Analysis of Segmentation, Reasons and Interests of Visiting Patients in the Inpatient Room at RSUD Genteng Banyuwangi City

Hospital health services today undergo a fundamental change, namely to become a business entity with several strategic business units that require handling with the right management concept. In order to be able to sell services that are in accordance with market conditions. The purpose of the study is to find out the patient segmentation and the reasons for patients visiting the hospital and the interest of patients returning to the Banyuwangi Hospital. The research design was Cross Sectional. The population is all inpatients. The sample size is 144 respondents using Simple Random sampling technique. Independent variable is Segmentation. The dependent variable is the reason for the patient to visit and the interest in revisiting. Data were collected using a questionnaire, data were analyzed using logistic regression test (α ≤ 0.05). The results showed that the largest segmentation variable, namely the marital status variable did not affect the interest in revisiting (p = 0.849), and the residential variable did not affect the interest in revisiting (p = 0.698). Whereas the reason for visiting the biggest variable, namely the price variable does not affect the interest in revisiting (p = 0.628), the place variable does not affect the interest in revisiting (p = 0.531), and the people variable does not affect re-interest (p = 0.722). Segmentation and patient reasons have no effect on interest in revisiting. The quality of service at the hospital must provide satisfying and attractive services to attract patients to return to visit.


Logistic Regression Test: Segmentation of Visiting Interests Multivariate analysis with logistic regression simultaneously
Based on research data for multivariate data analysis with logistic regression simultaneously can be seen in table 4.48 below.

Multivariate Logistic Regression Analysis with Cox And Snell R Coefficient, Nagelkerke R Square
Based on research data for multivariate data analysis with Cox coefficient and Snell R, Nagelkerke R Square can be seen in table 4.46 below: ,058 a. Estimation terminated at iteration number 4 because parameter estimates changed by less than ,001.
The table shows the Cox and Snell coefficient R Square R 0.040 or 40% and the Nagelkerke R Square coefficient 0.058 or 58%. Nagelkerke R Square coefficient of 58% means that the independent variable affects the dependent variable in general by 58% while 42% is influenced by other factors not included in the testing model. Job variable obtained p value of 0.210> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the work variable does not affect the interest in revisiting.

Multivariate analysis with partial logistic regression Variables in the Equation
Ethnic variables obtained p value of 0.409> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that ethnic variables do not affect the interest in revisiting. Variable marital status obtained p value of 0.307> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the marital status variable does not affect the interest in revisiting The disease level variable is obtained p value of 0.889> α = 0.05, so that H0 is accepted and H1 is rejected. It can be concluded that the disease level variable does not affect the interest in revisiting. Payment status variables obtained p value of 0.761> α = 0.05, so that H0 is accepted and H1 is rejected. It can be concluded that the payment status variable does not affect the interest in revisiting Variable area of residence obtained p value of 0.774> α = 0.05, so that H0 is accepted and H1 is rejected. It can be concluded that the residential area variable does not affect the interest in revisiting Variables for treatment reasons are obtained p value of 0.743> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the variable treatment reasons did not affect the interest in revisiting Multivariate analysis with logistic regression simultaneously showed a significant result of 0,000. It can be concluded that all independent variables together influence the dependent variable (Reason for revisiting)

Multivariate logistics analysis with Koefision Cox and Snell R, Negelkerke R Square Model Summary
Step -2 Log likelihood Cox & Snell R Square Nagelkerke R Square 1 119,703 a ,071 ,101 a. Estimation terminated at iteration number 5 because parameter estimates changed by less than ,001.
The table shows the Cox and Snell R Square coefficients R 0.071 or 7.1% and the Nagelkerke R Square coefficient 0.101 or 10%. Nagelkerke R Square coefficient of 10% means that the independent variable influencing the dependent variable in general is 10% while 90% is influenced by other factors not included in the testing model. Product variables obtained p value of 0.0.28> α = 0.05, so H0 is rejected and H1 is accepted. It can be concluded that the product variable influences the reason for revisiting. Price variable obtained value of p value of 0.700> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the price variable does not affect the reason for revisiting Variable promotion obtained p value of 0.201> α = 0.05, so that H0 is accepted and H1 is rejected. It can be concluded that the promotion variable does not affect the reason for revisiting. Place variable obtained value of p value of 0.163> α = 0.05, so that H0 is accepted and H1 is rejected. It can be concluded that the place variable does not affect the reason for revisiting People variable obtained p value of 0.723> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the people variable does not affect the reason for revisiting

DISCUSSION The Influence of Patient Segmentation (Employment) on the Interest of Patients Visiting in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study it is known that the value of α <0.05, obtained p = 0.451, which means that there is no influence between job segmentation and the reason the patient visits (product). Based on the results of the study it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that Most of the respondents who worked as entrepreneurs had an interest in revisiting, as many as 38 (26.4%) respondents.
Based on the results of the study it was found that there was no effect of segmentation (work) on the interest in revisiting. This shows that patients who work as private entrepreneurs choose to visit again due to several factors, namely the image of the hospital product is good, the quality of the hospital presented also satisfies the patient. Especially services provided, health workers who provide services in a friendly manner, as well as facilities available in hospitals that are available to provide services and comfort for patients while being treated at the hospital. Satisfaction and not satisfaction with the product will affect subsequent consumer behavior (Kasali, Renald. 2014).

