights from professionals and non-professionals in the Nigerian health system. Journal of Public Health, 32(2), 303-314. https://doi.org/10.1007/s10389-022-01814-z
Peck, B. M., Asch, D. A., Goold, S. D., Roter, D. L., Ubel, P. A., McIntyre, L. M., ... & Tulsky, J. A. (2001). Measuring patient expectations: does the instrument affect satisfaction or expectations?. Medical care, 39(1), 100-108. https://doi.org/10.1097/00005650-200101000-00011
Pyo, J., Lee, M., Lee, H., & Ock, M. (2025). Exploring the experiences of cancer patients: What drives them to seek treatment outside their residential area and what are the experiences resulting from that decision? A qualitative study. Plos one, 20(3), e0319650. https://doi.org/10.1371/journal.pone.0319650
Sait, S. A., & Vijesh, P. V. (2025). Redefining wellness: assessing grassroots healthcare transformation in India. Available at SSRN 5382571. http://dx.doi.org/10.2139/ssrn.5382571
Sari, R. P., Jalal, N., & Mana, F. A. (2024). Analysis of the Service Quality of the Social Security Administering Agency (BPJS) at the Merauke Regency Regional General Hospital. Papsel Journal of Humanities and Policy, 1(1), 56-68.
Situmorang, A. M., Utami, T. N., & Nasution, R. S. (2024). Analysis of the Governance System of National Health Insurance Referral Patients at the Outpatient Polyclinic of Dian Harapanjayapura Hospital, Papua. PROMOTOR, 7(4), 602-609. https://doi.org/10.32832/pro.v7i4.1014
Soremekun, O. A., Takayesu, J. K., & Bohan, S. J. (2011). Framework for analyzing wait times and other factors that impact patient satisfaction in the emergency department. The Journal of emergency medicine, 41(6), 686-692. https://doi.org/10.1016/j.jemermed.2011.01.018
Suartama, P., Junaedy, I. K. D., & Astawa, I. W. (2025). Implementation of the Social Security Administration (BPJS) Health Program in Healthcare Services at UPTD Public Health Center III, North Denpasar Sub-District Health Office. Jurnal Dialektika: Jurnal Ilmu Sosial, 23(1), 200-207. https://doi.org/10.63309/dialektika.v23i1.442
Suwarno, S., Fitria, F., & Azhar, R. (2023). Optimizing budget allocation: a strategic framework for aligning human resource investments with financial objectives and business goals. Atestasi: Jurnal Ilmiah Akuntansi, 6(2), 835-855. https://doi.org/10.57178/atestasi.v6i2.880
Taridi, M. M., Abu Hassan, M. R., Mohamad, R., Keat, C. H., Nordin, N., Lim, C. P., ... & Ramli, A. (2022). Utilization of Pharmacy Value-Added Services and Its Association with Waiting Time for Medication Collection in Public Health Institutions across Malaysia. medRxiv, 2022-02. https://doi.org/10.1101/2022.02.28.22271668
Thompson, J., Macintosh, F., Beaumont, N., Bedford, L., Powley, A., & Bailey, S. (2024). The Experiences and Perceptions of First Contact Practitioners in Primary Care—A Qualitative Systematic Review. Musculoskeletal Care, 22(4), e1955. https://doi.org/10.1002/msc.1955
Timmins, F., & Timmins, B. (2021). An integrative review of waiting time, queuing, and design as contributory factors to emergency department violence. Journal of Evidence‐Based Medicine, 14(2), 139-151. https://doi.org/10.1111/jebm.12432
Tran, B. Q. (2021). Strategies for effective patient care: Integrating quality communication with the patient‐centered approach. Social and Personality Psychology Compass, 15(1), e12574. https://doi.org/10.1111/spc3.12574
wahyu Nugroho, J. (2024, December). NON-BPJS CLINIC MANAGEMENT: STRATEGIES, CHALLENGES AND SOLUTION FOR OPTIMIZING HEALTH SERVICE. In Proceeding of International Conference on Economic Issues (Vol. 1, No. 1).
Xie, Z., & Or, C. (2017). Associations between waiting times, service times, and patient satisfaction in an endocrinology outpatient department: a time study and questionnaire survey. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 0046958017739527. https://doi.org/10.1177/0046958017739527
Yap, S. F., Phillips, M., Hwang, E., & Xu, Y. (2022). Transforming healthcare service environments: a sensory-based approach. Journal of Service Theory and Practice, 32(5), 673-700. https://doi.org/10.1108/JSTP-02-2022-0033
Yi, F. R., Ahmad, A., Said, N. S., Manshor, T. N. A. T., Ling, S. L., Jamil, N., & Roby, B. A. M. (2021). Identification of factors leading to excessive waiting time at the pharmacy unit of health clinics in Temerloh district, Pahang, Malaysia. Malaysian Journal of Pharmaceutical Sciences, 19(1), 97-111. https://doi.org/10.21315/mjms2021.19.1.7
Copyright (c) 2025 Journal La Medihealtico

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



