A conceptual framework of service quality on patient’s behavioral assessment: Insight from Pakistan

Abdul Rauf, Norhilmi Muhammad, Hamid Mahmood, Yuen Yee Yen, Irfan Sabir

Article ID: 6428
Vol 8, Issue 8, 2024

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Abstract


The healthcare sector is progressively modest and patients expect higher service quality; therefore, healthcare practitioners’ and academic researchers’ attention upsurges in exploring service quality, intensifying satisfaction and generating behavioral intention. Despite the significance of the healthcare sector and the importance of quality-related matters, there is a paucity of research and publications dealing with healthcare service quality. This conceptual review evaluates the service quality in Pakistani healthcare sector rendering patients’ perspective. The proposed model emphasizes patients’ switching intention caused by poor or inadequate service quality through intervening constructs of satisfaction and alternative attractiveness. Additionally, current review explored the alternative attractiveness as mediator which was neglected in healthcare context. The model also attempts to propose the association between alternative attractiveness and outcome variable by switching costs regarding patients’ perspectives. The conceptual framework enables hospital managers to comprehend how patients assess healthcare quality provided in the presence of alternatives. The perception of patients would assist them in allocating healthcare resources and hospital management attain performance feedback through service quality parameters. Present review developed an inclusive framework as a novel injector in healthcare sector for patients’ perceived service quality.


Keywords


service quality; satisfaction; alternative attractiveness; switching cost; switching intention; patients

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References


A Mattoo, K. (2015). Healthcare Precedence for the Future. Journal Air and Water Borne Diseases, 04(02). https://doi.org/10.4172/2167-7719.1000121

Abbasi-Moghaddam, M. A., Zarei, E., Bagherzadeh, R., et al. (2019). Evaluation of service quality from patients’ viewpoint. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-3998-0

Afthanorhan, A., Awang, Z., Rashid, N., et al. (2019). Assessing the effects of service quality on customer satisfaction. Management Science Letters, 13–24. https://doi.org/10.5267/j.msl.2018.11.004

Ahmed, S., Al Asheq, A., Ahmed, E., et al. (2022). The intricate relationships of consumers’ loyalty and their perceptions of service quality, price and satisfaction in restaurant service. The TQM Journal, 35(2), 519–539. https://doi.org/10.1108/tqm-06-2021-0158

Akseer, N., Mehta, S., Wigle, J., et al. (2020). Non-communicable diseases among adolescents: current status, determinants, interventions and policies. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09988-5

Al-Balas, S. M., Al-Maqableh, H. O., Athamneh, S., et al. (2024). Quality status: A SERVQUAL approach to evaluate the effect of the quality of healthcare services on patient satisfaction in Jordan. International Journal of Healthcare Management, 1–17. https://doi.org/10.1080/20479700.2024.2310375

Alghamdi, F. S. (2014). The impact of service quality perception on patient satisfaction in Government Hospitals in Southern Saudi Arabia. Saudi medical journal, 35(10), 1271–1273.

Ali, J., Jusoh, A., Idris, N., et al. (2023). Healthcare service quality and patient satisfaction: a conceptual framework. International Journal of Quality & Reliability Management, 41(2), 608–627. https://doi.org/10.1108/ijqrm-04-2022-0136

Aliman, N. K., & Mohamad, W. N. (2016). Linking Service Quality, Patients’ Satisfaction and Behavioral Intentions: An Investigation on Private Healthcare in Malaysia. Procedia - Social and Behavioral Sciences, 224, 141–148. https://doi.org/10.1016/j.sbspro.2016.05.419

Alolayyan, M. N., Al-Rwaidan, R., Hamadneh, S., et al. (2022). The mediating role of operational Flexibility on the relationship between quality of health information technology and management capability. Uncertain Supply Chain Management, 10(4), 1131–1140. https://doi.org/10.5267/j.uscm.2022.8.014

Alyahya, M. A., Mohamed, E., Akamavi, R., et al. (2020). Can Cognitive Capital Sustain Customer Satisfaction? The Mediating Effects of Employee Self-Efficacy. Journal of Open Innovation: Technology, Market, and Complexity, 6(4), 191. https://doi.org/10.3390/joitmc6040191

Amarantou, V., Chatzoudes, D., Kechagia, V., et al. (2019). The Impact of Service Quality on Patient Satisfaction and Revisiting Intentions: The Case of Public Emergency Departments. Quality Management in Health Care, 28(4), 200–208. https://doi.org/10.1097/qmh.0000000000000232

Arifin, Z., Nirwanto, N. & Manan, A. (2019). Analysis of bullying effects on job performance using employee engagement and job satisfaction as mediation. International Journal of Innovation, Creativity and Change, 9(6).

