scholarly journals Medical service quality, patient satisfaction and intent to revisit: Case study of public hub hospitals in the Republic of Korea

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252241
Author(s):  
Selin Woo ◽  
Mankyu Choi

This study aimed to construct and test structural equation modeling of the causal relationship between quality of healthcare, patient satisfaction, and intent to revisit perceived by patients using regional hub public hospitals. In this study, data of 2,951 outpatients and 3,135 inpatients were collected using the “2018 Regional Hub Public Hospital Operational Evaluation.” A structural equation model was used to understand the relationship between patient satisfaction and intent to revisit, and bootstrap analysis was performed. In the direct effect, outpatients were presented in the order of the physician’s practice service, the hospital’s environment, and patient satisfaction. Inpatients were in the order of the physician’s practice service and, medical staff’s kindness and consideration,; patient satisfaction was shown in this order. In the indirect effect, the outpatients were presented in the order of physician’s practice service, medical staff’s kindness and consideration, and hospital’s physical environment. Inpatients were introduced in the order of medical staff’s kindness and consideration, nurse’s practice service, physician’s practice service, and patient satisfaction. Regional hub public hospitals need high-quality medical services and efforts from all departments to treat patients with sincerity to improve patient satisfaction and increase intent to revisit.

2020 ◽  
Author(s):  
SELIN WOO ◽  
MANKYU CHOI

Abstract Background: The purpose of this study was to construct and test structural equation modeling of the causal relationship between quality of healthcare, patient satisfaction, and intent to revisit perceived by patients using regional hub public hospitals.Methods: In this study, data of 2,951 outpatients and 3,135 inpatients were collected using the “2018 Regional Hub Public Hospital Operational Evaluation.” A structural equation model was used to understand the relationship between patient satisfaction and intent to revisit, and bootstrap analysis was performed.Results: In the direct effect, outpatients were presented in the order of doctor's communication, hospital environment, and patient satisfaction. Inpatients are doctor’s communication, staff consideration, and patient satisfaction are shown in this order. In the indirect effect, the outpatients were presented in the order of doctor's communication, staff consideration, and the hospital's environment. Inpatients were presented in the order of staff consideration, nurse’s communication, doctor’s communication, and patient satisfaction.Conclusions: Regional hub public hospitals need high-quality medical services and efforts from all departments to treat patients with sincerity to improve patient satisfaction and increase intent to revisit.


Author(s):  
Rejikumar G ◽  
Archana Ks

Objectives: The objective of this study was to examine the formation of wellness perceptions and satisfaction from antecedents that explain various attributes regarding service quality perceptions about doctors by patients. The topic is of contemporary relevance as health-care firms are reengineering their competencies to deliver personalized health services to for unmatched experience to develop long-term relationships with patients.Methods: Responses from 280 patients about service quality attributes of doctors, wellness perceptions, and their satisfaction are collected using a structured questionnaire. An exploratory factor analysis was performed using SPSS. 20 to identify significant dimensions of doctor’s service quality. The theoretical model developed with these dimensions, wellness perceptions, and patient satisfaction was estimated using partial least square-based structural equation modeling approach to test hypotheses about linkages among these constructs.Results: The dimension structure of doctor’s service quality contained constructs such as “price affordability of medicines,” “quality of diagnosis,” “interaction quality of doctor,” “appropriateness of tests prescribed,” and “quality of usage prescriptions.” These service quality dimensions of doctor significantly develop wellness perceptions and satisfaction among patients. Wellness perceptions act as a mediator in satisfaction development.Conclusions: Patient satisfaction and wellness perceptions are of primary importance in improving service quality in health care and to remain competitive. The health-care firms should train their professionals to interact with the patients more efficiently by adhering to the philosophy of patient centeredness in their service process.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Clara Rahme ◽  
Marwan Akel ◽  
Sahar Obeid ◽  
Souheil Hallit

