Introduction: The marketing of health services, especially in the hospital environment, requires a deep understanding of the needs of patients. A broad marketing approach is mixed marketing, which involves a combination of products, prices, promotions, and processes. Objective: The study aims to evaluate the impact of the marketing mix on patient loyalty across hospitals in Indonesia. Method: The study filters 12 selected articles from 2018 to 2023 using the PRISMA method. Data is taken from two databases (Scopus and Google Scholar) with the keywords “marketing mix” and “patient satisfaction”. Result: The findings show that marketing mixes have a positive impact on patient loyalty, with several variables such as products, prices, promotions and processes making significant contributions. Factors such as product, price, promotion and process are key factors that affect patient perception and satisfaction. Conclusion: In the face of market dynamics, hospitals need to focus on improving the quality of services by focusing on marketing mix elements that have been identified to have a significant impact on patient loyalty. Innovative marketing strategies that adapt to changing markets can be the key to success in a competitive environment. © 2024, Muhammadiyah Palu University. All rights reserved.