An Investigation of the Effect of Lean Six Sigma Practices on Healthcare Service Quality and Patient Satisfaction: Testing the Mediating Role of Service Quality in Dubai Primary Healthcare Sector

2020 ◽  
Vol 12 (SP8) ◽  
pp. 56-72
Author(s):  
Aburayya A
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Primary Healthcare ◽  
Six Sigma ◽  
Healthcare Service ◽  
Lean Six Sigma ◽  
Healthcare Sector ◽  
Mediating Role

scholarly journals Lean Six Sigma Methodology: The Nub to Boost the Public Healthcare System in Egypt

2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Wael Omran Aly
Keyword(s):  
Health Care ◽  
Six Sigma ◽  
Healthcare Service ◽  
Service System ◽  
Lean Six Sigma ◽  
Public Health Care ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The Public ◽  
The People

For many decades, the Egyptian people have suffered from deplorable public healthcare service featured by indolence, malfunction and traditionalism. Although, healthcare is a distinctive service industry concerning various complicated responsibilities; but the consecutive government of Egypt had badly handled such issue. Then, the apathetic performance of the public healthcare service becomes a dilemma for the people of Egypt; especially the poor among them. Therefore, the foundation of an adequate public healthcare service system, that respect the dignity of the people and respond to their arising health care needs; was frequently on the agenda priorities of the Egyptian governments after the 2011 and 2013 uprisings. Hence recently, the government -after reaching political and economic stability- seeks to build an ambitious newly public health care system to meet the expectation of the people to acquire high standard inexpensive and hasty public healthcare services. Consequently, in order to realize such aim; the Egyptian government had established the public agency for accreditation and quality control according to law no.2 of comprehensive healthcare insurance system issued at 2018. Then, it urges a national campaign to reform the public healthcare sector and to develop the efficacy and quality of its services. Hence, this paper aims to propose how the public healthcare organizations in Egypt can tackle various challenges and enhance adequately its capabilities; in order to be able to adopt the proposed Lean Six Sigma (LSS) methodology effectively; which can then provide an adequate framework for creating organized improvement exertions in healthcare; necessary to bestow guidelines on how to manage a quality service system to patient satisfaction by decreasing waste, variation and work disparity in the service processes.

scholarly journals Improving Patient behavioral Consent through Different Service Quality Dimensions: Assessing the Mediating Role of Patient Satisfaction

2019 ◽  
Vol 16 (23) ◽  
pp. 4736 ◽  
Author(s):  
Arif Jameel ◽  
Muhammad Asif ◽  
Abid Hussain ◽  
Jinsoo Hwang ◽  
Mussawar Hussain Bukhari ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Structural Equation ◽  
Care Service ◽  
Health Care Service ◽  
Equation Modeling ◽  
Mediating Role ◽  
The Impact

This study aimed to examine the impact of the five-dimensional health care service quality (SQ) on patient behavioral consent (PBC). This study further explored the mediating role of patient satisfaction (PS) on the SQ–PBC relationship. A survey questionnaire was used to collect the data from public sector hospitals situated in Bahawalpur division, Punjab, Pakistan. We used confirmatory factor analysis (CFA) and structural equation modeling (SEM) to test the hypotheses. This study found positive and significant relationships between SQ and PBC, SQ and PS, and PS and PBC. Our results further revealed that PS partially mediates the relationship between SQ and PBC. Our study offers a comprehensive theoretical framework of several service quality attributes (SQs) affecting patient behavioral consent (PBC) and patient satisfaction (PS) in health care institutions. Testing these above relationships via a mediation approach is novel and contributed to the current study on service quality.

Patient Satisfaction with the Healthcare Service Quality: An Empirical Investigation at Malaysian Public Hospitals by Utilizing SERVQUAL-Gap Analysis

2021 ◽  
Vol 12 (3) ◽  
pp. 734-740
Author(s):  
Wan Salmuni Wan Mustaffa Et.al
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Healthcare Service ◽  
Gap Analysis ◽  
Service Providers ◽  
Service Industries ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
Healthcare Industry

The healthcare industry is among the most rapidly growing service industries in the world economy. In recent years, the government of Malaysia has taken various initiative to increase funding for the healthcare sector to improve the quality of life amongst citizens. However, the continuing complaints regarding patients’ dissatisfaction towards the quality of healthcare services lead to a huge challenge to the service providers. Thus, the main objective of this research is to measure patient satisfaction with healthcare service quality. The selected Malaysian public hospitals were involved in this research. A questionnaire was used as a research instrument distributed to the patient's experienced service delivery at Malaysian public hospitals. The convenience sampling technique was employed to gather the data. Data collected were analyzed using SERVQUAL-gap analysis. The descriptive results revealed that the patients were only moderately satisfied with healthcare service quality rendered byMalaysian public hospitals. Based on the SERVQUAL-gap analysis results, the empathy dimension showed the lowest mean value. This indicates that service quality offered by Malaysian public hospitals still needs improvement in terms of the level of caring and needs as well as individualized attention that the hospital needs to provide to their patients. This research benefits the managerial in the healthcare industry to deliver excellent service experience to the patients by considering the relevant indicators of service evaluation.

