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The purpose of this investigation is to scrutinize the unexplored realm concerning the interplay of hospital brand gestalt on patient satisfaction and revisit intentions.

A self-administered online survey was conducted with 227 patients who had stayed at and received health-care services from a private hospital in the city of Manado, Indonesia, within the past 12 months. The quantitative data were subsequently analyzed using a structural equation model with the assistance of Smart PLS statistical software.

The results suggest that the hospital brand gestalt significantly and positively influences patient satisfaction, which, in turn, leads to patients’ intentions to revisit. Furthermore, patient satisfaction serves as a significant mediator in the relationship between brand gestalt and revisit intentions.

This study enhances the comprehension of brand gestalt’s influence on customer attitudes and behaviors within the health-care context, contributing to the expanding body of literature concerning holistic brand perception. For health-care providers, the study underscores the significance of creating a uniform and distinctive brand experience to boost patient satisfaction and cultivate loyalty. In summary, this study paves the way for strategic branding initiatives in health care, ultimately enhancing patient experiences and organizational outcomes.

For health-care providers, this study emphasizes the importance of crafting a consistent and differentiated brand experience to enhance patient satisfaction and foster loyalty. Overall, this study opens avenues for strategic branding efforts in health care, ultimately improving patient experiences and organizational outcomes.

While there is a growing interest in the role of brand gestalt in marketing research, there is still a need for more empirical research to explore the link between brand gestalt, customer satisfaction and revisit intention. Surprisingly, to the best of the authors’ knowledge, no previous studies have investigated the role of brand gestalt in the context of health care.

Brand gestalt has emerged as a crucial concept in marketing and branding, denoting the holistic perception and overall impression that consumers develop about a brand. This concept gains significance as it serves to measure the overall identity of a brand. Despite its importance, both empirical and theoretical exploration of this concept remains limited, particularly in the context of place branding. The present study aims to bridge the theoretical gap surrounding the interplay between brand gestalt, tourist attitude and loyalty within the city branding domain. In particular, it aims to comprehensively explore the dimensional impact of city brand gestalt (CBG) on tourist attitude, satisfaction and loyalty.

The primary data were collected through a self-administered online questionnaire containing 35 items, developed and adapted from the literature review. A total of 314 samples of Bitung City visitors were recruited, resulting in a 79% response rate. Structural equation modeling was performed using SmartPLS 3 to validate the research hypotheses.

The findings of the study indicate that CBG has a substantial and positive influence on tourist attitudes, satisfaction and loyalty. Furthermore, it was discovered that tourist attitude and satisfaction play a partial mediating role in the relationship between CBG and tourist loyalty.

This study is a seminal contribution to understanding the link between CBG, tourist attitude, satisfaction and loyalty. It offers valuable insights for city destination management in designing strategies and interventions to foster positive tourist attitudes, increase satisfaction and sustain loyalty. In particular, it emphasizes the necessity of ongoing investments in maintaining a positive holistic brand experience (i.e., brand gestalt) that aligns with evolving expectations. The study highlights the need to develop a compelling narrative and consistent messaging tailored to the target audience's values and aspirations. Additionally, it underscores the importance of providing exceptional sensory experiences that appeal to the target audience.

To the best of the authors' knowledge, this study is among the first to examine the role of brand gestalt in the context of city branding. Understanding the holistic interaction of the four brand gestalt elements – story, sensescape, servicescape and stakeholders – is crucial for fostering tourists' positive attitudes, satisfaction and loyalty toward urban destinations. The proposed CBG model offers a conceptual framework to guide future research in city branding.