Obstetrics Patient Loyalty: A Study of Malaysian Private Hospitals

Authors

  • Sook Fern Yeo Faculty of Business, Multimedia University, Jalan Ayer Keroh Lama, 75450 Melaka, Malaysia
  • Cheng Ling Tan Graduate School of Business, Universiti Sains Malaysia, 11800 USM Pulau Pinang, Malaysia
  • Yen Nee Goh Graduate School of Business, Universiti Sains Malaysia, 11800 USM Pulau Pinang, Malaysia

DOI:

https://doi.org/10.7187/GJATSI022022-6

Keywords:

Service Quality, Patient Loyalty, Obstetrics, Importance-Performance Matrix Analysis

Abstract

The purpose of this study is to examine the path of obstetrics service quality and patient loyalty. The service quality encompasses doctors’ knowledge, nurse professionalism, diagnostic procedures, perceived price and healthscape. This study is found to be of interest because there have been limited studies conducted in Malaysia concerning patient loyalty for obstetrics services in private hospitals. The sample size comprises 419 patients from ten private hospitals in five states of Peninsular Malaysia. Data were collected and analysed using Structural Equation Modeling (SEM). The results indicate that diagnostic procedures, doctor’s knowledge and perceived price, have a significant positive relationship with patient loyalty. In contrast, nurses’ professionalism and healthscape had no significant impact on patient loyalty. Further, the Importance-Performance Matrix Analysis (IPMA) results contribute as an insight for the management to overcome and improve on identified areas with low performance.  The findings of this study are endorsed by the IPMA that the importance and performance of diagnostic procedures are high in contributing to patient loyalty for the obstetrics service in Malaysia. 

References

Abioye Kuteyi, E. A., Bello, I. S., Olaleye, T. M., Ayeni, I. O. & Amedi, M. I. (2010). Determinants of Patient Satisfaction with Physician Interaction: A Cross-Sectional Survey at The Obafemi Awolowo University Health Centre, Ile-Ife, Nigeria. South African Family Practice, 52(6): 557–562.

Ahmed, S., Tarique, K. M. & Arif, I. (2017). Service Quality, Patient Satisfaction and Loyalty in The Bangladesh Healthcare Sector. International Journal of Health Care Quality Assurance, 30 (5): 1-12.

Ali, F., Amin, M. & Ryu, K. (2016). The Role of Physical Environment, Price Perceptions, and Consumption Emotions in Developing Customer Satisfaction in Chinese Resort Hotels. Journal of Quality Assurance in Hospitality & Tourism, 98 (January 2016): 1–27.

Ali, F. & Omar, R., (2014). Determinants of Customer Experience and Resulting Satisfaction and Revisit Intentions: PLS-SEM Approach Towards Malaysian Resort Hotels. Asia-Pacific Journal of Innovation in Hospitality and Tourism, 3: 175-193.

Anbori, A., Ghani, S.N., Yadav, H., Daher, A.M., & Su, T.T. (2010). Patient Satisfaction and Loyalty to The Private Hospitals in Sana’a, Yemen. International Journal for Quality in Health Care, 22 (4): 1-6.

Andaleeb, S. S. & Millet, I. (2010). Service Experiences In Hospitals In Bangladesh: Are There Gender Inequities? International Journal of Health Care Quality Assurance, 23 (6): 591-606.

Arab, M., Tabatabaei, S.G., Rashidian, A., Forushani, A.R., Zarei, E. (2012). The Effect of Service Quality on Patient loyalty: A Study of Private Hospitals in Tehran, Iran. Journal of Public Health, 41 (9): 71-77.

Chen, C.F. and Chen, F.S. (2010). Experience Quality, Perceived Value, Satisfaction and Behavioral Intentions for Heritage Tourists. Tourism Management, 31 (1): 29-35.

Economic Planning Unit. (2015). Malaysia, Eleventh Malaysia Plan 2016-2020. Retrieved from https://www.epu.gov.my/en/rmk/mid-term-review-eleventh-malaysia-plan-2016-2020.

Gooding, S.K.S. (1995). Quality, Sacrifice, And Value in Hospital Choice. Journal of Health Care Marketing, 15 (4): 24–31.

Hair, J.F., Risher, J.J., Sarstedt, M. & Ringle, C.M. (2019). When to Use and How to Report the Results of PLS-SEM. European Business Review, 31 (1): 2-24.

Hair, J. F., Hult, G. T. M., Ringle, C. M., and Sarstedt, M. (2017). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). 2nd ed. Thousand Oaks, CA: Sage.

Hussain, S.S, Pervez, K.F., & Izzat, S. (2015). Assessing Patient Satisfaction in Gynaecology and Obstetrics in Tertiary Care Hospital. Journal of Postgraduate Medical Institute, 29 (2): 93–96.

Jandavath, R. K. N., & Byram, A. (2016). Healthcare Service Quality Effect On Patient Satisfaction and Behavioural Intentions in Corporate Hospitals in India. International Journal of Pharmaceutical and Healthcare Marketing, 10 (1): 48–74.

