The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health Sector

Background: Nowadays, health organizations seek to bring innovations to their services to stand out in competition with their rivals by improving service quality (SQ), encouraging patients to always make the same organizational choices, and enhance the behavior of patient citizenship. Objective: Thi...

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Main Authors: Saime Ulucayli, Kemal Cek, Adile Oniz
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/3/370
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author Saime Ulucayli
Kemal Cek
Adile Oniz
author_facet Saime Ulucayli
Kemal Cek
Adile Oniz
author_sort Saime Ulucayli
collection DOAJ
description Background: Nowadays, health organizations seek to bring innovations to their services to stand out in competition with their rivals by improving service quality (SQ), encouraging patients to always make the same organizational choices, and enhance the behavior of patient citizenship. Objective: This study aims to determine the mediating role of patient satisfaction (PS), patient loyalty (PL), and employee responsiveness (ER) between the service quality and patient citizenship behaviors (PCB). Methods: In order to test the proposed hypotheses, quantitative research methods were utilized; cross-sectional data was collected using scales between December 2021 and March 2022. Results were obtained from 422 participants. The data were analyzed using descriptive statistics, correlation, confirmatory factor analysis, and structural equation modeling methods, using AMOS 21. Results: SQ was found to have a significant and positive effect on PL, PS, and ER. PL, PS, and ER were found to have a significant and positive effect on PCB. The indirect effect of SQ on PCB was found to be positive. Discussion: The findings demonstrate that SQ does not directly affect or create PCB, but it is affected by the mediators in order to create PCB via satisfaction, loyalty, and employee responsiveness.
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spelling doaj.art-b012a911360040418f62be0532d810d82023-11-16T16:44:21ZengMDPI AGHealthcare2227-90322023-01-0111337010.3390/healthcare11030370The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health SectorSaime Ulucayli0Kemal Cek1Adile Oniz2Faculty of Health Sciences, Department of Healthcare Organizations Management, Near East University, via Nicosia 99138, TurkeyFaculty of Economics and Administrative Sciences, Department of Accounting and Finance, Cyprus International University, via Nicosia 99258, TurkeyFaculty of Health Sciences, Department of Healthcare Organizations Management, Near East University, via Nicosia 99138, TurkeyBackground: Nowadays, health organizations seek to bring innovations to their services to stand out in competition with their rivals by improving service quality (SQ), encouraging patients to always make the same organizational choices, and enhance the behavior of patient citizenship. Objective: This study aims to determine the mediating role of patient satisfaction (PS), patient loyalty (PL), and employee responsiveness (ER) between the service quality and patient citizenship behaviors (PCB). Methods: In order to test the proposed hypotheses, quantitative research methods were utilized; cross-sectional data was collected using scales between December 2021 and March 2022. Results were obtained from 422 participants. The data were analyzed using descriptive statistics, correlation, confirmatory factor analysis, and structural equation modeling methods, using AMOS 21. Results: SQ was found to have a significant and positive effect on PL, PS, and ER. PL, PS, and ER were found to have a significant and positive effect on PCB. The indirect effect of SQ on PCB was found to be positive. Discussion: The findings demonstrate that SQ does not directly affect or create PCB, but it is affected by the mediators in order to create PCB via satisfaction, loyalty, and employee responsiveness.https://www.mdpi.com/2227-9032/11/3/370service qualitypatient satisfactionpatient loyaltyemployee responsivenesspatient citizenship behavior
spellingShingle Saime Ulucayli
Kemal Cek
Adile Oniz
The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health Sector
Healthcare
service quality
patient satisfaction
patient loyalty
employee responsiveness
patient citizenship behavior
title The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health Sector
title_full The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health Sector
title_fullStr The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health Sector
title_full_unstemmed The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health Sector
title_short The Effect of Service Quality on Patient Citizenship Behaviors: Evidence from the Health Sector
title_sort effect of service quality on patient citizenship behaviors evidence from the health sector
topic service quality
patient satisfaction
patient loyalty
employee responsiveness
patient citizenship behavior
url https://www.mdpi.com/2227-9032/11/3/370
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