Measuring Perceived Service Quality in Healthcare Setting in Developing Countries: A Review for Enhancing Managerial Decision-making

2020 ◽  
Vol 22 (3) ◽  
pp. 472-489
Author(s):  
Deepti Singh ◽  
Kavaldeep Dixit
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Healthcare Service ◽  
Healthcare Setting ◽  
Well Being ◽  
Healthcare Sector ◽  
Managerial Decision ◽  
Perceived Service Quality ◽  
Behavioural Intentions ◽  
Quality In Healthcare

Healthcare is vital for the overall well-being of an individual. The service quality in healthcare is a matter of great importance for health institutions across the world. With increasing patient awareness and rising competition among hospitals, patient perception of healthcare quality has become very relevant. This study aims to review the literature to explore the concepts of perceived service quality, customer satisfaction, and behavioural intentions. The study has attempted to look into the relationship between perceived healthcare service quality, patient satisfaction, and behavioural intentions of patients. Healthcare service quality is measured using SERVQUAL dimensions as well as other dimensions specific to the healthcare sector. The findings clearly show that perceived healthcare service quality, patient satisfaction, and behavioural intentions are closely related to each other, and high-quality services lead to satisfied patients who further exhibit positive behavioural intentions.

scholarly journals Outpatient Satisfaction with Health Insurance Drug Dispensing Quality at the Pharmacy of Ho Chi Minh City University of Medicine and Pharmacy Hospital

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Nguyen Thi Hai Yen ◽  
Truong Van Dat ◽  
Thai Ngoc Ha ◽  
Thai Hue Ngan ◽  
Le Dang Tu Nguyen ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Health Insurance ◽  
Service Quality ◽  
Six Sigma ◽  
Healthcare Quality ◽  
Lean Six Sigma ◽  
Ho Chi Minh City ◽  
Drug Dispensing ◽  
Master Thesis ◽  
The Impact

This paper conducts a descriptive cross-sectional study to determine the outpatient satisfaction with health insurance drug dispensing at the pharmacy of Ho Chi Minh City University of Medicine and Pharmacy Hospital in 2019 through a survey questionnaire. The study results show that the outpatient satisfaction was influenced by 4 factors: reliability, assurance, empathy and tangibility, among which, reliability was the most influential one (42%). Generally, the outpatient satisfaction with the health insurance drug dispensing ranged from “Satisfied” to “Absolutely satisfied” (4.19 – 4.36). The study also shows a low level of satisfaction with drug dispensing time and some other aspects of the drug dispensing, which suggests that suitable measures should be taken by the hospital to improve its outpatient drug dispensing service. Keywords Satisfaction, service quality, drug dispensing, Ho Chi Minh City University of Medicine and Pharmacy Hospital. References [1] E. Zarei, A. Daneshkohan, B. Pouragha et al, An empirical study of the impact of service quality on patient satisfaction in private hospitals Iran, Global journal of health science, 7(1) (2014) 1-9. https://doi.org/10.5539/gjhs.v7n1p1 [2] R. Thornton, N. Nurse, L. Snavely et al, Influences on patient satisfaction in healthcare centers: a semi-quantitative study over 5 years, BMC Health Services Research, 17 (2017). https://doi.org/10.1186/s12913-017-2307-z[3] Le Ba Tiep, Surveying the satisfaction of outpatient with health insurance procedures at the clinic – Nguyen Trai Hospital, Ho Chi Minh City. Specialized Pharmacist of 1st grade, 2017 (in Vietnamese)[4] Phung Duc Nhat, Phan Thi Hieu, Tran Ngoc Phuong, Dien Ngoc Trang, Nguyen Thi Tuyet Van, Customer satisfaction with health care services at the center of injury prevention and non-communicable diseases, Medical Journal Ho Chi Minh City, 18(6) (2013) 646-652 (in Vietnamese)[5] A. Parasuraman, V.A.Zeithaml, L.L.Berry, Servqual: A multiple – item scale for measuring consumer perception of service quality, Journal of Retailing, 64 (1988) 12-40.[6] Nguyen Tran Huy Duc, Measuring the satisfaction of outpatient patients with the quality of service at Ho Chi Minh City Public Hospital, Master thesis, 2013 (in Vietnammese).[7] Phan Thi Thuy Duong, Factors affecting the satisfaction of customer with treatment services covered by health insurance in Gia Lai province, Master thesis, 2016 (in Vietnamese).[8] Nhu Ngoc Thanh, The impact of service quality on patient satisfaction at Hai Duong Children of Hospital, Master thesis, 2013 (in Vietnamese).[9] Hoang Trong, Chu Nguyen Mong Ngoc, Analyze research data with SPSS volumes 1 and 2, Hong Duc Publishing House, Ho Chi Minh City, 2008 27-46 (in Vietnamese).[10] J.D. Evans, Straightforward Statistics for the Behavioral Sciences, Brooks/Cole Publishing Company, Pacific Grove, 1996.[11] Ministry of Health, Vietnam Policy on Satisfaction Index 2018, 44 (in Vietnamese).[12] Huynh Bao Tuan, Pham Le Khanh Linh, Tran Minh Nhut, Lean application for the pharmacy in medication administration to out-patients with health insurance at Hoan My Saigon Hospital, Science & Technology Development Journal, 20 (4) (2017) 34-40 (in Vietnamese).[13] H. Koning, J. Verver, J. Heuvel et al, Lean Six Sigma in Healthcare, Journal for healthcare quality :official publication of the National Association for Healthcare Quality, 28 (2006) 4-11. https://doi.org/10.1111/j.1945-1474.2006.tb00596.x[14] J. Heuvel, R. Does, H. Koning, Lean Six Sigma in a hospital, Int. J. Six Sigma and Competitive Advantage, 2 (2006) 377-388. https://doi.org/10.1504/IJSSCA.2006.011566.                    