Kang, K. S., & Choi, J. S. (2013). Nursing Service Quality, Medical Service Satisfaction and Intent to Reuse the Hospital Services as Perceived by Health Care Consumers Admitted to Small and Medium-Sized Hospitals. Advanced Science and Technology Letters, 40: 121–123.

Kondasani, R. K. R., & Panda, R. K. (2016). Service Quality Perception and Behavioural Intention: A Study of Indian Private Hospitals. Journal of Health Management, 18 (1): 188–203.

Kotler, P. (1973). Atmospherics as a Marketing Tool. Journal of Retailing, 49 (4): 48–64.

Lee, M.A., Gong, S.W., & Cho, S.-J. (2012). Relationship among Nursing Service Quality, Medical Service Satisfaction, and Hospital Revisit Intent. Journal of Korean Academy of Nursing Administration, 18 (1): 96–105.

Lis, C.G., Rodeghier, M., & Gupta, D. (2011). The Relationship Between Perceived Service Quality and Patient Willingness to Recommend at A National Oncology Hospital Network. BMC Health Services Research, 11 (1): 46.

Nikki, L., Lepisto, S., & Paavilainen, E. (2012). Experiences of family members of elderly patients in the emergency department: a qualitative study. International Emergency Nursing 20: 193–200.

Oliver, R.L. (1980). A cognitive model of the antecedents and consequences of satisfaction decisions. Journal of Marketing Research, 17, 460-469.

Otani, K., Kurz, R.S., & Harris, L.E., (2005). Managing Primary Care Using Patient Satisfaction Measures, Journal of Healthcare Management, 50: 311-324.

Otani, K., & Kurz, R. S. (2004). The Impact of Nursing Care and Other Healthcare Attributes On Hospitalised Patient Satisfaction and Behavioral Intentions. Journal of Healthcare Management, 49 (3): 181 -197.

Padma, P., Rajendran, C., & Lokachari, P. S. (2010). Service Quality and Its Impact on Customer Satisfaction in Indian Hospitals: Perspectives of Patients and Their Attendants. Benchmarking: An International Journal, 17 (6): 807–841.

Parasuraman, A, Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future. Journal of Marketing, 49(4), 41–50.

Park, H., & Seo, Y. (2014). Determinants of Inpatients Satisfaction and Intent to Revisit Oriental Medical Hospitals. Journal of Korean Medicine, 35 (4): 65–73.

Raza, M. A., Siddiquei, A. N., Awan, H. M., & Bukhari, K. (2012). Relationship Between Service Quality, Perceived Value, Satisfaction and Revisit Intention in Hotel Industry. Interdisciplinary Journal of Contemporary Research in Business, 4 (8): 788-805.

Sadeh, E. (2017). Interrelationships Among Quality Enablers, Service Quality, Patients’ Satisfaction and Loyalty in Hospitals. The TQM Journal, 29 (1): 101-117,

Schoenfelder, T., Schaal, T., Klewer, J., & Kugler, J. (2014). Patient Satisfaction and Willingness to Return to The Provider Among Women Undergoing Gynecological Surgery. Archives of Gynecology and Obstetrics, 290: 683–690.

Seo, Y., Kang, S., Kim, Y., Choi, D., & Shin, H. (2010). Customers’ Utilisation and Satisfaction in Oriental Medical Clinics. Journal Korean Oriental Medicine, 31 (2): 124–136.

Shabbir, A., Malik, S.A., & Malik, S.A. (2016). Measuring Patients’ Healthcare Service Quality Perceptions, Satisfaction, And Loyalty in Public And Private Sector Hospitals in Pakistan. International Journal of Quality & Reliability Management, 33 (5): 538–557.

Shin, S.R., & Park, K.Y. (2015). Comparing Satisfaction with Nursing Care and Factors Relevant to Hospital Revisit Intent among Hospitalised Patients in Comprehensive Nursing Care Units and General Care Units. Journal of Korean Academy of Nursing Administration, 21 (5): 469.

Suess, C., & Mody, M. (2018). The Influence of Hospitable Design and Service On Patient Responses. The Service Industries Journal, 38 (1-2): 127-147.

Torres, E., Vasquez-Parraga, A. Z., & Barra, C. (2009). The Path of Patient Loyalty and The Role Of Doctor Reputation. Health Marketing Quarterly, 26 (3): 183–197.

Zarei, E., Arab, M., Mahmoud Ghazi Tabatabaei, S., Rashidian, A., Rahimi forushani, A., & Khabiri, R. (2014). Understanding Patients’ Behavioral Intentions. Journal of Health Organization and Management, 28 (6): 795–810.

Zeithaml, V.A., Berry, L. L., & Parasuraman, A. (1996). The Behavioral Consequences of “Trying.” Behavior Therapy, 60 (April): 31–46.

Zeithaml, V. A. (1988). of Consumer Perceptions a Means-End Value: Quality, and Model Synthesis of Evidence. Journal of Marketing, 52 (3): 2–22.

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Published

22-07-2024

How to Cite

Sook Fern Yeo, Cheng Ling Tan, & Yen Nee Goh. (2024). Obstetrics Patient Loyalty: A Study of Malaysian Private Hospitals . Global Journal Al-Thaqafah, 55–63. https://doi.org/10.7187/GJATSI022022-6