Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters

<p>Abstract</p> <p>Background</p> <p>Interaction between service provider and customer is the primary core of service businesses of different natures, and the influence of trust on service quality and customer satisfaction could not be ignored in interpersonal-based ser...

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Main Authors: Chang Ching-Sheng, Chen Su-Yueh, Lan Yi-Ting
Format: Article
Language:English
Published: BMC 2013-01-01
Series:BMC Health Services Research
Subjects:
Online Access:http://www.biomedcentral.com/1472-6963/13/22
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author Chang Ching-Sheng
Chen Su-Yueh
Lan Yi-Ting
author_facet Chang Ching-Sheng
Chen Su-Yueh
Lan Yi-Ting
author_sort Chang Ching-Sheng
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Interaction between service provider and customer is the primary core of service businesses of different natures, and the influence of trust on service quality and customer satisfaction could not be ignored in interpersonal-based service encounters. However, lack of existing literature on the correlation between service quality, patient trust, and satisfaction from the prospect of interpersonal-based medical service encounters has created a research gap in previous studies. Therefore, this study attempts to bridge such a gap with an evidence-based practice study.</p> <p>Methods</p> <p>We adopted a cross-sectional design using a questionnaire survey of outpatients in seven medical centers of Taiwan. Three hundred and fifty copies of questionnaire were distributed, and 285 valid copies were retrieved, with a valid response rate of 81.43%. The SPSS 14.0 and AMOS 14.0 (structural equation modeling) statistical software packages were used for analysis. Structural equation modeling clarifies the extent of relationships between variables as well as the chain of cause and effect. Restated, SEM results do not merely show empirical relationships between variables when defining the practical situation. For this reason, SEM was used to test the hypotheses.</p> <p>Results</p> <p>Perception of interpersonal-based medical service encounters positively influences service quality and patient satisfaction. Perception of service quality among patients positively influences their trust. Perception of trust among patients positively influences their satisfaction.</p> <p>Conclusions</p> <p>According to the findings, as interpersonal-based medical service encounters will positively influence service quality and patient satisfaction, and the differences for patients’ perceptions of the professional skill and communication attitude of personnel in interpersonal-based medical service encounters will influence patients’ overall satisfaction in two ways: (A) interpersonal-based medical service encounter directly affects patient satisfaction, which represents a direct effect; and (B) service quality and patient trust are used as intervening variables to affect patient satisfaction, which represents an indirect effect. Due to differences in the scale, resources and costs among medical institutions of different levels, it is a most urgent and concerning issue of how to control customers’ demands and preferences and adopt correct marketing concepts under the circumstances of intense competition in order to satisfy the public and build up a competitive edge for medical institutions.</p>
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spelling doaj.art-6146fd3db5c7401daae964f2ea53f9f12022-12-22T03:06:16ZengBMCBMC Health Services Research1472-69632013-01-011312210.1186/1472-6963-13-22Service quality, trust, and patient satisfaction in interpersonal-based medical service encountersChang Ching-ShengChen Su-YuehLan Yi-Ting<p>Abstract</p> <p>Background</p> <p>Interaction between service provider and customer is the primary core of service businesses of different natures, and the influence of trust on service quality and customer satisfaction could not be ignored in interpersonal-based service encounters. However, lack of existing literature on the correlation between service quality, patient trust, and satisfaction from the prospect of interpersonal-based medical service encounters has created a research gap in previous studies. Therefore, this study attempts to bridge such a gap with an evidence-based practice study.</p> <p>Methods</p> <p>We adopted a cross-sectional design using a questionnaire survey of outpatients in seven medical centers of Taiwan. Three hundred and fifty copies of questionnaire were distributed, and 285 valid copies were retrieved, with a valid response rate of 81.43%. The SPSS 14.0 and AMOS 14.0 (structural equation modeling) statistical software packages were used for analysis. Structural equation modeling clarifies the extent of relationships between variables as well as the chain of cause and effect. Restated, SEM results do not merely show empirical relationships between variables when defining the practical situation. For this reason, SEM was used to test the hypotheses.</p> <p>Results</p> <p>Perception of interpersonal-based medical service encounters positively influences service quality and patient satisfaction. Perception of service quality among patients positively influences their trust. Perception of trust among patients positively influences their satisfaction.</p> <p>Conclusions</p> <p>According to the findings, as interpersonal-based medical service encounters will positively influence service quality and patient satisfaction, and the differences for patients’ perceptions of the professional skill and communication attitude of personnel in interpersonal-based medical service encounters will influence patients’ overall satisfaction in two ways: (A) interpersonal-based medical service encounter directly affects patient satisfaction, which represents a direct effect; and (B) service quality and patient trust are used as intervening variables to affect patient satisfaction, which represents an indirect effect. Due to differences in the scale, resources and costs among medical institutions of different levels, it is a most urgent and concerning issue of how to control customers’ demands and preferences and adopt correct marketing concepts under the circumstances of intense competition in order to satisfy the public and build up a competitive edge for medical institutions.</p>http://www.biomedcentral.com/1472-6963/13/22Interpersonal-based medical service encountersService qualityPatient trustPatient satisfactionStructural equation modeling (SEM)
spellingShingle Chang Ching-Sheng
Chen Su-Yueh
Lan Yi-Ting
Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters
BMC Health Services Research
Interpersonal-based medical service encounters
Service quality
Patient trust
Patient satisfaction
Structural equation modeling (SEM)
title Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters
title_full Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters
title_fullStr Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters
title_full_unstemmed Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters
title_short Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters
title_sort service quality trust and patient satisfaction in interpersonal based medical service encounters
topic Interpersonal-based medical service encounters
Service quality
Patient trust
Patient satisfaction
Structural equation modeling (SEM)
url http://www.biomedcentral.com/1472-6963/13/22
work_keys_str_mv AT changchingsheng servicequalitytrustandpatientsatisfactionininterpersonalbasedmedicalserviceencounters
AT chensuyueh servicequalitytrustandpatientsatisfactionininterpersonalbasedmedicalserviceencounters
AT lanyiting servicequalitytrustandpatientsatisfactionininterpersonalbasedmedicalserviceencounters