Journal of the Korea Society of Computer and Information (한국컴퓨터정보학회논문지)

Korean Society of Computer Information (한국컴퓨터정보학회)
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The Effects of Perceived Medical Service Quality on Patient Satisfaction, Hospital's Reputation and Loyalty

  • Choi, Un-Kyong (Dept. of Industrial Management, Gyeongsang National University)
  • Received : 2019.12.20
  • Accepted : 2020.01.06
  • Published : 2020.01.31
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Abstract

The purpose of this study is to analyze the effect of patient's perceived medical quality of service on satisfaction, hospital reputation, and loyalty to provide a strategic way to increase profitability and competitiveness of hospitals by preventing the departure of existing customers and promoting reuse. AMOS 20.0 was used for structural model analysis and identification factor analysis and SPSS 21.0 program was used for empirical analysis. As a result, the quality of medical service had a significant effect on satisfaction and reputation, and the quality of medical service had the greatest effect on satisfaction. Satisfaction has a positive effect on reputation and loyalty and is an important factor in determining loyalty. Recognizing the importance of improving quality of service and building relationships with patients should be prepared for strengthening relationships.

본 연구는 환자가 지각한 의료서비스품질이 만족, 병원명성 및 충성도에 미치는 영향을 분석하여 기존 고객의 이탈을 막고 재이용의도를 증진함으로써 병원의 수익성과 경쟁력을 높이기 위한 전략적인 방법을 제공하는 것이다. 구조 모형 분석과 확인 요인분석을 위해 AMOS 20.0을 사용하였고, 실증분석을 위하여 SPSS 21.0 프로그램을 사용하였다. 분석 결과 의료서비스품질은 만족과 명성에 유의한 영향을 미쳤으며, 의료서비스품질은 만족에 가장 큰 영향을 주었다. 만족은 명성과 충성도에 긍정적인 영향을 미쳤고, 충성도를 결정하는 중요한 요소이다. 환자들이 만족할 수 있는 서비스 품질 개선과 환자와의 관계 구축의 중요성을 인지하고 관계강화를 위한 방안을 마련해야 할 것이다.

