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ISSN : 2233-4165(Print)
ISSN : 2233-5382(Online)
Journal of Industrial Distribution & Business Vol.10 No.4 pp.67-76
DOI : http://dx.doi.org/10.13106/ijidb.2019.vol10.no4.67.

A Study on the Structural Relationship between Quality of Medical Service, Perceived Risk, Reputation and Customer Satisfaction in Small and Medium Hospitals

Ae-Jun Park*
* Professor, Dept. of Healthcare Management, Catholic-Kwandong University, Korea. Tel: +82-33-649-7592, E-mail: ajcosmos62@cku.ac.kr
March 15, 2019. April 04, 2019. April 05, 2019.

Abstract

Purpose - This study attempted to construct and validate a structural model of the relationship between the quality of medical services, perceived risk, reputation and customer satisfaction, which is the main concept of the relationship between large hospitals as well as small and medium hospitals and medical consumers. Through this verification, the small and medium hospitals are to find the way for wise coping in competitive situation with large hospitals.
Research design, data, and methodology - This research developed a hypothesis by constructing a structural equation that reaches the satisfaction and the relationship between reputation of perceived risk and perceived risk of service quality perceptions of customers of small and medium hospitals. Research data were collected through a questionnaire survey of respondents who had medical service experience from small and medium hospital. A total data of 252 respondents were used as the sample for the final analysis and analyzed using SPSS 23.0 and AMOS 23.
Results - As a result, the relationship of quality of medical service, reputation, and customer satisfaction among small and medium hospitals was consistent with the results of precedent studies, and the perceived risk has a significant impact on reputation, so the greater the perceived risk, the higher the preference for reputable medical institutions as large hospitals. In addition, it was found that the direct route from perceived risk to customer satisfaction was not significant, and reputation was found to have a full mediating effect on perceived risk and customer satisfaction. Customers who use small and medium hospitals prefer to use reputable medical institutions if their perceived risk is high, which is different from risk perception when specific targets are specified.
Conclusions - In terms of the effect from customer satisfaction, not only the path of perceived risk → reputation → customer satisfaction, but also the quality of service quality → reputation → customer satisfaction. These findings suggest that small and medium hospitals are appropriately responding to competition with large hospitals, rather than focusing on the perceived risks and reputation of customers in establishing and utilizing competitive strategies to create new customers and preserve existing customers

