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The Modifying Effect of Switching Barriers in Customer Loyalties in Medical Services

의료서비스에서 고객충성도에 대한 전환장벽의 조절효과 분석

  • Lee, Sun-Hee (Department of Preventive Medicine, School of Medicine, Ewha Womans University) ;
  • Kim, Hyun-Mi (Department of Medicine, Graduate School of Ewha Women University) ;
  • Chae, Yoo-Mi (Department of Occupational Medicine, Dankook University Hospital)
  • 이선희 (이화여자대학교 의학전문대학원 예방의학교실) ;
  • 김현미 (이화여자대학교 대학원 의학과) ;
  • 채유미 (단국대병원 산업의학과)
  • Published : 2007.09.30

Abstract

This study was performed to explore the effect of customer satisfaction and switching barriers on customer royalties in medical services. 900 households, 1% sample were randomly selected from K city located in Kangwon province. Interview survey was performed with structured questionnaire for the entire people, 923 persons who experienced medical service utilization during one year before survey on time, september, 2002. In comparison of switching barriers by sociodemographic characteristics, lower income group and lower educated group showed the higher level of recognition level on availability of changing the service provider significantly. In terms of economic loss as one of switching barriers, the group of over aged 61, the lower income group and the lower educated group felt higher than other groups. Also, the time loss of switching barrier was recognized in 41-60 aged group and employee in service industry highly. For the perceived risk factor as another switching barrier, the high educated group showed the higher recognition level in performance risk and felt higher social risk than other groups. In analysis of customer satisfaction and loyalty levels by switching barrier components, the lower level of availability of changing the service provider and the higher level of recognition for economic and time loss, they showed the higher satisfaction and loyalty levels. In final step, multiple regression analysis showed the positive relationship between customer satisfaction, switching barrier and customer loyalties. Besides, the moderating effect of switching barrier in relationship between customer satisfaction and loyalties was significant and this results suggests that the influence of customer satisfaction to customer loyalties might be weakened in high level of recognition for switching barrier. In conclusion, perceived risk of economic and time loss as switching barrier is an important factor and should be considered in planning of marketing strategy carefully in terms of defensive marketing.