Abstract Background This study highlights the significant association between cyberchondria and quality of life among the Lebanese population in the time of COVID-19. The aim was to assess the association between cyberchondria and quality of life (QOL) of Lebanese community during the COVID-19 pandemic and assess the mediating effect of fear of COVID-19, depression, anxiety, stress and Yale-Brown Obsessive–Compulsive Scale in this association. Methods This cross-sectional study was carried out between December 2020 and January 2021, during the COVID-19 pandemic. A total of 449 persons participated in this study by filling the online questionnaire. Structural equation modeling (SEM) was performed to examine the structural relationship between cyberchondria severity, the mediator (anxiety, stress, depression, obsessive–compulsive disorder (OCD) and fear of COVID-19) and physical/mental QOL. Results Having a university level of education and older age were significantly associated with higher physical QOL scores, whereas higher obsession-compulsion disorder, higher stress and higher anxiety were significantly associated with lower physical QOL scores. Higher anxiety was significantly associated with lower mental QOL scores. The results of the SEM showed that stress, fear of COVID-19 and to a lesser limit OCD, mediated the association between cyberchondria severity and physical QOL, whereas anxiety, stress and fear of COVID-19 mediated the association between cyberchondria severity and mental QOL. Conclusion This research reported interesting results encouraging more exploration of cyberchondria and its association with quality of life during this unique period of the pandemic. However, this virus has altered the lives of individuals all across the world, and the consequences will last for a long time. Along with all of the steps done to stop the development of COVID-19 and improve physical outcomes, mental health requires immediate care. More research is needed to determine the coping techniques people are employing to deal with the pandemic.


2020 ◽  
Vol 20 (2) ◽  
pp. 233-241
Author(s):  
Shariffah Syafiqah Aljunid ◽  
Nurul Nabilah Huda Mohamad Shukri ◽  
Mohd Zafrullah Mohd Taib ◽  
Zanariah Abu Samah

Being in a hospital can be a stressful experience especially to the patients. The importance of design quality as a trigger to patients' satisfaction is becoming a topic of significant relevance as it also impacts the building operation. This study aims to determine the factors influencing the patients' satisfaction toward the interior design quality of inpatient units at public hospitals in Malaysia. Self-administered questionnaires were distributed among 483 inpatients from 5 Obstetrics and Gynaecology wards at public hospitals in the Klang Valley region. The Structural Equation Model (SEM) technique was applied to examine the causal relationship and to test the hypothesis of the patients' satisfaction toward the interior design quality. The results revealed that space planning (β = 0.265), lighting (β = 0.263), furniture (β = 0.243), and color (β = 0.138) have a significantly positive effect on patients' satisfaction toward the interior design quality. Whereas way-finding, safety, air quality and accessibility have no significant effect on the patients' satisfaction. This study concludes that certain qualities of interior design have great impact on patients' satisfaction. The findings proved that revamping the inpatient units' space planning can lead to significant patient experience improvements, while the aspect of accessibility is the least concern to the patients when they stay in the hospital. This study provides input to help designers, architects and hospital planners to evaluate their priorities in planning and designing better hospitals in the future.


Author(s):  
Gayle Prybutok ◽  
Anh Viet Ta ◽  
Xiaotong Liu ◽  
Victor Prybutok

eHealth offers promising tools and services to manage and improve the quality of health as well as the potential to provide accessible health information all over the world. The relatively low adoption rates among eHealth users motivates us to develop an integrated model to explain the learning process and provide essential antecedents of eHealth behavioral intention. The integrated model is empirically tested by using different structural equation modeling (SEM) methods, including partial least squares SEM (PLS-SEM), PLSc, and covariance-based SEM (CB-SEM). The model successfully explains the learning process and provides essential antecedents of eHealth behavioral intention. The findings support the interplay of social, cognitive, and personal factors that impact 18-30-year-old users' learning process related to eHealth behavioral intention. The results empirically show that these three types of SEM techniques provide consistent results with respect to path coefficients and coefficients of determination. The findings indicate that CB-SEM and PLS-SEM provide adverse consequences of interaction-term path coefficients.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Terje Slåtten ◽  
Gudbrand Lien

Purpose This paper aims to examine the factors related to organizational attractiveness (OA), a concept originating in the strategy of employer branding. Previous research on OA has predominantly adopted the perspective of external applicants. In contrast, the present study takes the perspective of internal and current employees, extending further the scope of studies on OA. Design/methodology/approach Quantitative data were collected from a survey consisting of a sample of 164 nurses, all employees of public hospitals. Confirmatory factor analysis and structural equation modeling were used to analyze the data. Furthermore, the indirect effects were tested by mediator analysis. Findings Interdepartmental collaboration climate, management support and service quality of care were shown to have a positive effect on OA, with the three factors explaining 45% (R2 = 0.45) of OA. The relationship between management support and OA was found to be mediated through the interdepartmental collaboration climate, and that between the interdepartmental collaboration climate and OA was found to be mediated through the service quality of care. Originality/value This study contributes to an understanding of OA from a current employee perspective. Specifically, it reveals how the three factors of interdepartmental collaboration climate, management support and service quality of care influence and shape the perception of current employees (nurses) toward the attractiveness of their organization.


