Resumen
The research analyses the effect of service quality on the hospitals patients satisfaction and patientsintent to behave, the effect of intent to behave, medical team behavior on patients satisfaction andpatients intent to behave, the effect of communication quality on patients satisfaction and patient intentto behave, patients trust on the intent to behave, and patient satisfaction on the intent to behave.The sample consists of whole patients who had been undergoing normal treatment at the hospital attheir own health insurance service or ASKES, in the North Sulawesi province. The data were collectedusing non-probability sampling that was an accidental sampling technique. The sample was of300 respondents. The analysis was done using the SEM (Structural Equation Modeling) with AMOS(Analysis of Moment Structural) software as supporting program. It can be concluded that servicequality has a significant effect on the patients satisfaction. Service quality, organizational citizenshipor medical team at the hospital behavior, and trust all have a significant effect on the patients intentto behave that is they remain loyal. Trust has also a significant effect on the patient intent to behave.However, the patients satisfaction has no significant effect on their intent to behave.