An Empirical Study of the Impact of Service Quality on Patient Satisfaction in Private Hospitals, Iran

Objective: Perceived service quality is the most important predictor of patient satisfaction. The purpose of this study was to investigate the impact of the service quality on the overall satisfaction of patients in private hospitals of Tehran, Iran. Method: This cross-sectional study was conducted in the year 2010. The study’s sample consisted of 969 patients who were recruited from eight private general hospitals in Tehran, Iran using consecutive sampling. A questionnaire was used for data collection; contacting 21 items (17 items about service quality and 4 items about overall satisfaction) and its validity and reliability were confirmed. Data analysis was performed using t-test, ANOVA and multivariate regression. Result: this study found a strong relationship between service quality and patient satisfaction. About 45% of the variance in overall satisfaction was explained by four dimensions of perceived service quality. The cost of services, the quality of the process and the quality of interaction had the greatest effects on the overall satisfaction of patients, but not found a significant effect on the quality of the physical environment on patient satisfaction. Conclusions: Constructs related to costs, delivery of service and interpersonal aspect of care had the most positive impact on overall satisfaction of patients. Managers and owners of private hospitals should set reasonable prices compared to the quality of service. In terms of process quality, waiting time for visits, admissions, and surgeries must be declined and services provided at the fastest possible time. It should be emphasized to strengthen of interpersonal aspects of care and communication skills of care providers.

[1]  B. Mark,et al.  Organizational Effects on Patient Satisfaction in Hospital Medical-Surgical Units , 2009, The Journal of nursing administration.

[2]  M. Woldie,et al.  Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia , 2012, African Journal of Primary Health Care & Family Medicine.

[3]  M. Amin,et al.  Service Quality Dimension and Customer Satisfaction: An Empirical Study in the Malaysian Hotel Industry , 2013 .

[4]  Figen Yeşilada,et al.  Health care service quality: A comparison of public and private hospitals , 2010 .

[5]  Sunhee Lee,et al.  The service quality dimensions and patient satisfaction relationships in South Korea: comparisons across gender, age and types of service , 2005 .

[6]  S. Lemire,et al.  Patient Satisfaction With Birthing Center Nursing Care and Factors Associated With Likelihood to Recommend Institution , 2011, Journal of nursing care quality.

[7]  Raduan Che Rose,et al.  Hospital service quality: a managerial challenge. , 2004, International journal of health care quality assurance incorporating Leadership in health services.

[8]  C. Chen,et al.  Interrelationships between Physical Environment Quality, Personal Interaction Quality, Satisfaction and Behavioural Intentions in Relation to Customer Loyalty: The Case of Kinmen's Bed and Breakfast Industry , 2013 .

[9]  A. Parasuraman,et al.  The Behavioral Consequences of Service Quality , 1996 .

[10]  Barry J. Babin,et al.  How Quality, Value, Image, and Satisfaction Create Loyalty at a Chinese Telecom , 2009 .

[11]  Alain Jolibert,et al.  A three-model comparison of the relationship between quality, satisfaction and loyalty: an empirical study of the Chinese healthcare system , 2012, BMC Health Services Research.

[12]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[13]  Ching-Fu Chen,et al.  Behavioral intentions of public transit passengers--The roles of service quality, perceived value, satisfaction and involvement , 2011 .

[14]  P. A. Dabholkar,et al.  A comprehensive framework for service quality: an investigation of critical conceptual and measurement issues through a longitudinal study , 2000 .

[15]  Ali Anbori,et al.  Patient satisfaction and loyalty to the private hospitals in Sana'a, Yemen. , 2010, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[16]  Chung-Tzer Liu,et al.  he effects of relationship quality and switching barriers on customer loyalty , 2010 .

[17]  Veljko Marinković,et al.  Patient care, satisfaction and service quality in health care , 2013 .

[18]  Helena Alves,et al.  Dimensions of service quality and satisfaction in healthcare: a patient’s satisfaction index , 2009 .

[19]  C. Rajendran,et al.  Service quality and its impact on customer satisfaction in Indian hospitals: perspectives of patients and their attendants , 2010 .

