Exploration of Factors That Influence Patients' Decisions in Choosing A Beauty Clinic: A Grounded Theory Approach

Authors

  • Dian Alfiyatul Uliyah Universitas Muhammadiyah Jember
  • Dwi Cahyono Universitas Muhammadiyah Jember
  • Haris Hermawan Universitas Muhammadiyah Jember

DOI:

https://doi.org/10.33506/sl.v14i3.4594

Keywords:

Patient Decisions, Beauty Clinics, Grounded Theory, Rational Factors, Emotional Factors

Abstract

This study aims to explore the factors that influence patient decisions in choosing dr. Dian Beauty Clinic in Jember through a grounded theory approach. With a qualitative method, this study successfully identified three main dimensions that interact with each other: rational factors, emotional-social factors, and digital-education mediators. Data were collected through in-depth interviews with 19 active patients selected using purposive and snowball sampling techniques, with the criteria of having made at least two visits and being in the age range of 20-45 years. The research findings revealed that patient decisions are formed through a complex integration of objective considerations (procedure safety, price, and evidence of effectiveness) with subjective factors (reputation, convenience, and religious values). Digital media plays an important role as a catalyst, where 73% of informants stated that social media content and online features are the main considerations. Uniquely, local values such as sharia services and gender privacy are critical differentiators for 42% of patients. The study also found significant generational differences - younger patients (Gen Z/Millennials) are more influenced by digitalization, while generation X relies more on personal recommendations. The implications of this study highlight the importance of a holistic approach in beauty clinic management, which combines strict medical standards with personalized patient experience. These findings contribute to the development of a healthcare marketing model that is adaptive to the socio-cultural characteristics of Indonesian society, especially in the Jember area. Further research is recommended to test this model in more diverse geographic and demographic contexts.

References

A. Radhi, A. Hamdan, and M. Al Mubarak, “Factors Influencing Consumer Buying Behavior of Beauty and Personal Care,” Studies in Systems, Decision and Control, vol. 537, pp. 409–424, 2024, doi: 10.1007/978-3-031-62106-2_32.

A. M. Mosadeghrad, “Patient choice of a hospital: Implications for health policy and management,” Int J Health Care Qual Assur, 2014, doi: 10.1108/IJHCQA-10-2012-0068.

P. Zulwarni, A. Octavia, and M. Management Program, “The Effect Of Perceived Value And Consumer Innovativeness On Purchase Decisions Mediated By Brand Image At Erha Beauty Clinic Jambi,” Journal Of Business Studies And Mangement Review, vol. 5, no. 2, pp. 288–293, Jul. 2022, doi: 10.22437/JBSMR.V5I2.19127.

A. Javornik, B. Marder, M. Pizzetti, and L. Warlop, “Augmented self - The effects of virtual face augmentation on consumers’ self-concept,” J Bus Res, vol. 130, pp. 170–187, Jun. 2021, doi: 10.1016/j.jbusres.2021.03.026.

H. Han and J. Hwang, “Growing competition in the healthcare tourism market and customer retention in medical clinics: New and experienced travellers,” Current Issues in Tourism, 2018, doi: 10.1080/13683500.2015.1104292.

L. L. Berry, “Service innovation is urgent in healthcare,” AMS Review, 2019, doi: 10.1007/s13162-019-00135-x.

T. H. Cham, Y. M. Lim, and M. Sigala, “Marketing and social influences, hospital branding, and medical tourists’ behavioural intention: Before‐and after‐service consumption perspective,” International Journal of Tourism, 2022, doi: 10.1002/jtr.2489.

J. Kim and J. Oh, “Perceived justice and customer loyalty in the situation of beauty service failure: A comparison between South Korea and China,” Social Behavior and Personality: an international journal, vol. 40, no. 9, pp. 1447–1460, 2012.

T. Richards, A. Coulter, and P. Wicks, “Time to deliver patient-centered care,” BMJ, 2015, [Online]. Available:https://www.bmj.com/content/350/bmj.h530/rapid responses int_source=trendmd&int_medium=trendmd&int_campaign=trendmd

L. Miller and D. May, “Patient choice in the NHS: How critical are facilities services in influencing patient choice?,” Facilities, 2006, doi: 10.1108/02632770610639799.

