The Effects of Switching Cost Perceived by Patients and Negative Word of Mouth on Revisiting Intention for Hospital Patients

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  • Ko, Yu-Kyung (Department of Nursing Science, College of Medical Science, Konyang University) ;
  • Kim, Byeong-Jin (KHIDI (Korea Health Industry Development Institute))
  • 고유경 (건양대학교 간호학과) ;
  • 김병진 (한국보건산업진흥원 의료산업단)
  • Received : 2010.07.07
  • Accepted : 2010.11.16
  • Published : 2011.03.31


Purpose: The purpose of this study was to examine the effect of patient perception of the switching cost and negative word of mouth on revisit intention of patients in out-patient departments (OPDs) of general hospitals. Method: The participants were 306 patients in general hospital, selected through convenience sampling. Data were collected using a structured questionnaire and analyzed using descriptive statistics, Spearman correlation coefficient, and logistic regression with SPSS Win. Results: Relational switching cost was positively correlated with revisit intention (r=.58, p=<.001), but not financial switching cost or procedural switching cost. Negative word of mouth was negatively correlated with revisit intention (r=-.22, p=<.001). The significant predictors influencing revisit intention in patients was relational switching cost. Conclusion: The findings of this study suggest that hospital and nursing managers should seek to bolster perceptions of switching costs and negative word of mouth, which subsequently increases revisit intentions in small hospitals located in the country as well as urban large hospitals.


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