Keywords

References

  1. P. Kotler. and K. L Keller. Marketing management 15e, Pearson education, 2016.
  2. M. Y. Chung, “Physician's Information Source, Language / Non-verbal Communication, Medical Satisfaction And Relationship with Behavioral Intention: Focusing on the Elaboration Model,” Korea Communications Journal, Vol. 16, No. 4, pp. 7-49, 2017. DOI: https://www.earticle.net/Article/A314255
  3. K. I. Jeon. H. W. Lee. and K. T. Lee, “Relationship between Quality of Medical Service, Customer Satisfaction and Loyalty,” Korean Society for Management Education, Vol. 29, No. 4, pp. 417-424, 2014. DOI: https://www.earticle.net/Article/A253386
  4. J. B. Cha. S. Y. Suh. and H. Y. Lee, " Importance-performance analysis of medical service quality factors: focusing on SERVQUAL," Study of medical management. Vol. 7, No. 3, pp. 23-34, 2013. DOI: I410-ECN-0102-2014-500-001714361
  5. M. Y. Kwon, "A Study on the Effect of Service Contact Factors in Hospital-level Hospitals on Customer Satisfaction and Revisit Intention," Korean Institute of Management, Vol. 4, pp. 470-488, 2010. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01881085
  6. D. K. Yoo. and S. W. Suh, "The Effect of Quality of Medical Services and Reputation of Hospitals on Customer Satisfaction, Repurchase Intention, and Negative Word of mouth According to Severity of Disease," Journal of Hospital Management, 1Vol. 4, No. 4, pp. 26-30, 2009. DOI: I410-ECN-0102-2012-320-000847789
  7. S. S. Kim, "A Study on the Effect of Service Quality, Service Value, Emotional Response and Reputation on Customer Satisfaction and Reuse Intention According to Service Relationship: Focusing on Medical Service," Ph.D. Dissertation, Hanyang University, 2010.
  8. H. Y. Lee, "Medical service marketing, book publication cheonglam, 2008. DOI: I410-ECN-0102-2009-320-020340346
  9. D. M. Jang, “A Study on the Medical Use Behavior of Cancer Patients,” Journal of Korean Health Association, Vol. 24, No. 2, pp. 106-117, 1998. DOI: http://210.101.116.28/W_files/kiss5/22801547_pv.pdf
  10. Health Service Industry, "Trend Analysis Korea Health Industry Development Institute," . 2017.
  11. A. Donabedian, "The definition of quality and approaches to its assessment, Health Administration Press, 1990.
  12. J. S. Jeon, "A Study on the Effect of Medical Service Quality on Service Value, Customer Satisfaction and Reuse, Focusing on Five National University Hospitals," Ph.D Thesis, Dongshin University, 2010.
  13. C. G. Kang. and Y. R. Park, “The Effect of Perceived Service Quality of Hospitals on Brand Image and Loyalty,” Customer Satisfaction Management Study, Vol. 18, No. 3, pp. 83-97, 2016. DOI: I410-ECN-0102-2017-320-000590627
  14. M. Y. Kim. G. H. Jung. and J. S. Oh, “The Structural Relationship of Leading Variables of Patient Satisfaction in Medical Services,” Industrial Economic Research, Vol. 22, No. 6, pp. 29-77, 2009. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01673180
  15. E. Babakus. and G. W. Boller, “An empirical assessment of the SERVQUAL scale,” Journal of Business Research, Vol. 24, No. 3, pp. 253-268, 1992. DOI: 10.1016/0148-2963(92)90022-4
  16. C. M. Chiu. M. H. Hsu. S. Y. Sun. T. C. Lin. and P. C. Sun, "Usability, quality, value and e-learning continuance decisions," Computers & Education, Vol. 45, pp. 399-416, 2005. DOI: 10.1016/j.compedu.2004.06.001
  17. S. S. Kim. and M. H. Kim, “The Impact of Brand Image on Brand Trust and Customer Satisfaction, Focusing on Medical Services,” Journal of Korean Society for Distribution and Business Administration, Vol. 14, No. 4, pp. 151-185, 2011. DOI: I410-ECN-0102-2012-320-002454913
  18. Y. K. Kim. K. T. Jung. and Y. S. Ahn, "A Study on the Impact of Dental Service Quality on Customer Satisfaction and Loyalty," Journal of Hospital Management, Vol. 8, No. , pp. 49-71, 2003. DOI: I410-ECN-0102-2009-320-002900133
