Examine the Extrinsic Mechanism of Service Quality Factors and it Effect on Patient Retention in Ghanaian Private Hospitals, Using Trust and Patient Satisfaction as Mediator
DOI:
https://doi.org/10.32628/IJSRST207563Keywords:
Tangible, Corporate Social Responsibility, Collaboration Networking, Trust, Patient Satisfaction and RetentionAbstract
For any private hospital to retain most of their patients they should be able to provide their patients with quality service quality that will convince their patients that the hospital is not just about only the shareholders benefit only. The main aim of this research paper is to examine the impact of extrinsic mechanism of service quality by choosing one of the constructs of the original HEALTHQUAL model (tangible) and add two additional constructs that are corporate social responsibility and collaborative network will have on patient retention in private hospitals in Ghana. The study will also assess the mediating role of trust and patient satisfaction between the extrinsic mechanism of service quality factors and patient retention. The sample size of the study was 880 patients. Data collection was done among inpatient and outpatients of four selected private hospitals Kumasi in the Ashanti region of Ghana. The questionnaires used for the study were made up of 26 items that include 13 items on extrinsic mechanism, three items were service quality, two items on trust and 4 items of patient satisfaction were use as mediators of service quality factors and patient retention, lastly, 4 items on Patient retention. The validity and reliability of the data was confirmed. WarpPLS software was use to analysis the data. The study revealed that there is a positive relation between the three of the extrinsic mechanism and service quality. The study also shows that there is significant association between service quality and patient retention. The mediation role of Trust and patient satisfaction also showed positive and statistically significant between the factors of service quality and patient retention. This study recommends that if private hospitals involve themselves in corporate social responsibilities and collaborative network activities they will win more patients to their hospital and even retain them. This study also suggest that in order to retain most of your patients at your private hospital, the hospital should be equipped with modernizes medical equipment and also the environment of the hospital should be very attractive. This paper further stress that trust and patient satisfaction should be the benchmark of every private hospitals to retain their patients.
References
- Aarts, J., Ash, J., & Berg, M. (2007). Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care. International Journal of Medical Informatics, 76(SUPPL. 1), S4–S13. https://doi.org/10.1016/j.ijmedinf.2006.05.009
- Abukari, A. J., & Abdul-Hamid, I. K. (2018). Corporate social responsibility reporting in the telecommunications sector in Ghana. International Journal of Corporate Social Responsibility, 3(1), 1–9. https://doi.org/10.1186/s40991-017-0025-9
- Al-Mhasnah, A. M., Salleh, F., Afthanorhan, A., & Ghazali, P. L. (2018). The relationship between services quality and customer satisfaction among Jordanian healthcare sector. Management Science Letters, 8(12), 1413–1420. https://doi.org/10.5267/j.msl.2018.10.003
- Amin, M., & Nasharuddin, S. Z. (2013). Hospital service quality and its effects on patient satisfaction and behavioural intention. Clinical Governance, 18(3), 238–254. https://doi.org/10.1108/CGIJ-05-2012-0016
- Banahene, J., & Dai, B. (2019). Quality Healthcare Service Delivery and Patient Satisfaction in the Ghanaian Government Hospital?: The Case of Nkawie Government Hospital – Ghana. Canadian Journal of Applied Science and Techhnology, 7(3), 902–909.
- Blair, E., & Burton, S. (1987). Cognitive Processes Used by Survey. Journal of Consumer Research, 14, 280–288.
- Blau, T. H. (1969). The professional in the community views the nonprofessional helper: Psychology. Professional Psychology, 1(1), 25–31.
- Borden, L. M., & Perkins, D. F. (1999). Assessing your collaboration: A self evaluation tool. Journal of Extension, 37(2), 78–83.