Service quality and satisfaction in healthcare sector of Pakistan— the patients’ expectations

2018 ◽  
Vol 31 (6) ◽  
pp. 489-501 ◽  
Author(s):  
Saad Ahmed Javed ◽  
Fatima Ilyas
Keyword(s):  
Patient Satisfaction ◽  
Public Sector ◽  
Service Quality ◽  
Private Sector ◽  
Healthcare Service ◽  
Service Providers ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Policy Makers ◽  
Content Type

Purpose The purpose of this paper is to assess the influence of patients’ expectations from healthcare service quality on their satisfaction with nursing in public and private hospitals of Pakistan. Design/methodology/approach Data (n=456) were collected from three public sector hospitals and three private sector hospitals of Lahore, the capital of Pakistan’s most populous province. Male and female patients who have experience of both sectors were surveyed using a self-administered questionnaire developed using the original SERVQUAL approach. Data were analyzed using the statistical techniques and the Laplace criterion. Findings This paper attempts to explain degree of influences of five service quality constructs (empathy, responsiveness, tangibility, reliability and assurance) on Pakistani patients’ expectations from the private and public sector hospitals and thus patient satisfaction. Further, this work can offer several intuitions into the effect of five constructs of service quality on patients’ expectations of healthcare service quality and patient satisfaction with the service providers/nursing. The results reveal that the patient satisfaction is most strongly related to empathy in public sector and to responsiveness in private sector. Research limitations/implications In light of the previous studies and the current research findings, the study anticipates no apparently significant improvement in healthcare sector of Pakistan in near future considering various factors discussed in the study. The study will also help the service providers and the policy makers in understanding the deteriorating situation of the Pakistani healthcare sector and will guide them in identifying the areas by improving which not only the healthcare service quality in the country can be improved but also the image of healthcare sector among the masses and competitiveness of the healthcare sector can be enhanced. Originality/value The value of the study rests in its critical analysis of the current status of the healthcare sector of Pakistan with a view to suggest the areas that need to be worked on by the service providers and policy makers. Also, the study tries to settle a controversy within Pakistani healthcare literature concerning the question that who is producing more satisfied patients: private hospitals or their public counterparts?

scholarly journals The role of total quality management in enhancing the quality of private healthcare services

2020 ◽  
Vol 18 (2) ◽  
pp. 64-78
Author(s):  
Mohannad Abu Daqar ◽  
Milan Constantinovits
Keyword(s):  
Service Quality ◽  
Healthcare Service ◽  
Healthcare Sector ◽  
Top Management ◽  
Total Quality ◽  
Private Healthcare ◽  
Management Commitment ◽  
Top Management Commitment

