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

Authors

  • Jonathan Banahene  Jiangsu University, School of Management, Department of Health Policy and Management 301 Xuefu Road, Zhenjiang, 212013, P.R. China
  • Baozhen Dai  University of Cape Coast, School of Health and Allied Sciences,Department of Health Information Management, Cape Coast - Ghana.
  • Jonathan Kissi  Jiangsu University, School of Management, Department of Health Policy and Management 301 Xuefu Road, Zhenjiang, 212013, P.R. China and University of Cape Coast, School of Health and Allied Sciences,Department of Health Information Management, Cape Coast - Ghana.
  • Maxwell Opuni Antwi  Jiangsu University, School of Management, Department of Public Health Policy and Medical Insurance.

DOI:

https://doi.org/10.32628/IJSRST207563

Keywords:

Tangible, Corporate Social Responsibility, Collaboration Networking, Trust, Patient Satisfaction and Retention

Abstract

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

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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.
  6. Blair, E., & Burton, S. (1987). Cognitive Processes Used by Survey. Journal of Consumer Research, 14, 280–288.
  7. Blau, T. H. (1969). The professional in the community views the nonprofessional helper: Psychology. Professional Psychology, 1(1), 25–31.
  8. Borden, L. M., & Perkins, D. F. (1999). Assessing your collaboration: A self evaluation tool. Journal of Extension, 37(2), 78–83.
  9. 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
  10. 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
  11. 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
  12. 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
  13. Clara Martínez Fuentes. (1999). Measuring Hospital Service Quality?: A Methodological Study. Managing Service Quality, 9(4), 230–240.
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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.
  23. Kaiser, M. O. (1974). Kaiser-Meyer-Olkin measure for identity correlation matrix. Journal of the Royal Statistical Society, 52.
  24. 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
  25. 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
  26. 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
  27. 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
  28. 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
  29. 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
  30. 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
  31. 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
  32. 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
  33. 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
  34. 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
  35. 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
  36. 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
  37. 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
  38. 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
  39. 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
  40. 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
  41. Siniora, D. (2017). Corporate Social Responsibility in the Health Care Sector. In Duquesne University, Duquesne Scholarship Collection.
  42. 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
  43. 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
  44. 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

International Journal of Scientific Research in Science and Technology

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Published

2021-01-28

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Volume 8, Issue 1, January-February-2021

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Research Articles

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[1]
Jonathan Banahene, Baozhen Dai, Jonathan Kissi, Maxwell Opuni Antwi "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" International Journal of Scientific Research in Science and Technology(IJSRST), Online ISSN : 2395-602X, Print ISSN : 2395-6011,Volume 8, Issue 1, pp.255-270, January-February-2021. Available at doi : https://doi.org/10.32628/IJSRST207563