Ariga, R. A., Amelia, R., Astuti, S. B., et al. (2022). Implementation of Lean Six Sigma in Improving Competitive Advantage through Patient Satisfaction and Nurse Resources to Face the Covid-19 Pandemic at USU Medan Hospital. Open Access Macedonian Journal of Medical Sciences, 10(G), 218–222. https://doi.org/10.3889/oamjms.2022.7888

Aydin, S., Özer, G., & Arasil, Ö. (2005). Customer loyalty and the effect of switching costs as a moderator variable. Marketing Intelligence & Planning, 23(1), 89–103. https://doi.org/10.1108/02634500510577492

Cham, T., Lim, Y., & Sigala, M. (2021). Marketing and social influences, hospital branding, and medical tourists’ behavioural intention: Before- and after-service consumption perspective. International Journal of Tourism Research, 24(1), 140–157. Portico. https://doi.org/10.1002/jtr.2489

Chan, V. H. Y., Chiu, D. K. W., & Ho, K. K. W. (2022). Mediating effects on the relationship between perceived service quality and public library app loyalty during the COVID-19 era. Journal of Retailing and Consumer Services, 67, 102960. https://doi.org/10.1016/j.jretconser.2022.102960

Chen, C.-F., & Chang, Y.-Y. (2008). Airline brand equity, brand preference, and purchase intentions—The moderating effects of switching costs. Journal of Air Transport Management, 14(1), 40–42. https://doi.org/10.1016/j.jairtraman.2007.11.003

Spotts H. E. (editor). (2015). Creating and Delivering Value in Marketing. In: Developments in Marketing Science: Proceedings of the Academy of Marketing Science. Springer International Publishing. https://doi.org/10.1007/978-3-319-11848-2

Das, J. K., Padhani, Z. A., Jabeen, S., et al. (2020). Impact of conflict on maternal and child health service delivery–how and how not: a country case study of conflict affected areas of Pakistan. Conflict and Health, 14(1). https://doi.org/10.1186/s13031-020-00271-3

Edvardsson, B., & Tronvoll, B. (editors). (2022). The Palgrave Handbook of Service Management. Springer International Publishing. https://doi.org/10.1007/978-3-030-91828-6

El-Adly, M. I. (2019). Modelling the relationship between hotel perceived value, customer satisfaction, and customer loyalty. Journal of Retailing and Consumer Services, 50, 322–332. https://doi.org/10.1016/j.jretconser.2018.07.007

Elnazer, A., & Almetwally, E. (2022). Switching Cost as a moderating Variable in the Effect of Service Quality on Users’ Intention. IOSR Journal of Business and Management, 24(2), 27–44.

Fernando, Bintoro, B. P. K., Lutfiani, N., Haryanto, & Julianingsih, D. (2022). Analysis of the Effect of Service Quality on Company Reputation on Purchase Decisions for Professional Recruitment Services. APTISI Transactions on Management (ATM), 7(1), 35–41. https://doi.org/10.33050/atm.v7i1.1736

Ferreira, D. C., & Marques, R. C. (2019). Do quality and access to hospital services impact on their technical efficiency? Omega, 86, 218–236. https://doi.org/10.1016/j.omega.2018.07.010

García, I. S., & Curras-Perez, R. (2019). Is satisfaction a necessary and sufficient condition to avoid switching? The moderating role of service type. European Journal of Management and Business Economics, 29(1), 54–83. https://doi.org/10.1108/EJMBE-02-2018-0035

George, B. P., Henthorne, T. L., & Williams, A. J. (2010). Determinants of satisfaction and dissatisfaction among preventive and curative medical tourists: a comparative analysis. International Journal of Behavioural and Healthcare Research, 2(1), 5. https://doi.org/10.1504/ijbhr.2010.037077

Gurewich, D., Garg, A., & Kressin, N. R. (2020). Addressing Social Determinants of Health Within Healthcare Delivery Systems: A Framework to Ground and Inform Health Outcomes. Journal of General Internal Medicine, 35(5), 1571–1575. https://doi.org/10.1007/s11606-020-05720-6