Keywords

References

  1. 강희숙. 지방 독점백화점 고객들의 전환행동에 관한 연구. 마케팅과학연구 2003;12:1-32
  2. 고재건. 의료서비스 품질의 결정요인과 추천의도에 관한 연구. 고객만족경영연구 2001;3(2):111-34
  3. 김상현,오상현. 고객만족과 재구매의도간 관계에서 전환장벽의 조절효과. 고객만족경영연구 2001;3(2):47-72
  4. 김종호,이승희. 점포이미지,고객만족 및 전환장벽이 점포충성도에 미치는 영향. 대한경영학회지 2003;11:1831-47
  5. 나현석. 외식산업의 서비스품질,고객만족,점포이미지,전환장벽 그리고 점포애호도간의 구조적 관계[석사학위 논문]. 강원: 강원대학교 대학원; 2004
  6. 박노천. 이동통신 서비스 품질,고객만족과 전환장벽이 고객충성도에 미치는 영향에 관한 연구[박사학위 논문]. 전북: 전주대학교 대학원; 2003
  7. 박재산. 병원입원환자가 인지하는 의료서비스 질,만족도,서비스가치,병원 재이용 의사간의 인과관계분석, 병원경영학회지 2002;7(4):123-51
  8. 박진영,신도길. 항공사 속성의 지각이 고객만족과 고객충성도에 미치는 영향에 관한 연구. 관광연구 1999;14:287-306
  9. 설동원. 환자가 인지하는 의료의 질이 병원재선택 의사결정에 미치는 영향[석사학위논문]. 서울: 연세대학교 대학원; 1996
  10. 설동원,유승흠,박은철,김은석. 입원환자의 재선택 의향과 결정요인. 병원경영학회지 1997;2(1):65-79
  11. 유봉상. 의료서비스 이용요인에 관한 연구[석사학위 논문]. 전북: 전북대학교 대학원; 2005
  12. 이명식,전희정. 서비스마케팅에서 충성도 제고에 영향을 미치는 요인들에 관한 실증적 연구. 소비문화연구 1998;1(1):117-42
  13. 이문규. 서비스 충성도의 결정요인에 판한 연구. 마케팅연구 1999;14(1):21-45
  14. 이선희,이혜진,정상혁. 의료서비스에 대한 고객충성도 관련요인 분석. 보건행정학회지 2005;15(2):37-52
  15. 이용기. 고객접점 종업원의 친사회적 행위에 대한 고객지각이 종업원 서비스 품질평가,고객만족과 고객의 자발적 행위에 미치는 영향. 한국마케팅학회 마케팅연구 2001;16(3):110
  16. 전인수. 전환장벽,모방장벽 및 지속적 경쟁우위. 경영연구 1992;(16):135-52
  17. 조광행. 호텔업에서의 고객충성도 결정요인에 관한 연구. 관광학연구 1999a;22(3):134-56
  18. 조광행,박봉규. 점포충성도에 대한 전환장벽과 고객만족의 영향력에 관한 실증적 연구. 경영학연구 1999b;28(1):127-49
  19. 조광행,임채운. 고객만족 및 전환장벽이 점포 애호도에 미치는 효과에 관한 연구. 마케팅연구 1999;14(1):1-28
  20. 조윤성. 병원서비스 구매의도에 대한 영향요인[박사학위 논문]. 서울: 광운대학교 대학원; 1999
  21. 최귀선,조우현,이선희,남정모. 환자가 인지하는 의료의 질과 만족도,서비스 가치,재이용 의사의 구조분석. 예방의학회지 2000;33(4):426-35
  22. 한금옥. 입원환자의 서비스만족도와 병원재선택 의사와의 관련성[석사학위 논문]. 서울: 연세대학교 대학원; 1995
  23. 한상린,맹아름. 이동통신 상품의 서비스 전환장벽 변화가 고객유지와 고객이탈에 미치는 영향 상품학연구 2005;23(1):89-104
  24. Anderson EW,Sullivan MW. The antecedents and consequence of customer satisfaction for firms. Marketing Science 1993;12(1):125-26 https://doi.org/10.1287/mksc.12.2.125
  25. Dowling GR,Staelin R. A model of perceived risk and intended risk-handling activity. Journal of Consumer Research 1994; 12:119-34
  26. Fornell C. A national customer satisfaction barometer: the swedish expenence. J of Marketing 1992;56(1):6-21 https://doi.org/10.2307/1252129
  27. Ganesan S. Determinants of long-term orientation in buyer-seller relationship. Journal of Marketing 1994;58
  28. Gremler, DD. The effect of satisfaction, switching costs, and interpersonal bonds on service loyalty [doctorial dissertation]. Arizona state University; 1995
  29. Harrison T. Financial Services Marketing. Prentice Hall 2000
  30. Hellier PK. Discovering the major factors influencing customer retention In service industries. Asia Pacific Journal of Quality Management 1995;4(2):62-65
  31. Jones TO, Sasser WE Jr. Why satisfied customer defect. Harvard Business Review. 1995:88-99
  32. Jones, M. A., Mothersbaugh, D. L. and Beatty, S. E. 'Why costumer stays: measuring the underlying dimensions of services switching costs and managing their differential strategic outcome,' Journal of Business Research 2002;55:441-450 https://doi.org/10.1016/S0148-2963(00)00168-5
  33. Kaplan L, George JS, Jacob J. Component of perceived risk in product purchase: a cross-validation. Journal of Applied Psychology 1974;59:287-91 https://doi.org/10.1037/h0036657
  34. Lele MM, Sheth JN. The Customer is Key: Gaining an Unbeatable Advantage Through Customer Satisfaction, New York: John Wiley & Sons, Inc 1991
  35. Ping RA Jr. The effects of satisfaction and structural constraints on retailer exiting, voice, loyalty, opportunism and neglect. Journal of Retailing 1993;69(3):320-52 https://doi.org/10.1016/0022-4359(93)90010-G
  36. Roselius T. Consumer ranking of risk reduction methods. Journal of Marketing 1971;35:56-61
  37. Rust RT, Zahorik AJ. Customer satisfaction, customer retention, and market share. Journal of Retailing 1993;69
  38. Sandvik, K. and Duhan, D. :The effects of performance on brand reputation, satisfaction and royalty,' in The 25th EMAC Conference, Budapest 14th-17th May 1996:983-999
  39. Snyder DR. 'Service loyalty and its measurement: a preliminary investigation', in creativity in services marketing: what's new, what's works, what's developing, M. Venkatesan, Diane M. Schmalensee, and claudia marshalleds., Chicago, IL: American Marketing Association, 1986:44-48
  40. Zeithml VA. Consumer perception of price, quality and value: A means-end model and synthesis of evidence. Journal of Marketing 1988;52:2-21 https://doi.org/10.2307/1251446

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