- Calò, F., Teasdale, S., Donaldson, C., Roy, M. J., & Baglioni, S. (2018). Collaborator or competitor: assessing the evidence supporting the role of social enterprise in health and social care. Public Management Review, 20(12), 1790–1814. https://doi.org/10.1080/14719037.2017.1417467
- Carroll, J. M., Santucci, G., Kang, T. I., & Feudtner, C. (2007). Partners in pediatric palliative care: A program to enhance collaboration between hospital and community palliative care services. American Journal of Hospice and Palliative Medicine, 24(3), 191–195. https://doi.org/10.1177/1049909106298393
- Chahal, H., & Kumari, N. (2010). Development of multidimensional scale for healthcare service quality (HCSQ) in Indian context. Journal of Indian Business Research, 2(4), 230–255. https://doi.org/10.1108/17554191011084157
- Chen, C.-H., & Hsiao, C.-M. (2020). Can International Standards Discriminate the Corporate Social Responsibility/Irresponsibility? Empirical Evidence from Taiwan. Journal of Business and Management Sciences, 8(1), 28–37. https://doi.org/10.12691/jbms-8-1-5
- Clara Martínez Fuentes. (1999). Measuring Hospital Service Quality?: A Methodological Study. Managing Service Quality, 9(4), 230–240.
- DiBenigno, J., & Kellogg, K. C. (2014). Beyond Occupational Differences: The Importance of Cross-cutting Demographics and Dyadic Toolkits for Collaboration in a U.S. Hospital. In Administrative Science Quarterly (Vol. 59, Issue 3). https://doi.org/10.1177/0001839214538262
- Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International Journal of Quality and Reliability Management, 35(6), 1195–1214. https://doi.org/10.1108/IJQRM-02-2017-0031
- Gajda, R. (2004). Utilizing collaboration theory to evaluate strategic alliances. American Journal of Evaluation, 25(1), 65–77. https://doi.org/10.1016/j.ameval.2003.11.002
- Gulati, A. (2002). Effect of Diaspirin Crosslinked Hemoglobin on Systemic and Regional Blood Circulation. Tissue Oxygenation in Acute Medicine, 19, 307–315. https://doi.org/10.1007/978-3-642-58268-4_20
- Halevy, A., & Brody, B. A. (1996). A multi-institution collaborative policy on medical futility. Journal of the American Medical Association, 276(7), 571–574. https://doi.org/10.1001/jama.276.7.571
- Hepple, J., Kipps, M., & Thomson, J. (1990). The concept of hospitality and an evaluation of its applicability to the experience of hospital patients. International Journal of Hospitality Management, 9(4), 305–318. https://doi.org/10.1016/0278-4319(90)90038-Y
- Hibbard, J. H., Stockard, J., & Tusler, M. (2005). Hospital performance reports: Impact on quality, market share, and reputation. Health Affairs, 24(4), 1150–1160. https://doi.org/10.1377/hlthaff.24.4.1150
- Highhouse, S., Brooks, M. E., & Gregarus, G. (2009). An organizational impression management perspective on the formation of corporate reputations. Journal of Management, 35(6), 1481–1493. https://doi.org/10.1177/0149206309348788
- Hossain, M.S., Yahya, S.B. and Khan, M. J. (2019). The effect of corporate social responsibility (CSR) health-care services on patients’ satisfaction and loyalty – a case of Bangladesh. Social Responsibility Journal, 16(2), 145–158.
- Kaiser, M. O. (1974). Kaiser-Meyer-Olkin measure for identity correlation matrix. Journal of the Royal Statistical Society, 52.
- Kissi, J., Dai, B., Banahene, J., Dogbe, C. S. K., & Ernest, O. (2020). Predictive factors of physicians’ satisfaction with telemedicine services acceptance. Health Informatics Journal, 26(3), 1866–1880. https://doi.org/10.1177/1460458219892162
- Kohler, J. C., & Dimancesco, D. (2020). The Risk of Corruption in Public Pharmaceutical Pocurement: How Anti-Corruption, Transparency and Accountability Measures May Reduce this Risk. Global Health Action, 13(sup1). https://doi.org/10.1080/16549716.2019.1694745
- Kot, S., & Syaharuddin, S. (2020). The government reform on healthcare facilities from the standpoint of service quality performance. International Journal of Economics and Finance Studies, 12(1), 16–31. https://doi.org/10.34109/ijefs.202012102