F. T. Nuryani, N. Nurkesuma, and B. Hadibrata, “Korelasi keputusan pembelian: kualitas produk, persepsi harga dan promosi (literature review manajemen pemasaran),” Jurnal Ekonomi Manajemen …, 2022, [Online]. Available: https://dinastirev.org/JEMSI/article/view/977

C. Lahariya, “Access, utilization, perceived quality, and satisfaction with health services at Mohalla (Community) Clinics of Delhi, India,” J Family Med Prim Care, vol. 9, no. 9, pp. 3077–3084, 2020, [Online]. Available: https://journals.lww.com/jfmpc/fulltext/2020/09120/access,_utilization,_perceived_quality,_and.10.aspx

J. Kang and S. Kim, “The effect of service quality on customer satisfaction and loyalty in beauty salons: Moderating role of price perception,” International Journal of Business and Social Science, vol. 4, no. 15, pp. 56–65, 2013.

S. H. Lee and S. Y. Lee, “Influencing factors in customers’ intention to revisit beauty salons: Focusing on service quality and satisfaction,” Journal of Business and Retail Management Research, vol. 9, no. 1, pp. 1–12, 2014.

S. C. Eze and A. D. Nkamnebe, “Small beauty salon business strategies for sustaining operations: A qualitative study,” Journal of Small Business Strategy, vol. 28, no. 2, pp. 39–52, 2018.

J. Sim, J. Joyce‐McCoach, and R. Gordon, “Development of a data registry to evaluate the quality and safety of nursing practice,” J Adv Nurs, 2019, doi: 10.1111/jan.13967.

C. A. Chavadi, M. Sirothiya, S. R. Menon, and V. M R, “Modelling the Effects of Social Media–based Brand Communities on Brand Trust, Brand Equity and Consumer Response,” Vikalpa, vol. 48, no. 2, pp. 114–141, Apr. 2023, doi: 10.1177/02560909231172010.

F. Strozzi, E. Garagiola, and P. Trucco, “Analyzing the attractiveness, availability, and accessibility of healthcare providers via social network analysis (SNA),” Decis Support Syst, 2019, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S0167923619300454

S. Chen, B. C. Park, A. T. Makhoul, and B. C. Drolet, “Patient perspectives on selecting an academic aesthetic surgeon: A qualitative analysis,” Ann Plast Surg, 2023, doi: 10.1097/SAP.0000000000003067.

A. A. Radhi, A. Hamdan, A. Al Abbas, and D. Abualsaud, “The Impact of Customer Experience Strategy on the Buying Behavior on the Beauty Sector in Bahrain,” Lecture Notes in Networks and Systems, vol. 621 LNNS, pp. 186–194, 2023, doi: 10.1007/978-3-031-26956-1_17.

R. J. Widmer, M. J. Maurer, V. R. Nayar, L. A. Aase, and others, “Online physician reviews do not reflect patient satisfaction survey responses,” Mayo Clin Proc, vol. 93, no. 8, pp. 1046–1052, 2018, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S0025619618300740

J. Sim and J. Waterfield, “Focus group methodology: some ethical challenges,” Qual Quant, vol. 53, no. 6, pp. 3003–3022, Nov. 2019, doi: 10.1007/S11135-019-00914-5.

A. Radhi, A. Hamdan, and M. Al Mubarak, “Factors influencing consumer buying behavior of beauty and personal care,” Studies in Systems, Decision and Control, 2024, doi: 10.1007/978-3-030-21652-5_38.

S. S. Shahbazi and H. S. Akareem, “Identifying the decision criterion for choosing beauty parlor and salon: A marketing communication perspective,” International Journal of Business and Management Invention, vol. 2, no. 10, pp. 18–26, 2013.

J. Amankwah-Amoah, Z. Khan, G. Wood, and G. Knight, “COVID-19 and digitalization: The great acceleration,” J Bus Res, vol. 136, pp. 602–611, Nov. 2021, doi: 10.1016/j.jbusres.2021.08.011.