[20]  A. Pourreza,et al.  Developing a Persian inpatient satisfaction questionnaire. , 2014, International journal of health care quality assurance.

[21]  Osman M. Karatepe.  Service Quality, Customer Satisfaction and Loyalty: The Moderating Role of Gender , 2011 .

[22]  Steven A. Taylor,et al.  Measuring Service Quality: A Reexamination and Extension , 1992 .

[23]  J. J. Cronin,et al.  Some New Thoughts on Conceptualizing Perceived Service Quality: A Hierarchical Approach , 2001 .

[24]  Chao-Chan Wu.  The impact of hospital brand image on service quality, patient satisfaction and loyalty , 2011 .

[25]  Yong-Ki Lee,et al.  The determinants of perceived service quality and its relationship with satisfaction , 2000 .

[26]  Venkatesh Shankar,et al.  Customer value, satisfaction, loyalty, and switching costs: An illustration from a business-to-business service context , 2004 .

[27]  M. Nekoei-Moghadam,et al.  Determining the Level of Hospitalized Patients Satisfaction of Hospitals: A Systematic Review and Meta-Analysis , 2013 .

[28]  S. Chaipoopirutana,et al.  Effective Customer Relationship Management of Health Care: A Study of the Perceptions of Service Quality, Corporate Image, Satisfaction, and Loyalty of Thai Outpatients of Private Hospitals in Thailand , 2010 .

[29]  Han-Joong Kim,et al.  A study on medical services quality and its influence upon value of care and patient satisfaction – Focusing upon outpatients in a large-sized hospital , 2008 .

[30]  M. Badri,et al.  Healthcare quality and moderators of patient satisfaction: testing for causality. , 2009, International journal of health care quality assurance.

[31]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[32]  Rungting Tu,et al.  Managing passenger behavioral intention: an integrated framework for service quality, satisfaction, perceived value, and switching barriers , 2011 .

[33]  C. Bakar,et al.  The role of expectations in patients' hospital assessments: a Turkish university hospital example. , 2008, International journal of health care quality assurance.

[34]  Yonggui Wang,et al.  An Integrated Framework for Service Quality, Customer Value, Satisfaction: Evidence from China's Telecommunication Industry , 2004, Inf. Syst. Frontiers.

[35]  Paul P. Lee,et al.  Patient expectations for medical and surgical care: a review of the literature and applications to ophthalmology. , 2004, Survey of ophthalmology.

[36]  Paul D. Cleary,et al.  How are patients’ specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians? , 2007, Journal of General Internal Medicine.

[37]  Zhaohua Deng,et al.  Understanding customer satisfaction and loyalty: An empirical study of mobile instant messages in China , 2010, Int. J. Inf. Manag..

[38]  H. Mills.  Marketing as a Science , 1961 .

[39]  Peter Vlerick,et al.  Patients' and personnel's perceptions of service quality and patient satisfaction in nuclear medicine , 2002, European Journal of Nuclear Medicine and Molecular Imaging.

[40]  G. Young,et al.  Patient satisfaction with hospital care: effects of demographic and institutional characteristics. , 2000, Medical care.

[41]  J. J. Cronin,et al.  Assessing the effects of quality, value, and customer satisfaction on consumer behavioral intentions in service environments , 2000 .

[42]  A. Areiqat,et al.  The Impact of Health Service Quality on Patients’ Satisfaction over Private and Public Hospitals in Jordan: A Comparative Study , 2012 .

[43]  M. Rahmqvist,et al.  Patient satisfaction in relation to age, health status and other background factors: a model for comparisons of care units. , 2001, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[44]  D. Peters,et al.  Towards patient-centered health services in India--a scale to measure patient perceptions of quality. , 2006, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[45]  Woo-Hyun Cho,et al.  The relationships among quality, value, satisfaction and behavioral intention in health care provider choice: A South Korean study , 2004 .

[46]  Chandrasekharan Rajendran,et al.  Patient‐perceived dimensions of total quality service in healthcare , 2008 .