Volume 4, Issue 4 (10-2019)
CJHR 2019, 4(4): 94-98 |
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khodadad hoseyni H, hematinejad M, sharifi K. Structural Equation Modeling of Associations Between Quality of Services and Satisfaction, Loyalty, and Trust of Patients Referring to Health and Medical Centers . CJHR 2019; 4 (4) :94-98
URL: http://cjhr.gums.ac.ir/article-1-134-en.html
URL: http://cjhr.gums.ac.ir/article-1-134-en.html
1- Business Management, Tarbiat Modarres University, Tehran, Iran , Khodadad@modares.ac.ir
2- Management, University of Guilan, Rasht, Iran
3- International Business Management, North Rasht Strategic Nonprofit Institute, Iran
2- Management, University of Guilan, Rasht, Iran
3- International Business Management, North Rasht Strategic Nonprofit Institute, Iran
Abstract: (1623 Views)
Background: Today, the hospital's priority is to attract and retain customers. Recent research has shown that the provided quality of services can influence customer reuse, loyalty, trust and satisfaction. The purpose of this study was to investigate the relationship between service quality and loyalty, trust and satisfaction of patients in health and medical centers of Gilan University of Medical Sciences through structural equation modeling.
Methods: The present study was conducted on 384 people referred to Gilan University of Medical Sciences. Service quality was assessed using a questionnaire on 5 dimensions of infrastructure, space, object, interaction and process quality. The validity of the research instrument was assessed by factor analysis and its reliability was estimated by Cronbach's alpha coefficient. The conceptual model of research was tested through structural equation technique in SmartPLS software.
Results: Infrastructure (r = 0.51), object (r = 0.2), atmosphere (r = 0.11), interaction (r = 0.09), and process quality (r = 0.14) had direct and significant impact on satisfaction. Satisfaction as a mediator variable was also positively influenced trust (r = and loyalty.
Conclusion: The results of this study revealed that Infrastructure quality followed by object quality had greatest impact on satisfaction.
Methods: The present study was conducted on 384 people referred to Gilan University of Medical Sciences. Service quality was assessed using a questionnaire on 5 dimensions of infrastructure, space, object, interaction and process quality. The validity of the research instrument was assessed by factor analysis and its reliability was estimated by Cronbach's alpha coefficient. The conceptual model of research was tested through structural equation technique in SmartPLS software.
Results: Infrastructure (r = 0.51), object (r = 0.2), atmosphere (r = 0.11), interaction (r = 0.09), and process quality (r = 0.14) had direct and significant impact on satisfaction. Satisfaction as a mediator variable was also positively influenced trust (r = and loyalty.
Conclusion: The results of this study revealed that Infrastructure quality followed by object quality had greatest impact on satisfaction.
Article Type: Original Contributions |
Subject:
Health Management
Received: 2019/08/2 | Accepted: 2019/09/24 | Published: 2019/10/1
Received: 2019/08/2 | Accepted: 2019/09/24 | Published: 2019/10/1
References
1. Han H, Hyun SS. Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness. Tourism Management. 2015;46:20-29. doi: 10.1016/j.tourman.2014.06.003. [DOI:10.1016/j.tourman.2014.06.003]
2. Hoseini MH Ghaderi S. Factors affecting the quality of banking services [in Persian]. J Bus Manag Perspectv. 2010;9(3):89-115.
3. Dong B, Evans KR, Zou S. The effects of customer participation in co-created service recovery. J Acad Mark Sci. 2008;36(1):123-137. doi: 10.1007/s11747-007-0059-8. [DOI:10.1007/s11747-007-0059-8]
4. Kristensen K, Juhl HJ, Østergaard P. Customer satisfaction: some results for European Retailing. Total Quality Management. 2001;12(7-8):890-897. doi: 10.1080/09544120100000012. [DOI:10.1080/09544120100000012]
5. Yeh YP. Corporate social responsibility and service innovation on customer loyalty: An empirical investigation in wealth management services. Int J Bank Mark. 2015;33(6):823-839. doi: 10.1108/IJBM-09-2014-0130. [DOI:10.1108/IJBM-09-2014-0130]
6. Apenes Solem BA. Influences of customer participation and customer brand engagement on brand loyalty. J Consum Mark. 2016;33(5):332-342. doi: 10.1108/JCM-04-2015-1390. [DOI:10.1108/JCM-04-2015-1390]
7. Tayebi SJ, Gohari MR, Sabahi Bidgoli M, Shahri S. The Impact of service quality on the loyalty of patients referring to outpatient clinics of studied hospitals in Tehran [in Persian]. Journal of Payavard Salamat. 2012;6(3):194-203.
8. Totian M AA. Measure the impact of customer orientation, corporate social responsibility and perceived quality on customer satisfaction [in Persian]. New Mark Res J. 2016;6(1):179-200.
9. Zareie E, Mosazadeh AR. Factors that determine the loyalty of outpatients: a study in educational hospitals [in Persian]. Journal of Healthcare Management. 2015;6(1):59-86.
10. Stein CM, Morris NJ, Hall NB, Nock NL. Structural equation modeling. Methods Mol Biol. 2017;1666:557-580. doi: 10.1007/978-1-4939-7274-6_28. [DOI:10.1007/978-1-4939-7274-6_28]
11. Chen SC, Lin CP. The impact of customer experience and perceived value on sustainable social relationship in blogs: An empirical study. Technol Forecast Soc Change. 2015;96:40-50. doi: 10.1016/j.techfore.2014.11.011. [DOI:10.1016/j.techfore.2014.11.011]
12. Seo EJ, Park JW. A study on the effects of social media marketing activities on brand equity and customer response in the airline industry. Journal of Air Transport Management. 2018;66:36-41. doi: 10.1016/j.jairtraman.2017.09.014. [DOI:10.1016/j.jairtraman.2017.09.014]
13. Grossbart SL, Mittelstaedt RA, DeVere SP. Customer Stimulation Needs and Innovative Shopping Behavior: the Case of Recycled Urben Places. Adv Cons Res. 1976;3(1):30-35. [DOI:10.1086/208655]
14. Sharma V. Patient satisfaction and brand loyalty in health-care organizations in India. J Asia Bus Stud. 2017;11(1):73-87. doi: 10.1108/JABS-09-2015-0157. [DOI:10.1108/JABS-09-2015-0157]
15. Saeednia HR, Hematyar M. The effect of brand experience, trust and satisfaction on brand loyalty in urban businesses; a case study: Kale Dairy Products [in Persian]. Urban Management Journal. 2016;42:355-368.
16. Moreira AC, Silva PM. The trust-commitment challenge in service quality-loyalty relationships. Int J Health Care Qual Assur. 2015;28(3):253-266. doi: 10.1108/IJHCQA-02-2014-0017. [DOI:10.1108/IJHCQA-02-2014-0017]
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