The study aims to explore the role of total quality management (TQM) in enhancing the service quality of the private healthcare sector in the Northern Area of West Bank Palestine. The study involves a questionnaire-based survey, private hospitals, and healthcare centers selected in North West Bank. The administrative employees are the population of the study, 200 employees were selected via stratified sampling method. By using the Structural Equation Modeling (SEM), the findings show that all TQM factors are positively and directly related to each other in the private healthcare sector. There is a positive and direct relationship between four TQM factors (customer satisfaction, employee involvement, continual improvements, and top management commitment) and service quality, while there is a negative direct relationship between processes and service quality. TQM factors (customer satisfaction, employee involvement, continual improvements, processes, and top management commitment) explained 95% of the variance in healthcare service quality (R² = 0.950, P < 0.05). Continual improvements is the main pillar in TQM application in healthcare sector, and it is highly associated with the private healthcare processes (R² = 0.907, P < 0.01), while top management commitment is the most significant factor in improving the service quality. Full understanding and commitment by the managers across all levels and activating the effective communication between employees at all levels in the organization are the key factors of a successful TQM implementation; it helps in strengthening the teamwork efficiency. Top management is required to avoid the monotonic managerial practices, especially in the organizational processes, as it has a negative impact on the private healthcare service quality.

scholarly journals The Role of Hospital Service Quality and Informing System in Patients' Willingness to Pay with Mediation of Satisfaction

2020 ◽  
Author(s):  
Ghasem Zarei ◽  
Hajieh Ghorbani Ardahaei
Keyword(s):  
Information System ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Willingness To Pay ◽  
Equation Modeling ◽  
Mediating Role ◽  
Patients Satisfaction ◽  
The Impact

Background: The willingness to pay is criteria criterion for measuring the patients' interest to continue their relationship with health centers. The main purpose of this study was to determine the effect of service quality and informing system of hospitals on the patient's willingness to pay with mediating role of patient satisfaction. Methods: This is an applied survey. The statistical population of this study consisted of all patients referring to Imam Khomeini Hospital in Sarab City during the first six months of 2019. Random sampling method was applied and 390 questionnaires were distributed among the patients. Data gathering tools included researcher made questionnaire with confirmed validity and reliability. Experts’ opinion and confirmatory factor analysis were used to confirm the validity. Cronbach's alpha method and combined reliability coefficient were used for reliability. Data were analyzed using structural equation modeling (SEM) test by partial least squares method. To analyze the data, SPSS 20 and Smart PLS 3 software were used. Results: Among the distributed questionnaires, 300 ones were completed and returned. According to the descriptive statistics, mean score of service quality, hospital information system, patient satisfaction, and willingness to pay were 2.98, 2.81, 3.44, and 2.67, respectively. The results obtained from the inferential analysis showed that the quality of services had a significant effect on patients’ satisfaction and willingness to pay. Moreover, the information system had a significant effect on patients’ satisfaction and patients' satisfaction had a significant effect on the willingness to pay. The impact of the information system on the willingness to pay was not confirmed. Conclusion:  Based on the findings, changes in the quality of hospital informing system and service quality with the mediating role of patients’ satisfaction affected their willingness to pay.  

Service Quality and Repeat Purchase: The Moderating Effect of Perceived Value, and Satisfaction

2020 ◽  
Vol 11 (1) ◽  
pp. 5-5
Author(s):  
Aprihatiningrum Hidayati ◽  
Agus W. Soehadi ◽  
Aji Hermawan ◽  
Hartoyo Hartoyo
Keyword(s):  
Service Quality ◽  
Direct Effect ◽  
Purchase Intention ◽  
Perceived Value ◽  
Moderating Variables ◽  
Mediating Role ◽  
Prior Literature ◽  
Repeat Purchase ◽  
Purchase Satisfaction

The purpose of this study is to examine the direct and indirect effect of these determinants on repeat purchase. Competitive training industries impose pressure on managers to increase repeat purchase. Even though service quality and repeat purchase are well studied in prior literature, their determinants such as perceived value and satisfaction have not been fully investigated together as moderating variables. Most of literature stated both of perceived value and satisfaction as independent variables. Besides, most of literature consider purchase as an attitudinal (namely purchase intention), while this study focus on behavioural (namely repeat purchase). Data from a survey of 300 customers of public training are used to empirically evaluate the model. Results indicate that perceived value and the satisfaction have no direct effect on repeat purchase. However, these constructs indirectly influence repeat purchase through the mediating role of service quality. Satisfaction and perceived value play a major role in enhancing service quality, but do not directly impact repeat purchase. Interestingly, the direct effect on repeat purchases stems from service quality while recent researches suggest satisfaction is the antecedent. The findings suggest that training companies should invest more resources aimed at enhancing service quality through service delivery training for their employees. Even though prior research has considered the concepts studied here, this study aims to empirically evaluate a variety of antecedent factors that potentially affect repeat purchase. Relationships are established utilizing data collected in Indonesia (an increasingly important consumer market) which adds value to extant knowledge in this area. Keywords: path analysis, perceived value, repeat purchase, satisfaction, service quali

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