Comparative Analysis of Perceptions of Doctors, Management, Nurses and Patients on the Use of the Enhanced Recovery After Caesarean Surgery Method Based on the Concept of Perceived Value

  • Oktavian Tamon Universitas Esa Unggul, Jakarta, Indonesia
  • Hasyim Universitas Esa Unggul, Jakarta, Indonesia
  • Ratna Indrawati Universitas Esa Unggul, Jakarta, Indonesia
  • Nofi Erni Universitas Esa Unggul, Jakarta, Indonesia
Keywords: Enhanced Recovery After Caesarean Surgery, Perceived Value, Perceptions.


In this era of modernization, several companies, one of which is hospitals, are adopting E-Service Quality because currently patients prefer services that are quickly accessible wherever and whenever they are, so this adds to the main function of a service. One of the services of the Obstetrics and Gynecology unit, especially the delivery service using the ERACS (Enhanced Recovery After Caesarean Surgery) method, is a surgical procedure that increases profits for hospital Agencies. So, it can influence consumer value perceptions, perceived quality and hospital imAge and patient satisfaction. The aim of this research is to analyze differences in perceptions between the components of doctors, management, nurses and patients based on perceived value in implementing ERACS actions. This research method uses a quantitative research approach, survey method and the type of research is hypothesis testing with descriptive analysis and comparative analysis. The sampling technique used was a saturated sampling technique. The number of samples used was 50 respondents. The research results show that the Mann Whitney test analysis on the combination of all components which compares benefits and costs, shows that the p-value is 0.000 (p < 0.05), meaning there is a significant difference between benefits and costs on the combination of all components. It can be concluded that there is a significant difference between benefits and costs in the doctor, management, nurse and patient components.


Abdillah, A. D., Susilowati, S., & Anggaraini, D. (2019). Cost Benefit Analysis (CBA) Program Pemberian Makanan Tambahan (PMT) Susu Pada Karyawan di PT. Trisula Textile Industries Tbk Cimahi Tahun 2018. Jurnal Ekonomi Kesehatan Indonesia, 3(1), 125-134.

Abeles, A., Kwasnicki, R. M., Pettengell, C., Murphy, J., & Darzi, A. (2017). The relationship between physical activity and post-operative length of hospital stay: a systematic review. International Journal of Surgery, 44, 295-302.

Anvika. (2018). Analysis Effect Service Quality of BPJS Program to Patient Satisfaction Mediated by Medical Performance. International Journal of Management and Economics Invention, 04(05), 1759-1756.

Bailey, C., & Clarke, M. (2001). Managing Knowledge for Personal and Organisational Benefit. Journal of Knowledge Management, 5(1), 58-68.

De, P., Dunne, E. J., Ghosh, J. B., & Wells, C. E. (1995). The Discrete Time-Cost Tradeoff Problem Revisited. European Journal of Operational Research, 81(2), 225-238.

Dilla, A., Baiq Q. A., & Hasbullah. (2019). Analysis of Cost Components in Hospital Cost Units, To Choose Component of Cost Which Will Be Decreased. International Journal of Innovative Science and Research Technology, 4(4), 2456-2165.

Hasyim, A., & Anindita, R. (2009). Prinsip-Prinsip Dasar Metode Riset Bidang Pemasaran. Jakarta: UIEU-University Press.

Hsu, C. H., Wolfe, K., & Kang, S. K. (2004). ImAge Assessment for A Destination with Limited Comparative AdvantAges. Tourism ManAgement, 25(1), 121-126.

Indrata, S. L., Susanti, C. E., & Kristanti, M. M. (2017). Pengaruh Perceived Value dan E-Service Quality Terhadap Customer Behavioral Intention Melalui Customer Satisfaction Pada Pengguna Gojek di Surabaya. Kajian Ilmiah Mahasiswa Management (KAMMA), 6.

Indrawati, R., Elizar, C., Mutiara, R., & Roespinoedji, D. (2020). Service Quality, Customer Satisfaction, Customer Trust, and Customer Loyalty in the Service of Pediatric Polyclinic (Case Study at Private Hospital East Jakarta, Indonesia). International Journal of Psychosocial Rehabilitation, 24(1).

Jia, C. L., Houben, L., Thust, A., & Barthel, J. (2010). On the Benefit of the Negative-Spherical- Aberration Imaging Technique for Quantitative HRTEM. Ultramicroscopy, 110(5), 500- 505.

Kotler, P., & Kotler K. L., (2009). Marketing ManAgement. USA: Pearson Education International.

Lai, A. W. (1995). Consumer Values, Product Benefits and Customer Value: A Consumption Behavior Approach. ACR North American Advances.

Li, S., Zhou, K., Che, G., Yang, M., Su, J., Shen, C., & Yu, P. (2017). Enhanced recovery programs in lung cancer surgery: systematic review and meta-analysis of randomized controlled trials. Cancer management and research, 657-670.

Ma, Y., Hou, G., & Xin, B. (2017). Green Process Innovation and Innovation Benefit: The Mediating Effect of Firm ImAge. Sustainability, 9(10), 1778.

Melnyk, M., Casey, R. G., Black, P., & Koupparis, A. J. (2011). Enhanced Recovery After Surgery (Eras) Protocols: Time to Change Practice?. Journal of the Canadian Urological Association, 5(5), 342-348.

Rahmiati, R. (2018). Analisis Biaya-Manfaat dan Aplikasi Model Penerimaan Teknologi pada Keputusan Outsourcing TI. Performance: Jurnal Personalia, Financial, Operasional, Marketing dan Sistem Informasi, 10(1), 102-122.

Scott, M. J., Baldini, G., Fearon, K. C. H., Feldheiser, A., Feldman, L. S., Gan, T. J., Ljungqvist, O., Lobo, D. N., Rockall, T. A., Schricker, T., & Carli, F. (2015). Enhanced Recovery After Surgery (ERAS) For Gastrointestinal Surgery, Part 1: Pathophysiological Considerations. Acta Anaesthesiologica Scandinavica, 59(10), 1212–1231.

Tangkas, S., & Riani, A. L. (2017). Pengaruh Kualitas Layanan Kesehatan dan Citra Merek pada Loyalitas Patient, dengan Kepuasan Patient Sebagai Permediasi. Proceeding National Conference on Applied Bussiness, 978-602-19568-8-5.

Vanhoucke, M., & Debels, D. (2007). The Discrete Time/Cost Trade-Off Problem: Extensions and Heuristic Procedures. Journal of Scheduling, 10, 311-326.

Weiser, T. G., & Gawande, A. Excess Surgical Mortality: Strategies for Improving Quality of Care. Washington (DC): The International Bank for Reconstruction and Development/The World Bank.

Yamin, R. (2013). Persepsi Nilai, Persepsi Kualitas, dan Citra terhadap Kepuasan Konsumen pada PT. Astra International Daihatsu di Manado. Jurnal EMBA: Jurnal Riset Ekonomi, Manajemen, Bisnis dan Akuntansi, 1(3).

Yang, Z., & Peterson, R. T. (2004). Customer perceived value, satisfaction, and loyalty: The role of switching costs. Psychology & Marketing, 21(10), 799-822.

How to Cite
Tamon, O., Hasyim, Indrawati, R., & Erni, N. (2024). Comparative Analysis of Perceptions of Doctors, Management, Nurses and Patients on the Use of the Enhanced Recovery After Caesarean Surgery Method Based on the Concept of Perceived Value. International Journal of Science and Society, 6(2), 73-87.