The Effect of Patient Segmentation (Marital Status) on the Interest of Patients Visiting in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study it is known that the value of α <0.05, obtained p = 0.849, which means that there is no influence between the segmentation of reasons for treatment with the reason the patient visits (product). Based on the results of the study, it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi General Hospital found that the majority of respondents who had Marital status had an interest in revisiting, namely as many as 53 (36.8%) respondents.
Based on the results of the study it was found that there was no effect of segmentation (marital status) on the interest in revisiting. The interest in revisiting is the result of experiences or values perceived by consumers that produce satisfaction. This interest is a description of future behavior that is based on consumer ratings of the place visited. The emergence of interest in coming back to the hospital tends to affect the interest in returning to treatment if he is sick, which indirectly will increase the profit of the hospital. Patients returning to the hospital can be caused by several things such as comfort, satisfying services, complete hospital facilities, the atmosphere of the place and others.

The Influence of Patient Segmentation (Level of Disease) Against the Interest of Patients Visiting Again in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.083, which means that there is no influence between the segmentation of reasons for treatment and the interest in revisiting. Based on the results of the study, it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that the majority of respondents who had the level of Acute Disease had an interest in revisiting, as many as 54 (37.5%) respondents.
Based on the results of the study it was found that there was no effect of segmentation on the interest in revisiting. Satisfaction and not satisfaction with the product will affect subsequent consumer behavior. If the consumer is satisfied, he will show a higher probability of buying the brand again. Satisfied customers also tend to tell good things about the brand to others. Dissatisfied customers may return the product. Or they might take public action such as filing a complaint with the hospital. Basically the interest in revisiting is the feeling of wanting to visit a place or region that is interesting to visit. Therefore the hospital must provide satisfying and attractive services to attract patients to return to visit.

The Effect of Patient Segmentation (Payment Status) on the Interest of Patients Visiting in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.481, which means that there is no influence between the segmentation of payment status and interest in revisiting.
Based on the results of the study it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that Most of the respondents who had Insurance Payment Status had an interest in revisiting namely as many as 53 (36.8%) respondents.
According to Monthes (2011) the payment system is a regulation, standard, and an instrument used to exchange financial values (Financial Value) between two parties involved to escape from obligations.
Based on the results of the study it was found that there was no effect of segmentation (payment status) on the interest in revisiting. The interest in revisiting is the result of experiences or values perceived by consumers that produce satisfaction. This interest is a description of future behavior that is based on consumer ratings of the place visited. The emergence of interest in coming back to the hospital tends to affect the interest in returning to treatment if he is sick, which indirectly will increase the profit of the hospital. Patients returning to the hospital can be caused by several things such as comfort, satisfying services, complete hospital facilities, the atmosphere of the place and others.

The Influence of Patient Segmentation (Residential Area) on the Interest of Patients Visiting in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.698, which means that there is no influence between the segmentation of the area of residence and the interest in revisiting. Based on the results of the study, it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi General Hospital was found that Most of the respondents in the Shelter Area had an interest in revisiting, namely 11 (7.6%) respondents.
Based on the results of the study, it was found that there was no effect of segmentation (area of residence) on the interest in revisiting. Interest in revisiting is related to loyalty. Recurring buyers or loyal buyers are defined as buyers who buy double in successive times. Research on revisiting or repurchasing is important because it is based on long-term success, not on the number of consumers who only buy once, but on the number of people who become repeat buyers.

Effects of Patient Segmentation (Reasons for Treatment) on the Interest of Patients Visiting in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.289, which means that there is no influence between the segmentation of reasons for treatment and the interest in revisiting. Based on the results of the study it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that Most of the respondents who reasoned to come for treatment themselves had an interest in revisiting as many as 54 (37.5%) respondents.
Based on the results of the study, it was found that there was no effect of segmentation (area of residence) on the interest in revisiting. Interest in revisiting is a behavior that appears as a response to an object that shows the customer's desire to make a repeat visit. The decision process for revisiting is formed after the patient has made a previous visit. There are two things that affect a patient's repeat visit, namely post-visit evaluation and the decision to make a repeat visit. Patients consciously and unconsciously in the post-visit stage, will evaluate services, transactions and the results obtained. The level of satisfaction or dissatisfaction that will affect their behavior to determine whether to visit again or not.

Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.123, which means that there is no influence between the reason for the patient (product) and the interest in revisiting. Based on the results of the study it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that Most of the respondents with good products had an interest in revisiting namely as many as 71 (49.3%) respondents.
Based on the results of the study, it was found that there was no effect on the patient's reason (product) on the interest to re-visit The creation of patient satisfaction can provide several benefits, including the relationship between service providers and patients to be harmonious, provide a basis for both patients who will revisit and create patient loyalty to services, and form a mouth-to-mouth recommendation that is beneficial for the agency. In short, good hospital service quality can be seen from the interest of patients returning to get the best service again. While consumers who feel dissatisfied will react with negative actions such as being silent, complaining, and even recommending negativity to others. Hospitals will lose many patients and be shunned by prospective patients. Patients will switch to other hospitals that meet patient expectations.