Hanaysha, J. R. (2018). An examination of the factors affecting consumer’s purchase decision in the Malaysian retail market. PSU Research Review, 2(1), 7–23. https://doi.org/10.1108/prr-08-2017-0034

Harazneh, I., Adaileh, M. J., Thbeitat, A., et al. (2020). The impact of quality of services and satisfaction on customer loyalty: The moderate role of switching costs. Management Science Letters, 1843–1856. https://doi.org/10.5267/j.msl.2019.12.034

Hardavella, G., Aamli-Gaagnat, A., Frille, A., et al. (2017). Top tips to deal with challenging situations: doctor–patient interactions. Breathe, 13(2), 129–135. https://doi.org/10.1183/20734735.006616

Hilmi, N., & Rachmawati, I. (2018). Factors Influencing Gen Y Loyalty Towards Mobile Service Provider and The Role of Switching Costs and Alternative Attractiveness in The Value Satisfaction Loyalty Chain. eProceedings of Management, 5(3).

Hosseini, A. S., Soltani, S., & Mehdizadeh, M. (2018). Competitive Advantage and Its Impact on New Product Development Strategy (Case Study: Toos Nirro Technical Firm). Journal of Open Innovation: Technology, Market, and Complexity, 4(2), 17. https://doi.org/10.3390/joitmc4020017

Hsieh, P.-C., Lee, Y.-C., Wu, H.-H., et al. (2018). Establishing Patient Loyalty by Investigating Its Relationship with Relationship Quality, Alternative Attractiveness, and Patient Gratitude in Hospitals. International Journal of E-Education, e-Business, e-Management and e-Learning, 8(1), 58–65. https://doi.org/10.17706/ijeeee.2018.8.1.58-65

Hudson, S., & Li, X. (Robert). (2012). Domestic Medical Tourism: A Neglected Dimension of Medical Tourism Research. Journal of Hospitality Marketing & Management, 21(3), 227–246. https://doi.org/10.1080/19368623.2011.615018

Jeong, J. Y., Park, J., & Hyun, H. (2019). The Role of Emotional Service Expectation Toward Perceived Quality and Satisfaction: Moderating Effects of Deep Acting and Surface Acting. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.00321

Jiang, Y., & Lau, A. K. W. (2021). Roles of consumer trust and risks on continuance intention in the sharing economy: An empirical investigation. Electronic Commerce Research and Applications, 47, 101050. https://doi.org/10.1016/j.elerap.2021.101050

Jones, M. A., Mothersbaugh, D. L., & Beatty, S. E. (2002). Why customers stay: measuring the underlying dimensions of services switching costs and managing their differential strategic outcomes. Journal of business research, 55(6), 441-450. https://doi.org/10.1016/S0148-2963(00)00168-5

Karunaratna, A. C., & Kumara, P. A. P. S. (2018). Determinants of customer loyalty: A literature review. Journal of Customer Behaviour, 17(1), 49–73. https://doi.org/10.1362/147539218x15333820725128

Khalid, F., Raza, W., Hotchkiss, D. R., et al. (2020). Health services utilization and out-of-pocket (OOP) expenditures in public and private facilities in Pakistan: An empirical analysis of 2013-14 OOP Health Expenditure Survey. https://doi.org/10.21203/rs.3.rs-30500/v1

Kitapci, O., Akdogan, C., & Dortyol, İ. T. (2014). The Impact of Service Quality Dimensions on Patient Satisfaction, Repurchase Intentions and Word-of-Mouth Communication in the Public Healthcare Industry. Procedia - Social and Behavioral Sciences, 148, 161–169. https://doi.org/10.1016/j.sbspro.2014.07.030

Lee, D. (2017). A model for designing healthcare service based on the patient experience. International Journal of Healthcare Management, 12(3), 180–188. https://doi.org/10.1080/20479700.2017.1359956

Lee, D., Hong, K. S., & Kim, N. Y. (2014). Effects of hospital leadership, organizational systems, and ESWOS on medical error reduction. Service Business, 10(1), 159–177. https://doi.org/10.1007/s11628-014-0262-x

López-Mosquera, N., & Sánchez, M. (2014). Cognitive and affective determinants of satisfaction, willingness to pay, and loyalty in suburban parks. Urban Forestry & Urban Greening, 13(2), 375–384. https://doi.org/10.1016/j.ufug.2013.08.007