S. Usman and E. Wardani, “An evaluation of patient satisfaction with nursing care: A qualitative study in an Indonesian hospital,” Ethiop J Health Sci, 2020, [Online]. Available: https://www.ajol.info/index.php/ejhs/article/view/201979

A. Poushneh and A. Z. Vasquez-Parraga, “Discernible impact of augmented reality on retail customer’s experience, satisfaction and willingness to buy,” Journal of Retailing and Consumer Services, vol. 34, pp. 229–234, Jan. 2017, doi: 10.1016/j.jretconser.2016.10.005.

A. Giovanis, G. Pierrakos, I. Rizomyliotis, and others, “Assessing service quality and customer behavioral responses in hospital outpatient services: A formative measurement approach,” International Journal of Quality and Service Sciences, vol. 10, no. 3, pp. 317–337, 2018, doi: 10.1108/IJQSS-03-2017-0023.

E. Parra, M. D. Arenas, M. Alonso, and others, “Assessing value‐based health care delivery for haemodialysis,” J Eval Clin Pract, vol. 23, no. 4, pp. 743–751, 2017, doi: 10.1111/jep.12483.

C. Medika, “Rekam Medis Klinik Kecantikan dari Hosti,” https://hosti.id/kemudahan-akses-rekam-medis-elektronik-klinik-kecantikan-dari-hosti/. Accessed: Jul. 30, 2025. [Online]. Available: https://hosti.id/kemudahan-akses-rekam-medis-elektronik-klinik-kecantikan-dari-hosti/

C. I. Park and Y. Namkung, “The Effects of Instagram Marketing Activities on Customer-Based Brand Equity in the Coffee Industry,” Sustainability (Switzerland), vol. 14, no. 3, Feb. 2022, doi: 10.3390/SU14031657.

H. D. Germack, P. Griffiths, D. M. Sloane, A. M. Rafferty, and Others, “Patient satisfaction and non-UK educated nurses: A cross-sectional observational study of English National Health Service Hospitals,” BMJ Open, 2015, [Online]. Available: https://bmjopen.bmj.com/content/5/12/e009483.short

D. C. Ferreira, I. Vieira, M. I. Pedro, P. Caldas, and M. Varela, “Patient satisfaction with healthcare services and the techniques used for its assessment: a systematic literature review and a bibliometric analysis,” Healthcare, 2023, doi: 10.3390/healthcare11050639.

J. Kang and S. Kim, “The effect of service quality on customer satisfaction and loyalty in beauty salons: Moderating role of price perception,” International Journal of Business and Social Science, vol. 4, no. 15, pp. 56–65, 2013.

C. Eresia-Eke, R. Chinomona, and P. Mbango, “Towards customer satisfaction and loyalty: What cuts it in a hair salon?,” African Journal of Economic and Management Studies, 2019.

S. H. Lee and S. Y. Lee, “Influencing factors in customers’ intention to revisit beauty salons: Focusing on service quality and satisfaction,” Journal of Business and Retail Management Research, vol. 9, no. 1, pp. 1–12, 2014.

J. Kim and J. Oh, “Perceived justice and customer loyalty in the situation of beauty service failure: A comparison between South Korea and China,” Social Behavior and Personality: an international journal, vol. 40, no. 9, pp. 1447–1460, 2012.

B. Panggabean, B. Suharjo, U. Sumarwan, and L. N. Yuliati, “Perception study of perceived value and social influence of digital health services in Indonesia,” International Journal of Risk and Safety in Medicine, vol. 34, no. 4, pp. 367–377, Dec. 2023, doi: 10.3233/JRS-220058.

T. T. H. Nguyen and T. T. Nguyen, “Purchase behavior of Generation Z for new-brand beauty products: Exploring the role of blockchain,” Journal of Retailing and Consumer Services, vol. 65, p. 102867, 2022.

R. A. Ferrer and W. M. P. Klein, “Risk perceptions and health behavior,” Curr Opin Psychol, vol. 5, pp. 85–89, Oct. 2015, doi: 10.1016/J.COPSYC.2015.03.012.

R. A. Ferrer, W. M. P. Klein, A. Persoskie, A. Avishai-Yitshak, and P. Sheeran, “The Tripartite Model of Risk Perception (TRIRISK): Distinguishing Deliberative, Affective, and Experiential Components of Perceived Risk,” Annals of Behavioral Medicine, vol. 50, no. 5, pp. 653–663, Oct. 2016, doi: 10.1007/S12160-016-9790-Z.