The Influence of Patient Reasons (Price) Against the Interest of Patients Visiting Again in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.628, which means that there is no influence between the patient's reason (price) and the interest in revisiting. Based on the results of the study, it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi General Hospital was found that Most of the respondents with good price had an interest in revisiting, namely 68 (47.2%) respondents.
Based on the results of the study it was found that there was no effect on the patient's reason (price) on the interest in revisiting. Interest in revisiting is related to loyalty. Recurring buyers or loyal buyers are defined as buyers who buy double in successive times (Kotler, P. Amstrong. 2015). Research on revisiting or repurchasing is important because it is based on long-term success, not on the number of consumers who only buy once, but on the number of people who become repeat buyers (Kotler, P. 2015).

The Influence of Patient Reasons (Promotions) Against the Interest of Patients Visiting Again in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.132, which means that there is no influence between patient reasons (promotions) and interest in revisiting. Based on the results of the study it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that Most of the respondents who had good interests had the interest to re-visit, namely as many as 78 (54.2%) respondents.
Based on the results of the study it was found that there was no effect of patient reasons (promotions) on the interest in revisiting. Repurchase behavior or repeat visits in sensitive situations with strong brands are categorized as loyalty. Where consumers tend to repurchase the same brand and consider the choice of brands very important for him. Conversely, purchases in situations of weak brand sensitivity are categorized as inertia, ie consumers tend to repurchase the same brand, but he does not consider the brand name important. In short, good hospital service quality can be seen from the interest of patients returning to get the best service again. While consumers who feel dissatisfied will react with negative actions such as being silent, complaining, and even recommending negativity to others. Hospitals will lose many patients and be shunned by prospective patients. Patients will switch to other hospitals that meet patient expectations (Kotler, Philip. 2016).

The Influence of Patient Reasons (Place) Against the Interest of Patients Visiting Again in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study it is known that the value of α <0.05, obtained p = 0.531, which means that there is no influence between the patient's reason (place) and the interest in revisiting. Based on the results of the study it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that Most of the respondents with good Place had an interest in revisiting, which was 78 (54.2%) respondents.
Based on the results of the study it was found that there was no influence of patient reasons (place) on the interest in revisiting. The level of patient satisfaction is an important thing in providing better and more efficient services. If the patient is dissatisfied, the causes must be known and a health care system repair is carried out. If there is no improvement from the health service, the results of measuring the level of patient satisfaction are not useful. The creation of patient satisfaction can provide several benefits, including the relationship between service providers and patients to be harmonious, provide a basis for both patients who will revisit and create patient loyalty to services, and form a mouth-to-mouth recommendation that is beneficial for the agency.

The Influence of Patient Reasons (People) Against the Interest of Patients Visiting Again in the Inpatient Room of Genteng Banyuwangi Hospital
Based on the results of the study, it is known that the value of α <0.05, obtained p = 0.722, which means that there is no influence between the reasons for patients (people) and the interest in revisiting. Based on the results of the study, it was found that the number of respondents of 144 patients in inpatient care at the Genteng Banyuwangi Hospital was found that Most of the respondents who had People had enough interest to re-visit as many as 53 (36.8%) respondents.
Based on the results of the study it was found that there was no influence of patient reasons (place) on the interest in revisiting. Health services must be able to carry out several stages in order to obtain patient satisfaction, namely to provide quality health services in accordance with the expectations of customers (patients or families), if the services provided meet their expectations automatically they will be loyal to the health care unit concerned. Interest in revisiting is related to loyalty. Recurring buyers or loyal buyers are defined as buyers who buy double in successive times. Research on revisiting or repurchasing is important because it is based on long-term success, not on the number of consumers who only buy once, but on the number of people who become repeat buyers.

CONCLUSION
The results of the study show that out of 144 respondents, the majority of respondents who have the level of Acute Disease have an interest in revisiting, which is 54 (37.5%) respondents.
The results of the study show that out of 144 respondents, most of the respondents who reasoned to come for treatment themselves had an interest in revisiting as many as 54 (37.5%) respondents. The results of the study show that out of 144 respondents, the majority of respondents with good promotion have an interest in revisiting, which is 78 (54.2%) respondents.
The results of the study show that out of 144 respondents, the majority of respondents who place well have an interest in revisiting, which is 78 (54.2%) respondents.The results of the study show that the value of p value is 0.083> α = 0.05, so that H0 is accepted and H1 is rejected. It can be concluded that the disease level variable does not affect the interest in revisiting The results of the study show that the value of p value is 0.289> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the variable treatment reasons did not affect the interest in revisiting. The results of the study show that the value of p value is 0.132> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the promotion variable does not affect the interest in revisiting The results of the study show that the value of p value is 0.531> α = 0.05, so H0 is accepted and H1 is rejected. It can be concluded that the place variable does not affect the interest in revisiting