Mahmood, H., & Rauf, A. (2018). Job Insecurity Affects the Employee Performance with, Mediating Role of Turnover Intention: A Case of Highnoon Pharmaceutical Company Pvt Ltd. International Journal of Trend in Scientific Research and Development, 2(6), 1012–1025. https://doi.org/10.31142/ijtsrd18785

Mahmood, H., Rehman, A. U., Sabir, I., et al. (2022). Restaurant Diners’ Switching Behavior During the COVID-19 Pandemic: Protection Motivation Theory. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.833627

Mahmood, H., Rehman, A. U., Sabir, I., et al. (2023). Does organizational justice facet matters in knowledge hiding? Heliyon, 9(8), e18372. https://doi.org/10.1016/j.heliyon.2023.e18372

Manzoor, F., Wei, L., Hussain, A., et al. (2019). Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator. International Journal of Environmental Research and Public Health, 16(18), 3318. https://doi.org/10.3390/ijerph16183318

Mills, A. (2014). Health Care Systems in Low- and Middle-Income Countries. New England Journal of Medicine, 370(6), 552–557. https://doi.org/10.1056/nejmra1110897

Mntande, K. A., Stiehler-Mulder, B., & Roberts-Lombard, M. (2022). Securing delight and loyalty in a market with low switching costs. European Business Review, 35(1), 1–22. https://doi.org/10.1108/ebr-03-2022-0043

Mrabet, S., Benachenhou, S. M., & Khalil, A. (2022). Measuring the Effect of Healthcare Service Quality Dimensions on Patient’s Satisfaction in The Algerian Private Sector. SocioEconomic Challenges, 6(1), 100-112. https://doi.org/10.21272/sec.6(1).100-112.2022

Muhammad, Q., Eiman, H., Fazal, F., et al. (2023). Healthcare in Pakistan: Navigating Challenges and Building a Brighter Future. Cureus. https://doi.org/10.7759/cureus.40218

Mukamel, D. B., Amin, A., Shi, Y., et al. (2018). Alternatives to Care in Physician Offices: Patients’ Expectations and Satisfaction. Journal of General Internal Medicine, 33(10), 1598–1600. https://doi.org/10.1007/s11606-018-4520-9

Naz, L., Ghimire, U., & Zainab, A. (2021). Behavioral factors associated with utilization of healthcare services among elderly in Pakistan: evidence from a nationally representative survey. BMC Geriatrics, 21(1). https://doi.org/10.1186/s12877-021-02005-3

Novitasari, D. (2022). Hospital Quality Service and Patient Satisfaction: How the Role of Service Excellent and Service Quality? Journal of Information Systems and Management (JISMA), 1(1), 29–36. https://doi.org/10.4444/jisma.v1i1.255

Oh, C.-G., & Park, J. (2020). Insights for Sustainability of Smartphone Business: Understanding Customer Switching Behavior in Smartphone Services. Sustainability, 12(3), 1082. https://doi.org/10.3390/su12031082

Oliver, R. L. (1997). Satisfaction: A behavioral perspective on the consumer. New York: McGraw-Hill.

Olorunniwo, F., Hsu, M. K., & Udo, G. J. (2006). Service quality, customer satisfaction, and behavioral intentions in the service factory. Journal of Services Marketing, 20(1), 59–72. https://doi.org/10.1108/08876040610646581

Ping, R. A. (2003). Antecedents of satisfaction in a marketing channel. Journal of Retailing, 79(4), 237–248. https://doi.org/10.1016/j.jretai.2003.09.001

Quoquab, F., Mohammad, J., Yasin, N. M., et al. (2018). Antecedents of switching intention in the mobile telecommunications industry. Asia Pacific Journal of Marketing and Logistics, 30(4), 1087–1111. https://doi.org/10.1108/apjml-06-2017-0121

Radu, F., Radu, V., Turkeș, M. C., et al. (2021). A research of service quality perceptions and patient satisfaction: Case study of public hospitals in Romania. The International Journal of Health Planning and Management, 37(2), 1018–1048. Portico. https://doi.org/10.1002/hpm.3375

Rahman, M. K., Zainol, N. R., Nawi, N. C., et al. (2023). Halal Healthcare Services: Patients’ Satisfaction and Word of Mouth Lesson from Islamic-Friendly Hospitals. Sustainability, 15(2), 1493. https://doi.org/10.3390/su15021493