M. M. Hossain and M. S. Islam, “Factors influencing customer satisfaction in beauty salons: A study in Dhaka city,” Daffodil International University Journal of Business and Economics, vol. 9, no. 1, pp. 123–134, 2015.

J. M. Corbin and A. L. Strauss, “Grounded theory research: Procedures, canons, and evaluative criteria,” Qual Sociol, vol. 13, no. 1, pp. 3–21, 1990.

C. Tarnoki and K. Puentes, “Something for everyone: A review of qualitative inquiry and research design: Choosing among five approaches,” Qualitative Report, vol. 24, no. 12, pp. 3122–3124, 2019, doi: 10.46743/2160-3715/2019.4294.

K. Charmaz, Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London: Sage, 2006.

L. A. Palinkas, S. M. Horwitz, C. A. Green, J. P. Wisdom, N. Duan, and K. Hoagwood, “Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research,” Administration and Policy in Mental Health and Mental Health Services Research, vol. 42, no. 5, pp. 533–544, Sep. 2015, doi: 10.1007/S10488-013-0528-Y,.

A. Bryman, Social Research Methods (5th ed.). London: Oxford University Press, 2016.

D. Nikbin, A. Batouei, M. Iranmanesh, K. Kim, and S. S. Hyun, “Hospital prestige in medical tourism: empirical evidence from Malaysia,” Journal of Travel & Tourism Marketing, vol. 36, no. 4, pp. 521–535, May 2019, doi: 10.1080/10548408.2019.1582397.

H. Ali, V. R. Zainal, and R. R. Ilhamalimy, “Determination of Purchase Decisions and Customer Satisfaction: Analysis of Brand Image and Service Quality (Review Literature of Marketing Management),” Dinasti International Journal of …, 2021, [Online]. Available: https://dinastipub.org/DIJDBM/article/view/1100

N. Djafar, I. Yantu, S. Sudirman, R. Hinelo, and ..., “Pengaruh Kualitas Pelayanan Terhadap Keputusan Pembelian,” Journal of Economic …, 2023, [Online]. Available: https://ejurnal.ung.ac.id/index.php/JEBE/article/view/18046

L. M. Prajitmutita, Á. Perényi, and C. Prentice, “Quality, Value? – Insights into Medical Tourists’ Attitudes and Behaviors,” Journal of Retailing and Consumer Services, vol. 31, pp. 207–216, Jul. 2016, doi: 10.1016/J.JRETCONSER.2016.04.005.

E. Bigne, K. Chatzipanagiotou, and C. Ruiz, “Pictorial content, sequence of conflicting online reviews and consumer decision-making: The stimulus-organism-response model revisited,” J Bus Res, 2020, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S0148296319307015

M. Naeem and W. Ozuem, “Understanding misinformation and rumors that generated panic buying as a social practice during COVID-19 pandemic: evidence from Twitter, YouTube and focus group interviews,” Information Technology and People, vol. 35, no. 7, pp. 2140–2166, Dec. 2022, doi: 10.1108/ITP-01-2021-0061.

A. Javornik, “Augmented reality: Research agenda for studying the impact of its media characteristics on consumer behaviour,” Journal of Retailing and Consumer Services, vol. 30, pp. 252–261, May 2016, doi: 10.1016/j.jretconser.2016.02.004.

L. K. B. Martini and L. K. C. Dewi, “Pengaruh Media Promosi Tik Tok Terhadap Keputusan Pembelian Konsumen,” Prosiding, 2021, [Online]. Available: https://repository.uinsaizu.ac.id/26948/1/2021%20PROSIDING.pdf#page=45

K. Kaur and T. Singh, “What motivates consumers to write online reviews? Qualitative research in the Indian cultural context,” Journal of Global Marketing, 2021, doi: 10.1080/08911762.2021.1882022.

Downloads

Published

2025-08-05

How to Cite

Uliyah, D. A., Cahyono, D., & Hermawan, H. (2025). Exploration of Factors That Influence Patients’ Decisions in Choosing A Beauty Clinic: A Grounded Theory Approach. SENTRALISASI, 14(3), 175–215. https://doi.org/10.33506/sl.v14i3.4594

Issue

Section

Articles

Similar Articles

<< < 1 2 3 4 5 

You may also start an advanced similarity search for this article.