Perceived Service Quality among Outpatients Visiting Hospitals and Clinics and Their Willingness to Re-utilize the Same Medical Institutions
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Objectives : This study was to determine how the perception and the satisfaction of outpatients who utilized clinics and hospitals are structurally related with their willingness to utilize the same institution in the future. Methods : Three hundred and ten responses (via convenient sampling) were collected from 5 hospitals and 20 clinics located in Seoul listed in the Korea National Hospital Directory 2005 . Service quality was utilized as the satisfaction measurement tool. For analysis, we used a structural equation modeling method. Results : The determining factors for general satisfaction with medical services are as follows: medical staff, reasonability of payment, comfort and accessibility. Such results may involve increased competition in the medical market and increased demands for quality medical services, which drive the patients to visit hospitals on their own on the basis of changed determining factors for satisfaction. Conclusions : The structural equation model showed that the satisfaction of outpatients with the quality of medical services is influenced by a few sub-dimensional satisfaction factors. Among these sub-dimensional satisfaction factors, the satisfaction with medical staff and payment were determined to exert a significant effect on overall satisfaction with the quality of medical services. The structural relationship in which overall satisfaction perceived by patients significantly influences their willingness to use the same institution in the future was also verified.
Abstract
Objectives : This study was to determine how the perception and the satisfaction of outpatients who utilized clinics and hospitals are structurally related with their willingness to utilize the same institution in the future. Methods : Three hundred and ten responses (via convenient sampling) were collected from 5 hospitals and 20 clinics located in Seoul listed in the Korea National Hospital Directory 2005 . Service quality was utilized as the satisfaction measurement tool. For analysis, we used a structural equation modeling method. Results : The determining factors for general satisfaction with medical services are as follows: medical staff, reasonability of payment, comfort and accessibility. Such results may involve increased competition in the medical market and increased demands for quality medical services, which drive the patients to visit hospitals on their own on the basis of changed determining factors for satisfaction. Conclusions : The structural equation model showed that the satisfaction of outpatients with the quality of medical services is influenced by a few sub-dimensional satisfaction factors. Among these sub-dimensional satisfaction factors, the satisfaction with medical staff and payment were determined to exert a significant effect on overall satisfaction with the quality of medical services. The structural relationship in which overall satisfaction perceived by patients significantly influences their willingness to use the same institution in the future was also verified.
참고문헌 (26)
- Donabedian A, "Explorations in Quality Assessment and Monitoring: The Definition of Quality and Approaches to its Assessment" (1980), Health Administration Press
- Zifko-Baliga GM, "Managing perceptions of hospital quality negative emotional evaluations can undermine even the best clinical quality", Mark Health Serv, 17(1), pp.28~35 (1997)
- Moon KT, "Dimensions of consumer ratings of a hospital outpatient service quality", Korean J Prev Med, 33(4), pp.495~504 (2000)
- Sahin B, "Factors Affecting impatient satisfaction: Structural equation modeling", J Med Syst, 31(1), pp.9~16 (2007)
- 배성권, "종합병원 입원환자와 외래환자의 만족도 요인 분석-의료기관 서비스평가 자료를 활용한 실증 분석-", 병원경영학회지, 10(2), pp.26~44 (2005), 한국병원경영학회
- Cho WH, "Application of the SERVQUAL scale to health care services", Korean J Health Policy Admin, 9(4), pp.140~156 (1999)
- Swan J, "Deepening the understanding of hospital patient satisfaction: Fulfillment and equity effects", J Health Care Mark, 5(3), pp.7~18 (1985)
- Woodside AG, "Linking service quality, customer satisfaction, and behavioral intension", J Health Care Mark, 9(4), pp.5~17 (1989)
- Reidenbach RE, "Exploring perceptions of hospital operations by a modified SERVQUAL approach", J Health Care Mark, 10(4), pp.47~66 (1990)
- Babacus E, "Adapting the SERVQUAL scale to hospital services: An empirical investigation", Health Serv Res, 26(6), pp.767~786 (1992)
- Choi KS, "Structural modeling of quality, satisfaction, value and purchase intention in health care service", Korean J Prev Med, 33(4), pp.426~435 (2000)
- 정동준, "입원환자가 인지하는 병원시설, 의료인력, 만족도, 재이용간의 구조분석", 보건과 사회과학, 19, pp.151~178 (2006), 한국보건사회학회
- Fox JG, "Different approach to sociodemographic predictors of satisfaction with health care", Soc Sci Med (A), 15(5), pp.557~564 (1981)
- Jung MS, "The study of constructive dimension of SERVQUAL by clients cognition", Korean J Pubic Health, 42(2), pp.149~162 (2005)
- Bernhart MH, "Patient satisfaction in developing countries", Soc Sci Med, 48(8), pp.989~996 (1999)
- Andaleeb SS, "Service quality perceptions and patient satisfaction: A study of hospitals in a developing country", Soc Sci Med, 52(9), pp.1359~1370 (2001)
- Parasuraman A, "SERVQUAL: A multiple item scale for mesuring consumer perceptions of service quality", J Retail, 64(1), pp.12~40 (1988)
- Bopp KD, "How patients evaluate the quality of ambulatory medical encounters: A marketing perspective", J Health Care Mark, 10(1), pp.6~16 (1990)
- Pascoe GC, "Patient satisfaction in primary health care: A literature review and analysis", Eval Program Plann, 6(3), pp.185~210 (1983)
- Jun M, "The identification and measurement of quality dimensions in health care: focus group interview results", Health Care Manage Rev, 23(4), pp.81~96 (1998)
- Park SH, "Structural relationship among patient-percived quality of inpatient service, patient satisfaction, and behavior intention", Korean J Pubic Health, 42(2), pp.109~120 (2005)
- Kim YK, "A study on medical service quality affecting value of care and patient satisfaction: Focusing outpatients in a large-size hospital", Korean J Health Policy Admin, 16(1), pp.117~139 (2006)
- Kline RB, "Principles and Practice of Structural Equation Modeling" (2005), The Guilford Press
- Kwon SM, "The failure of information and public health policy", Korean J Pubic Health, 36(1), pp.31~40 (1999)
- Zeithaml VA, "The behavioral consequences of service quality", J Mark, 60(2), pp.31~46 (1996)
- Bowers MR, "What attributes determine quality and satisfaction with health care delivery?", Health Care Manage Rev, 19(4), pp.49~55 (1994)