Rapport, F., Hibbert, P., Baysari, M., et al. (2019). What do patients really want? An in-depth examination of patient experience in four Australian hospitals. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-3881-z

Rasheed, N., Sabir, R. I., Mahmood, H., et al. (2024). Impact of pro-environmental values on sustainable green apparel buying behavior in Pakistan. Cleaner and Responsible Consumption, 12, 100180. https://doi.org/10.1016/j.clrc.2024.100180

Rauf, A., Mahmood, H., Naveed, R. T., et al. (2024a). Modeling cynicism and organizational design on job performance: Mediation and moderation mechanism. Heliyon, 10(11), e32069. https://doi.org/10.1016/j.heliyon.2024.e32069

Rauf, A., Muhammad, N., Mahmood, H., & Aftab, M. (2024b). Healthcare service quality: a systematic review based on PRISMA guidelines. International Journal of Quality & Reliability Management. https://doi.org/10.1108/IJQRM-12-2023-0403

Reason, J. (2000). Human error: models and management. BMJ, 320(7237), 768–770. https://doi.org/10.1136/bmj.320.7237.768

Salhieh, S. M. (2019). Modeling the rationality of customers’ switching mobile services behavior. International Journal of Engineering Business Management, 11, 184797901986541. https://doi.org/10.1177/1847979019865411

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). https://doi.org/10.1108/ijqrm-06-2014-0074

Shafiq, M., Naeem, M. A., Munawar, Z., et al. (2017). Service Quality Assessment of Hospitals in Asian Context: An Empirical Evidence from Pakistan. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 004695801771466. https://doi.org/10.1177/0046958017714664

Siwicki, B. (2020). Here are the major issues facing healthcare in 2021, according to PwC. himss; state of health care https://www.healthcareitnews.com/news/here-are-major-issues-facing-healthcare-2021-according-pwc.

Statista. (2023). Health Financing-Pkaistan. Available online: https://www.statista.com/outlook/co/health-indicators/health-financing/pakistan (accessed on 2 May 2024).

Tan, C. N.-L., Ojo, A. O., Cheah, J.-H., et al. (2019). Measuring the Influence of Service Quality on Patient Satisfaction in Malaysia. Quality Management Journal, 26(3), 129–143. https://doi.org/10.1080/10686967.2019.1615852

Teixeira, J., Patrício, L., Nunes, N. J., et al. (2012). Customer experience modeling: from customer experience to service design. Journal of Service Management, 23(3), 362–376. https://doi.org/10.1108/09564231211248453

Tiamiyu, T., Quoquab, F., & Mohammad, J. (2020). To switch or not to switch: the role of tourists’ psychological engagement in the context of Airbnb Malaysia. International Journal of Tourism Cities, 6(1), 175–196. https://doi.org/10.1108/ijtc-09-2019-0158

Tresidder, R. (2011). Health and medical tourism. Research Themes for Tourism, 266–275. https://doi.org/10.1079/9781845936846.0266

Willys, N. (2018). Customer Satisfaction, Switching Costs and Customer Loyalty: An Empirical Study on the Mobile Telecommunication Service. American Journal of Industrial and Business Management, 08(04), 1022–1037. https://doi.org/10.4236/ajibm.2018.84070

Yen, Y. X., & Horng, D. J. (2010). Effects of satisfaction, trust and alternative attractiveness on switching intentions in industrial customers. International Journal of Management and Enterprise Development, 8(1), 82. https://doi.org/10.1504/ijmed.2010.029762

Zhang, Q., Cao, M., Zhang, F., et al. (2019). Effects of corporate social responsibility on customer satisfaction and organizational attractiveness: A signaling perspective. Business Ethics: A European Review, 29(1), 20–34. Portico. https://doi.org/10.1111/beer.12243

Zhou, L.-H., Ntoumanis, N., & Thøgersen-Ntoumani, C. (2019). Effects of perceived autonomy support from social agents on motivation and engagement of Chinese primary school students: Psychological need satisfaction as mediator. Contemporary Educational Psychology, 58, 323–330. https://doi.org/10.1016/j.cedpsych.2019.05.001

Zienawi, G., Birhanu, A., Demeke, W., et al. (2019). Patient’s satisfaction and associated factors towards outreach mental health services at health centers Addis Ababa, Ethiopia 2017. Austin Journal of Psychiatry and Behavioral Sciences, 6(1), 1–7.




DOI: https://doi.org/10.24294/jipd.v8i8.6428

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