- Larson, B. A., Bii, M., Henly-Thomas, S., McCoy, K., Sawe, F., Shaffer, D., & Rosen, S. (2013). ART treatment costs and retention in care in Kenya: A cohort study in three rural outpatient clinics. Journal of the International AIDS Society, 16, 1–5. https://doi.org/10.7448/IAS.16.1.18026
- Lee, D. H. (2017). HEALTHQUAL: a multi-item scale for assessing healthcare service quality. Service Business, 11(3), 491–516. https://doi.org/10.1007/s11628-016-0317-2
- Mchugh, M. L. (2013). The Chi-square test of independence Lessons in biostatistics. Biochemia Medica, 23(2), 143–149. http://dx.doi.org/10.11613/BM.2013.018
- Mohammed, M. O., Abdul-Jaleel, T., Najres, A. M., & Farhan, I. H. (2016). A Novel Study for Chemical Composition of Al-Ahdaab Field Crude Oil. International Journal of Current Research and Academic Review, 4(9), 71–80. https://doi.org/10.20546/ijcrar.2016.409.006
- Öberg, U., Orre, C. J., Isaksson, U., Schimmer, R., Larsson, H., & Hörnsten, Å. (2018). Swedish primary healthcare nurses’ perceptions of using digital eHealth services in support of patient self-management. Scandinavian Journal of Caring Sciences, 32(2), 961–970. https://doi.org/10.1111/scs.12534
- Pallant, J. F., & Tennant, A. (2007). An introduction to the Rasch measurement model: An example using the Hospital Anxiety and Depression Scale (HADS). British Journal of Clinical Psychology, 46(1), 1–18. https://doi.org/10.1348/014466506X96931
- Panchapakesan, P., Sai, L. P., & Rajendran, C. (2015). Customer satisfaction in Indian hospitals: Moderators and mediators. Quality Management Journal, 22(1), 10–29. https://doi.org/10.1080/10686967.2015.11918416
- Panigrahi, S. K., Azizan, N. A., & Khan, M. W. A. (2018). Investigating the empirical relationship between service quality, trust, satisfaction, and intention of customers purchasing life insurance products. Indian Journal of Marketing, 48(1), 28–46. https://doi.org/10.17010/ijom/2018/v48/i1/120734
- Peng, T. J. A., & Bourne, M. (2009). The coexistence of competition and cooperation between networks: Implications from two taiwanese healthcare networks. British Journal of Management, 20(3), 377–400. https://doi.org/10.1111/j.1467-8551.2008.00565.x
- Quill, T. E., & Brody, H. (1996). Physician Recommendations and Patient Autonomy: Finding a Balance between Physician Power and Patient Choice. Annals of Internal Medicine, 125(9), 763–769. https://doi.org/10.7326/0003-4819-125-9-199611010-00010
- Rogers, A. E., Hwang, W. T., Scott, L. D., Aiken, L. H., & Dinges, D. F. (2004). The working hours of hospital staff nurses and patient safety. Health Affairs, 23(4), 202–212. https://doi.org/10.1377/hlthaff.23.4.202
- Sadiq Sohail, M. (2003). Service quality in hospitals: More favourable than you might think. Managing Service Quality: An International Journal, 13(3), 197–206. https://doi.org/10.1108/09604520310476463
- Saunders, S., Rod, M., Mostafa, M., Manzano, A., & Pawson, R. (2012). International Journal of Pharmaceutical and Healthcare Marketing. Journal of Health Organization and Management, 28(2), 1–34. https://doi.org/10.1108/17506121211216905
- Siegel, B., Erickson, J., Milstein, B., & Pritchard, K. E. (2018). Multisector partnerships need further development to fulfill aspirations for transforming regional health and well-being. Health Affairs, 37(1), 30–37. https://doi.org/10.1377/hlthaff.2017.1118
- Siniora, D. (2017). Corporate Social Responsibility in the Health Care Sector. In Duquesne University, Duquesne Scholarship Collection.
- Torfing, J. (2019). Collaborative innovation in the public sector: the argument. Public Management Review, 21(1), 1–11. https://doi.org/10.1080/14719037.2018.1430248
- Yang, T., Ma, M., Guo, Y., Li, Y., Tian, H., Liu, Y., Chen, Q., Zhang, S., & Deng, J. (2019). Do Job Stress, Health, and Presenteeism Differ between Chinese Healthcare Workers in Public and Private Hospitals: a Cross Sectional Study. Psychology, Health and Medicine, 00(00), 1–13. https://doi.org/10.1080/13548506.2019.1668564
- Yankson, P. W. K. (2010). Gold mining and corporate social responsibility in the Wassa West district, Ghana. Development in Practice, 20(3), 354–366. https://doi.org/10.1080/09614521003709965
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