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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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doi
open access

Published: 18 May 2020

Perceived Service Quality, a Key to Improved Patient Satisfaction and Loyalty in Healthcare Delivery: The Servqual Dimension Approach

Geoffrey Bentum-Micah, Zhiqiang Ma, Wenxin Wang, Sampson A. Atuahene, Victor Bondzie-Micah

Jiangsu University (China), University of Science and Technology of China (China)

journal of social and political sciences
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doi

10.31014/aior.1994.03.02.114

Pages: 185-195

Keywords: Private Health/Clinic, Service Quality, Patient Loyalty, Satisfaction, PLS-SEM

Abstract

Hospital’s perceived service quality is a degree of discrepancy between patients’ perceptions and their expectations about hospitals services. The quality of services which is provided by healthcare providers emphasizes the actual hospital service process. In the hospital, patients’ satisfaction and hence loyalty could be widely used to determine hospital service quality. The study adopted a regression and path analysis utilizing SmartPLS V3.2.8; a second-generation multivariate data analysis method (PLS-SEM) approach to analyze the influence of perceived quality of services of hospitals on patient’s satisfaction and loyalty based on the SERVQUAL dimensions. The study used data from (562) out-patients who had received services from (4) four major private hospitals in Ghana using purposive census sampling technique. Based on the analysis results, all five dimensions of the health services quality predictor of patients’ level of satisfaction and loyalty to the hospital’s services, explained that patients’ satisfaction and loyalty was affected by all dimensions of health service quality (RATER) simultaneously. Nonetheless, different impacts will be obtained if all dimensions were measured separately. The study incited that patients’ satisfaction and loyalty are influenced by the quality of medical/hospital services through its five components: reliability, assurance, tangibility, empathy and responsiveness.

References

  1. Ahrholdt, D. C., Gudergan, S. P., & Ringle, C. M. (2017). Enhancing service loyalty: The roles of delight, satisfaction, and service quality. Journal of Travel Research, 56(4), 436-450.

  2. Alex, Obulemire Tom, and Alala B. Ondiek. "Applicability of SERVQUAL/RATER Model in Assessment of Service Quality Among Local Authorities in Kenya A Survey of Residents of Nakuru Town." (2014). https://journals.sagepub.com/doi/abs/10.1177/0047287516649058

  3. Aliman, N. K., & Mohamad, W. N. (2016). Linking service quality, patients’ satisfaction and behavioral intentions: an investigation on private healthcare in Malaysia. Procedia-Social and Behavioral Sciences, 224(2016), 141-148.

  4. Anabila, P. (2019). Service quality: A subliminal pathway to service differentiation and competitive advantage in private healthcare marketing in Ghana. Health marketing quarterly, 36(2), 136-151.

  5. Asnawi, A., Awang, Z., Afthanorhan, A., Mohamad, M., & Karim, F. (2019). The influence of hospital image and service quality on patients’ satisfaction and loyalty. Management Science Letters, 9(6), 911-920. https://www.tandfonline.com/doi/abs/10.1080/07359683.2019.1575062

  6. Bentum-Micah, G., Wang, W., Ma, Z., Asabea-Addo, A., Agyapong, A., Bondzie-Micah, V., ... & Bosompem-Boadi, E. (2019). Spotting the Critical Service Quality Determinants in the Ghanaian Retail Banking: Importance and Effects. European Journal of Business and Management. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3549909

  7. Boadi, E. B., Wenxin, W., Bentum-Micah, G., & Jerry, I. K. J. C. J. o. A. S. (2019). Impact of Service Quality on Customer Satisfaction in Ghana hospitals: A PLS-SEM Approach. Canadian Journal of Applied Science Technology, 7(3), 503-511.

  8. Brown, B. B., Patel, C., McInnes, E., Mays, N., Young, J., & Haines, M. (2016). The effectiveness of clinical networks in improving quality of care and patient outcomes: a systematic review of quantitative and qualitative studies. BMC health services research, 16(1), 360.

  9. Bucher, S., Jäger, U., & Prado, A. M. (2016). Scaling private health care for the base of the pyramid: Expanding versus broadening service offerings in developing nations. Journal of Business Research, 69(2), 736-750. https://doi.org/10.1016/j.jbusres.2015.07.044

  10. Budiwan, V. J. P.-S. (2016). The understanding of Indonesian Patients of hospital service quality in Singapore. Procedia-Social Behavioral Sciences, 224, 176-183. https://doi.org/10.1016/j.sbspro.2016.05.436

  11. Erickson, S. M., Rockwern, B., Koltov, M., & McLean, R. M. J. A. o. i. m. (2017). Putting patients first by reducing administrative tasks in health care: a position paper of the American College of Physicians. 166(9), 659-661.