  19. C. H. Cho, “The Effect of the Quality of Medical Service in Military Hospitals on the Outpatients' Medical Value, Patient Satisfaction, and Reuse Intention,” Journal of Korean Service Management Association, Vol. 10, No. 4, pp. 173-200, 2009. DOI: I410-ECN-0102-2012-320-000856159 https://doi.org/10.15706/jksms.2009.10.4.008
  20. C. H. Cho. and B. S. Kang, “The Effect of Hospital Website Service Quality on Service Value and Customer Satisfaction,” Journal of Korean Service Management Association, Vol. 7, No. 4, pp. 84-89, 2006. DOI: G706-001572.2006.7.4.006
  21. A. J. Park, “A Study on the Structural Relationship between Quality of Medical Service, Perceived Risk, Reputation and Customer Satisfaction in Small and Medium Hospitals,” International Journal of Industrial Distribution & Business, Vol. 10, No. 4, pp. 67-76, 2019. DOI::http://dx.doi.org/10.13106/ijidb.2019. vol10.no4.67.
  22. Y. H. Yom. and K. E. Lee, “Causal Relationships Among Perceived Risk, Satisfaction, Switching Cost and Loyalty in Outpatient Health Services,” The Journal of Korean Nursing Administration Academic Society, Vol. 17, No. 4, pp. 516-523, 2011. DOI: https://synapse.koreamed.org/pdf/10.11111/jkana.2011.17.4.516
  23. J. G. Ryu, "A Study on the Selection Factors of Nursing Hospitals in an Aging Society," Marketing Management Research, Vol. 11, No.2 pp. 101-130, 2006. DOI: G704-001083.2006.11.2.006
  24. N. H. Choi. and J. R. Lee, “A Study on the Effect of Attribute Information by Expertise in Extended Trademark Evaluation,” Marketing Research, Vol. 15, No. 3, pp. 45-70, 2000. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE02466233
  25. H. J. Park. and S. J. Kang, "Study on Medical Service Satisfaction by Type of Oral Communication," Marketing Science Research, Vol. 6, pp. 1-25, 2000. DOI: 10.1080/12297119.2000.9707410
  26. S. Landon. and C. E. Smith, “Quality expectations, reputation, and price,” Southern Economic Journal, Vol. 64, No. 3, pp. 628-647, 1998. DOI: 10.1142/9789813232754_0001
  27. K. K. Quagrainie. J. J. McCluskey. and M. L. Lourero, "A Laten structure approach to measuring reputation," Southern Economic Journal, Vol. 69, No. 3 pp. 966-977, 2003.
  28. S. Hoffer. and K. L. Keller, "The marketing advantages of strong brands," Brand Management, Vol. 6, pp. 421-445, 2003. DOI: 10.1057/palgrave.bm.2540139
  29. W. H. Cho. S. H. Lee. H. J. Lee. and J. H. Jeon. (1999). Medical Service Marketing, Seoul, Toeseoldang.
  30. Y. C. Jeon. and S. H. Lee, "The Effect of Service Quality of Regional Festival on Regional Image and Festive Loyalty: Focusing on Wonju Dynamic Festival," Northeast Asia Tourism Research, Vol. 11 No. 3, pp. 187-202, 2015. DOI: https://www.earticle.net/Article/A253386
  31. Y. K. Kim, “The Effect of Service Quality perception of chinese medical tourist by Medical Institution on Customer Loyalty via Customer Satisfaction,” Journal of Tourism Management Research, Vol. 22, No. 6, pp. 655-675, 2018. DOI : 10.18604/tmro.2018.22.6.35
  32. R. E. Reidenbach. and B. Sandifer-Smallwood, "Exploring Perceptions of Hospital Operations by a Modified SERVQUAL Approach," Journal of Health Care Marketing, Vol. 10, No. 4, pp. 47-55. 1990.
  33. R. Gopal. and S. S. Bedi, “IMPACT OF HOSPITAL SERVICES ON OUTPATIENT SATISFACTION,” International Journal of Research in Business Management, Vol. 2, No. 4, pp. 37-44, 2014. DOI: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.677.6103&rep=rep1&type=pdf
  34. B. S. Kang. and C. H. Cho, "Research Methodology using SPSS and AMOS," Trade Management, 2005.
  35. C. J, Choi. and S. H. Park, “Causal Role of Emotionally based Satisfaction and Service Reputation in Explaining Relationship between Service Quality, Satisfaction and Service Loyalty in Mobile Telecommunication Company,” The Journal of the Korea Contents Association, Vol. 9, No. 6, pp. 344-356, 2009. DOI: 10.5392/JKCA.2009.9.6.344
  36. N. Nguyen, and G, Leblanc. "Corporate Image and Corporate Reputation in Customers' Retention Decisions in Services." Journal of Retailing and Services. Vol. 8, pp. 227-236, 2001. DOI: 10.1016/S0969-6989(00)00029-1