JEL Classifications: I11, C12, D12, M31

중소병원의 의료서비스 품질, 지각된 위험, 평판, 고객만족의 구조적 관계 연구

박애준

초록


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    Reference

    1. Alrubaiee, L., & Alkaaʼida, F. (2011). The Mediating Effect of Patient Satisfaction in the Patientsʼ Perceptions of Health Quality-Patient Trust Relationship. International Journal of Marketing Studies, 3(1), 103-127.
    2. Blackwell, R. D., Miniard, P. W., & Engel, J. F. (2006). Consumer Behavior (10th Ed.). Camden CA: Thomson Higher Education.
    3. Campbell, M. C., & Goodstein, R. C. (2001). The moderating effect of perceived risk on consumers' evaluations of product incongruity. The Journal of Consumer Research, 28(3), 439-449.
    4. Cronin, J. J. Jr., & Taylor, S. A. (1992). Measuring Service Quality: A Reexamination and Extension. Journal of Marketing, 56(July), 55-68.
    5. Cronin, J. J. Jr., & Taylor, S. A. (1994). SERVPERF versus SERVQUAL: Reconciling performance-based and perceptions minus expectations measurement of service quality. Journal of Marketing, 58(Jan), 125-131.
    6. Etezadi-Amoli, J., & Farhoomand, A. F. (1996). A structural model of end user computing satisfaction and user performance. Information And Management, 30(2). 65-73.
    7. Fombrun, C. J., Gardberg, N. A., & Barnett, M. L. (2000). Opportunity platforms and safety nets: Corporate citizenship and reputational risk. Business and Society Review, 105, 85-106.
    8. Ghotbabadi, A. R., Feiz, S., & Baharun, R. (2016). The Relationship of Customer Perceived Risk and Customer Satisfaction. Mediterranean Journal of Social Sciences, 7(1), 161-173.
    9. Grunig, J. E., & Hung, C. R. (2002). The Effect of Relationships on Reputation and Reputation on Relationships: A Cognitive Behavioral Study. Paper presented at the PRSA Educators Academy 5th Annual International Interdisciplinary Public Relations Research Conference.
    10. Han, S. S., Son, I. S., Gu, J. C., & Lee, S. C. (2007). The Study on the Effect of Health Care Service Quality upon Customer Loyalty: Based upon SERVPERF. The Asian Journal on Quality, 35(1), 61-72.
    11. Hoeffler, S., & Keller, K. L. (2003). The Marketing Advantages of Strong Brands. Journal of Brand Management, 10(6), 421-445.
    12. Jeon, G. I., Yi, H. Y., & Lee, K. T. (2014). The relationship between medical service quality, customer satisfaction and customer loyalty. Korean Business Education Review, 29(4), 416-438.
    13. Jung, J. H. (2015). Research on Effects of Risk Perception of Designer Brands on Purchase Satisfaction: Analysis of the mediating process of brand attitude and conspicuous purchase behavior through structural equation modelling. Journal of Digital Design, 15(3), 71-81.
    14. Kang, C. H., Rhee, K. G., & Kang, H. G. (2013). A Study on the Effects of Core Factors of Medical Service Quality on Customers’ Intention of Reuse. Korea Journal of Business Administration, 26(9), 2227-2251.
    15. Kang, H. S., Rhee, M. S., & Hyun, S. J. (2015). A Study on the Interrelationship Among Healthcare Service Quality, Customer Satisfaction, Hospital Loyalty and the Mediation Role of Medical Service Value and Hospital Reputation. Korean journal of hospital management, 20(4), 1-13.
    16. Kaplan, L. B., Szybillo, G. J., & Jacoby, J. (1974). Components of perceived risk in product purchase: A cross-validation. Journal of applied Psychology, 59(3), 287~91.
    17. Kim, H. G., & Kim, S. W. (2012). A Study of the Effect that Healthcare Service Quality Assessments Have on Customer Loyalty: With a Focus on Patient Awareness of Quality Certifications. Journal of the Korean Production and Operations Management Society, 23(4), 419-440.
    18. Kim, H. S., & Shim, J. H. (2017). The Effects of Service Qualities on Customer Satisfaction and Behavioral Intention in Coffee Shops. International Journal of Industrial Distribution & Business, 8(5), 95-109.
    19. Kim, M. K., Lee, D. C., Kim, S. J., & Gang, M. J. (2008). Effects on Users' Utility Value of Hospital Choice to the Patient's Satisfaction and Intention of Re-visit in Busan. Journal of the Korean Data Analysis Society, 10(6), 3387-3398.
    20. Kim, S. H., & Song, M. S. (2009). A Study on the Causal relationship between perceived risk, wait time, and communication of repurchase intention of medical consumers. Academy of customer satisfaction management, 11(2), 19-47.
    21. Kim, S. C. (2009). A Study on the Service Waiting: Focus on Medical Services, Academy of customer satisfaction management. Journal of Distribution Science, 7(2), 45-61.
    22. Kim, S. S. (2012). A Study on the Structural Relationship among Service Quality, Service Value, Reputation, Emotional Response, Customer Satisfaction and Repurchase Intention: Focused on The Moderating Effect of Service Relationship in Healthcare Services. Korean management science review, 29(2), 105-125.
    23. Kim, S. Y. (2015). A Study on Service Quality, Perceived Risk, Customer Satisfaction, and Repurchasing Intention of Analysis in Low Cost Airline: Moderating Effects of Reference Price. Northeast Asia Tourism Research, 11(4), 155-176.
    24. Laroche, M., McDougall, G. H., Bergeron, J., & Yang, Z. (2004). Exploring how intangibility affects perceived risk. Journal of Service Research, 6(4), 373-389.
    25. Lee, S. H., Kim, H. M., & Chae, Y. M. (2007). The Modifying Effect of Switching Barriers in Customer Loyalties in Medical Services. Health Policy and Management, 17(3), 68-86.
    26. Lee, S. H., Kim, J. N., Lee, G. H., & Kim, S. M. (2011). A Study on the Effects of the Factors Affecting the Selection of Medical Institute on Perceived Risk and Switching Intention. Health Service Management Review, 5(2),1-13.
    27. Lee, W. I., Yoon, K. C., & Jang, K. H. (2015). An Effect of Service Justice on Medical Service Satisfaction and Customer Loyalty. Korea Logistics Review, 25(4), 135-147.
    28. Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing, 49(4), pp. 41-50.
    29. Park, K. M., Yang, J. H., & Chang, D. M. (2015). The Effects of Hospital Choice Factors on Customer Satisfaction and Revisiting Intention in General Hospitals. The Journal of the Korea Contents Association, 15(8), 375~388.
    30. Ryu, J. G. (2006). A Study on Factors in Selecting Recuperation Hospital of Aging Society. Journal of Marketing Management Research, 11(2), 101-130.
    31. Seo, M. R. (2015). The Effects of Local General Hospital Service Quality on Customer Revisit Intention-Focused on Busan. The Korean Association for Local Government Studies, 19(3), 243-268.
    32. Shin, S. H., Rhee, K. G., & Kim, C.T. (2016). The Mediation Effects of Emotional Attachment and Patient Satisfaction in Outpatients Choice of Small- and Medium-sized Hospitals. Korea Journal of Business Administration, 29(12), 1849-1869.
    33. Son, H. Y., Kang, M. S., & Ha, H. Y. (2012). Effects of Perceived Value and Perceived Risk on Customer Satisfaction and Behavioral Intention: A Comparison between Smartphone Users and Smartphone Non-Users. Journal of Marketing Management Research, 17(3), 69-92.
    34. Suh, C. J., & Kim, Y. H. (2002). A Study on the Relationships between Hospital Reputation and Its Service Quality, Journal of the Korean Production and Operations Management Society, 12(3), 125-152.
    35. Svensson, G. (2003). A generic conceptual framework of interactive service quality. Managing Service Quality: An International Journal,13(4), 267-275.
    36. Yang, S. K., & Shim, J. H. (2018). The Effects of Service Qualities on Customer Satisfaction, Trust, and Behavioral Intention in Smartphone Shopping Malls. International Journal of Industrial Distribution & Business, 9(12),31-43.
    37. Yom, Y. H., & Lee, K. E. (2011). Causal Relationships Among Perceived Risk, Satisfaction, Switching Cost and Loyalty in Outpatient Health Services. The Journal of Korean Nursing Administration Academic Society, 17(4), 516-523.
    38. Yoo, D. G., & Suh, S. W. (2009). The effect of medical service quality and perceived risk on customer satisfaction, repurchase intention, and churn intention as to hospital sizes. Journal of the Korea Service Management Society, 10(3), 97-130.
    39. Zeithaml, V. A. (2000). Service Quality, Profitability and Economic Worth of Customers: What We Know and What We Need To Learn. Journal of Academy of Marketing Science, 28(1), pp.67-85.