  12. Farooq, M. S., Salam, M., ur Rehman, S., Fayolle, A., Jaafar, N., & Ayupp, K. (2018). Impact of support from social network on entrepreneurial intention of fresh business graduates. Education+ Training, Vol. 60 No. 4, pp. 335-353. https://doi.org/10.1108/ET-06-2017-0092

  13. Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International Journal of Quality Reliability Management, 35(6), 1195-1214. https://doi.org/10.1108/IJQRM-02-2017-0031

  14. Ferrand, Y. B., Siemens, J., Weathers, D., Fredendall, L. D., Choi, Y., Pirrallo, R. G., & Bitner, M. (2016). Patient satisfaction with healthcare services a critical review. Quality Management Journal, 23(4), 6-22. https://doi.org/10.1080/10686967.2016.11918486

  15. Ferreira, D. C., & Marques, R. C. (2019). Do quality and access to hospital services impact on their technical efficiency?. Omega, 86, 218-236. https://doi.org/10.1016/j.omega.2018.07.010

  16. Hair, J., Hollingsworth, C., Randolph, A. and Chong, A. (2017), "An updated and expanded assessment of PLS-SEM in information systems research", Industrial Management & Data Systems, Vol. 117 No. 3, pp. 442-458. https://doi.org/10.1108/IMDS-04-2016-0130

  17. Henseler, J. (2018). Partial least squares path modeling: Quo vadis? Quality Quantity, 52(1), 1-8.

  18. Henseler, J. (2016). New developments in partial least squares parh modeling. Industrial Management Data Systems, 116(9), 1842-1848.

  19. Jamaluddin, J., & Ruswanti, E. (2017). Impact of service quality and customer satisfaction on customer loyalty: a case study in a private hospital in Indonesia. Journal of Business Management decision, 19(5), 23-33.

  20. Janicijevic, I., Seke, K., Djokovic, A., & Filipovic, T. (2013). Healthcare workers satisfaction and patient satisfaction–where is the linkage?. Hippokratia, 17(2), 157.

  21. Kalaja, R., Myshketa, R., & Scalera.(2016). Service quality assessment in health care sector: the case of Durres public hospital. Procedia-Social Behavioral Sciences, 235, 557-565.

  22. Kitapci, O., Akdogan, C., & Dortyol, I.(2014). The impact of service quality dimensions on patient satisfaction, repurchase intentions and word-of-mouth communication in the public healthcare industry. Procedia-Social Behavioral Sciences, 148, 161-169.

  23. Lee, D. (2017). HEALTHQUAL: a multi-item scale for assessing healthcare service quality. Service Business, 11(3), 491-516.

  24. Li, M., Lowrie, D. B., Huang, C. Y., Lu, X. C., Zhu, Y. C., Wu, X. H., ... & Zhao, P. (2015). Evaluating patients' perception of service quality at hospitals in nine Chinese cities by use of the ServQual scale. Asian Pacific Journal of Tropical Biomedicine, 5(6), 497-504. https://doi.org/10.1016/j.apjtb.2015.02.003

  25. Mankar, M., Velankar, D., Joshi, S., & Nalgundwar, A. (2013). A Study Of Patient Satisfaction Towards Out Patient Department Services (OPD) Of A Hospital And Research Centre Using Exit Interview. Indian J Prev Soc Med, 44(1-2), 37-41.

  26. Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269.

  27. Mendes, I. A. C., Trevizan, M. A., de Godoy, S., Nogueira, P. C., Ventura, C. A. A., & Furlan, C. E. B. J. A. N. R. (2018). Expectations and perceptions of clients concerning the quality of care provided at a Brazilian hospital facility. 39, 211-216. http://medind.nic.in/ibl/t13/i1/iblt13i1p37.pdf

  28. Namana, S., & Al-Dori, S. (2018). Healthcare Management: Measuring patient satisfaction of service quality in Swedish dental clinics. In. http://www.diva-portal.org/smash/get/diva2:1218828/FULLTEXT02.pdf

  29. Parasuraman, A., Zeithaml, V. A., & Berry, L. (1988). Servqual: A multiple-item scale for measuring consumer perc. Journal of retailing, 64(1), 12.

  30. Paul, J., & Sahadev, S. (2018). Service failure and problems: Internal marketing solutions for facing the future. Journal of Retailing and Consumer Services, 40, 304-311. https://doi.org/10.1016/j.jretconser.2016.08.007

  31. Rosha, R., & Kaur, D. N. (2018). Relationship between RATER Service Quality Dimensions and Customer Satisfaction–Study on Travel Agents in Punjab. Researchers World, 9(1), 160.

  32. Setyawan, F. E. B., Supriyanto, S., Tunjungsari, F., Hanifaty, W. O. N., & Lestari, R. (2019). The influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions. International Journal of Public Health, 8(1), 52-58.

  33. Shafiq, M., Naeem, M. A., Munawar, Z., & Fatima, I. (2017). Service quality assessment of hospitals in Asian context: An empirical evidence from Pakistan. INQUIRY: The Journal of Health Care Organization, Provision, Financing, 54, 0046958017714664.

  34. Tenkorang, E. Y. J. H. S. (2016). Health provider characteristics and choice of health care facility among Ghanaian health seekers. Health Systems Reform, 2(2), 160-170.

  35. Untachai, S. J. P.-S. (2013). Modeling service quality in hospital as a second order factor, Thailand. Procedia-Social Behavioral Sciences, 88, 118-133.

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