2020 ◽  
Vol 6 (1) ◽  
pp. 32-38
Author(s):  
Nurmiwiyati Nurmiwiyati ◽  
Amelia Oktrivina DS ◽  
MGS Aritonang ◽  
Kosasih Kosasih

Customer satisfaction is the key to creating customer loyalty, as well as in-hospital services. This study will examine aspects of drug availability and quality of service and its effect on the satisfaction and loyalty of outpatients at PKU Muhammadiyah Hospital in Cipondok, Tangerang. This study uses a survey method with a questionnaire as a data collection tool. A quantitative approach was carried out using Structural Equation Modeling (SEM) analysis with LISREL. The study sample was taken from all patients who visited the outpatient unit at PKU Muhammadiyah Hospital in Cipondoh, Tangerang, or their families who came for treatment and bought medicine at PKU Muhammadiyah Hospital in Cipondoh, Tangerang. The results showed Availability of drugs had a significant effect on outpatient satisfaction, The quality of pharmaceutical installation services has a significant effect on outpatient satisfaction, Availability of drugs significantly influences outpatient loyalty, Service quality has no significant effect on outpatient loyalty, and patient satisfaction has a significant effect on outpatient loyalty. The results of statistical tests noted that 86% of patient satisfaction levels were affected by the availability of drugs and the quality of services, and 89% of patient loyalty was influenced by the availability of drugs and quality of service.


2021 ◽  
Vol XIX (1) ◽  
pp. 35-48

The aim of the research in this paper is to determine which factors the local population identifies as those that can, through the development of tourism, most influence or predict rural development or revitalization in the Republic of Serbia. In order to examine this, the survey was conducted during 2019, on a total sample of 680 respondents, in 45 rural municipalities in the country. The authors used a modified questionnaire, containing four groups of factors, with adequate 22 questions for research on a given issue. The SPSS AMOS software, version 26.00, was used for data analysis and processing. The authors checked the reliability of the questionnaire, whose value proved to be very good, and confirmed the grouping into exactly four groups of factors by Factor analysis. Descriptive statistical analysis yielded average scores for given items. The obtained suitability indices indicated the agreement of the Structural structural equation modeling (SEM) with the data, as well as the quality of the research and the confirmation of the hypotheses. The obtained results of the SEM analysis showed that there is no statistically significant difference in the impact of given factors in predicting rural development, and that the local population has a positive attitude about the impact of tourism on rural development.


2020 ◽  
Author(s):  
Terje Slåtten ◽  
Gudbrand Lien

Abstract Background: In recent years, there has been a growing interest in understanding factors that within employer branding are labeled organizational attractiveness (OA). Previous research on OA has mainly taken an external applicant perspective. In contrast, this study examined OA from an internal and current frontline nursing perspective. Consequently, by adopting this underexplored perspective, it extends previous studies on OA within healthcare service research.Methods: Quantitative survey data were collected from a sample of 164 nurses. All participants were employed in public hospitals. Confirmatory factor analysis and structural equation modeling in Stata were used to analyze the data. Furthermore, the indirect effects were tested by mediator analyses. Results: There are three main results from this study. First, the interdepartmental collaboration climate has a significant positive effect on OA (β = 0.311), as well as management support (β = 0.294), and service quality of care (β = 0.243). Second, the relationship between management support and OA is found to be mediated through the interdepartmental collaboration climate. Third, the relationship between interdepartmental collaboration climate and OA is found to be mediated through service quality of care.Conclusions: This study contributes to our understanding of OA from a current employee perspective. It stresses the importance for hospital managers to consider how their current nurses perceive the level of interdepartmental collaboration climate, management support, and service quality of care to patients. These three factors play a significant role as they explain approximately 50% (R2 = 0.47) of OA.


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