  37. Y. G. Park. P. J. Kim. and Y. H. Kim, "The Effect of Hospital Medical Staff Characteristics on Patients' Reliability and Re-Intention," Korean Marketing Science Society, pp. 75-96, 2003. DOI: http://scholar.dkyobobook.co.kr/searchDetail.laf?barcode=4010016713328
  38. J. H. Park. and G. G, Shin, “Perceived design quality and brand reputation Impact on Customer Loyalty,” Korean Society for Management Education, Vol. 27, No. 4, pp. 111-136, 2012. DOI: http://scholar.dkyobobook.co.kr/searchDetail.laf?barcode=4010023532912
  39. C. S. Kim, "The Effect of Quality of Medical Service on Customer Behavioral Intention, Ph.D Thesis," Daegu Haany University, 2016.
  40. B. D. Choi. D. H. Lee. and S. D. Yoon, " Measurement Factors for Quality of Medical Services: Focusing on the Evaluation Index of Medical Service Certification, Journal of the Korean Society for Quality Management, Vol. 40, No. 3, pp. 381-393, 2012. DOI: I410-ECN-0102-2013-320-002077305 https://doi.org/10.7469/JKSQM.2012.40.3.381
  41. H. J. Kim. and S. W. Kim, “A Study on the Effect of Medical Service Quality Evaluation on Customer Loyalty,” Journal of the Korean Society for Production Management, Vol. 23, No. 4, pp. 419-440, 2012. DOI: http://scholar.dkyobobook.co.kr/searchDetail.laf?barcode=4010023529042
  42. J. S. Park, "The Effect of Perceived Medical Service Quality and Brand Image on Sustainable Intention of Network Franchise Hospital," Ph.D Thesis, Honam University, 2015.
  43. Y. C. Shin, "A Study on Determinants of Quality of Medical Services in General Hospitals," Ph.D Thesis, Seoul National University, 2007.
  44. D. S. Lee, "A study on the effect of servicescape and human service quality of medical service providers on the behavior of medical consumers," Ph.D. Thesis, Kyung Hee University, 2010.
  45. Y. J. Han. K. S. Oh. and H. Y. Lee, “A Study on the Effect of Health Service Quality Perception on Service Satisfaction, Trust, and Behavioral Intention: From the Perspective of Elaboration Potential Model,” Customer Satisfaction Management Study, Vol. 15, No. 3, pp. 155-178, 2013. DOI: I410-ECN-0102-2015-300-000460591
  46. E. C. Kim, "A Study on the Effect of Perceived Service Value of Medical Service Quality on Customer Satisfaction and Customer Loyalty, Master's Thesis," Dankook University, 2009.
  47. H. R. Kim. B. K. Kim. and S. H. Kim, “The Effect of Servicescape on Trust, Customer Satisfaction, and Reuse Intention: Focusing on Medical Services,” Journal of the Service Management Society, Vol. 11, No. 5, pp. 99-126, 2010.
  48. H. S. Kang, "A Study on the Interrelationship between Quality of Service, Customer Satisfaction, Hospital Loyalty, and the Mediating Role of Service Value and Reputation," Ph.D Thesis, Uiduk University, 2014.
  49. K. M. Park J. H. Yang. and D. M. Jang, “The Effect of Hospital Selection Factors on Customer Satisfaction and Reuse Intention,” Korean Contents Association, Vol. 15, No. 8, pp. 375-388, 2015. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE06502589
  50. C. Fornell. and D. Larcker, “Evaluating structural equation models with unobservable variables and measurement error,” Journal of Marketing Research, Vol. 18, No. 1, pp. 39-50, 1981. DOI: 10.1177%2F002224378101800104 https://doi.org/10.1177/002224378101800104
  51. J. F. Hair. R. Anderson. R. Tatham. and W. Black, "Multivariate data analysis 5ed, Upper Saddle River," Nj; Prentice-Hall, 1998.
  52. J. H. Yang. and S. B. Kim, “Effects of Service Authenticity on Reputation, Trust, Customer Satisfaction and Loyalty : Focused on Dental Service,” Korea Institute of Strategy Marketing, Vol. 26, No. 2, pp. 48-63, 2016.
  53. E. G. SON, "Effects Quality of Dental Services, Patient, Satisfaction, Reputation, Reuse, Oral Impact - Focusing on the Moderating Effects of Institutional Trust-," Ph.D. Thesis, Yonsei University, 2019.

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