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The Effects of Quality of Care, Image, Role Performance Perceived by Community Residents on Medical Service Satisfaction to Public Hospitals

지역주민이 인지하는 의료의 질, 이미지, 역할수행이 공공병원 서비스 만족도에 미치는 영향

  • Hwang, Eun Jeong (Department of Nursing, Cheju Halla University) ;
  • Moon, Jungjoo (Center for Public Health, National Medical Center) ;
  • Sim, In Ok (Red Cross College of Nursing, Chung-Ang University)
  • 황은정 (제주한라대학교 간호학과) ;
  • 문정주 (국립중앙의료원 공공보건의료지원센터) ;
  • 심인옥 (중앙대학교 적십자간호대학)
  • Received : 2013.11.18
  • Accepted : 2014.06.20
  • Published : 2014.06.30

Abstract

Background: This study aims to explore the effects of quality of care, image, and role performance perceived by community residents on medical service satisfaction to public hospitals. Methods: The subjects of this study were selected in the community residents around 39 district public hospitals. The questionnaire were included 4 factors and 16 items. The data were collected utilizing call-interview by a survey company. Results: The community satisfaction was positively correlated with quality of care, image, and role performance of public hospitals (p<0.001). As the results of multiple logistic regression, the significant variables of community satisfaction were quality of care (odds ratio [OR], 1.353; 95% confidence interval [CI], 1.211 to 1.511), image (OR, 1.487; 95% CI, 1.280 to 1.727), role performance (OR, 1.240; 95% CI, 1.085 to 1.416) among subjects having use experience of public hospitals. The significant variables of community satisfaction were quality of care (OR, 1.240; 95% CI, 1.175 to 1.309), image (OR, 1.328; 95% CI, 1.232 to 1.432), age (OR, 3.051; 95% CI, 1.385 to 6.724), monthly incomes (OR, 0.420; 95% CI, 0.198 to 0.892) among subjects not-having use experience of public hospitals. Conclusion: Public hospitals have to effort to improve image and satisfaction of community through providing quality of care, and role performance. It is possible to support them by the central and local government.

Keywords

References

  1. Ministry of Health and Welfare, Center for Public Health. The 3rd public health services plan (2011-2015): evaluation of 2011 public health plan and results. Seoul: Ministry of Health and Welfare, Center for Public Health; 2012.
  2. Organization for Economic Cooperation and Development. Health data 2012. Paris: Organization for Economic Cooperation and Development; 2012.
  3. Korea Health Industry Development Institute. Methods to develop the functions of public health. Seoul: Korea Health Industry Development Institute; 2001.
  4. Ministry of Government Legislation. Public Health Act [Internet]. Seoul: Ministry of Government Legislation; 2013 [cited 2013 Nov 12]. Available from: http://www.law.go.kr/main.html.
  5. Jung SW, Seo YJ, Lee HJ, Lee KJ. Determinants of patient satisfaction and intent to revisit at national university hospitals in Korea. J Korea Soc Hosp Admin 2005;10(2):1-25.
  6. Lee GY, Kim Y. Evaluation of effective management of province public hospitals. Korean Soc Public Admin 2008;9(1):193-212.
  7. Korea Health Industry Development Institute. Establishment of management strategy and feasibility study of construction of district hospital. Seoul: Korea Health Industry Development Institute; 2008.
  8. Chung KS, Sim MB. Analysis of quality of life and satisfaction of community population in local government utilizing statistic methods. J Korean Land Admin Acad 2006;13(1):111-144.
  9. Gooding SK. An assessment of the relationship between service quality and customer satisfaction in the formation of consumers purchase intention. J Retail 1995;70(2):163-178. https://doi.org/10.1016/0022-4359(94)90013-2
  10. Kim JH, Lee IS. The differences in quality perceptions, expectation, evaluation, and satisfaction for nursing service between patients and nurses: small-medium sized general hospitals. J Korean Acad Nurs 2004;34(7): 1243-1254. https://doi.org/10.4040/jkan.2004.34.7.1243
  11. Kim YK, Cho CH. A study on medical service quality affecting value of care and patient satisfaction. Korean J Health Policy Admin 2006;16(1): 117-139. https://doi.org/10.4332/KJHPA.2006.16.1.117
  12. Ji KJ, Park CM, Lee JY. Effect on perceived value, satisfaction, reuse intention of perceived quality of care by patients. Korea Health Stud 2011; 37(2):41-56.
  13. Kim JH, Ji KJ, Park CM. Impact of medical service quality by attribute on overall satisfaction: focused on out-patient and in-patient in high-level general hospital. J Korea Soc Hosp Admin 2013;18(1):18-41.
  14. Wang MS, Lim NY, Jeong HC. The patient satisfaction of medical services and the revisiting intention in a public hospital. J Korea Acad-Ind Coop Soc 2013;14(12):6275-6283. https://doi.org/10.5762/KAIS.2013.14.12.6275
  15. Park JS. The causal relationship of health service quality, satisfaction, intention to revisit and intention to recommend perceived by health center visitors. Korean J Health Policy Admin 2005;15(3):60-78. https://doi.org/10.4332/KJHPA.2005.15.3.060
  16. Oliver RL. A cognitive model of antecedents and consequences of satisfaction decisions. J Market Res 1980;17:460-469. https://doi.org/10.2307/3150499
  17. Tse DK, Peter C, Wilton PC. Models of consumer satisfaction formation: an Extension. J Market Res 1988;25:204-212. https://doi.org/10.2307/3172652
  18. Parasuraman A, Berry LL, Zeithaml VA. SERVQUAL: a multiple-item scale for measuring consumer perception of service quality. J Retail 1988; 64(1):12-40.
  19. Woodside AG, Frey LL, Daly RT. Linking service quality, customer satisfaction, and behavioral intention. J Health Care Mark 1989;9(4):5-17.
  20. Bopp KD. How patients evaluate the quality of ambulatory medical encounters: a marketing perspective. J Health Care Mark 1990;10(1):6-15.
  21. Reidenbach RE, Sandifer-Smallwood B. Exploring perceptions of hospital operations by a modified SERVQUAL approach. J Health Care Mark 1990;10(4):47-55.
  22. Gronroos CA. Service quality model and its marketing implications. Eur J Market 1984;18(4):36-44. https://doi.org/10.1108/EUM0000000004784
  23. Marton K, Boddewyn JJ. Should a corporation keep a low profile? J Advert Res 1978;18(4):25-31.
  24. Kim KY, Kim JY. Effects of oriental medical tourism packages images and recognition on purchase intention of consumers. Korea J Tour Hosp Res 2013;27(3):5-20.
  25. Koo JY, Yu SH, Lee HJ, Sohn TY. A comparison of the recognition and satisfaction for health care service between internal customer and external customer. Korean J Health Policy Admin 2000;10(1):111-125.
  26. Jeong HS, Lee KH. Efficiency of public hospitals and their social role. Korean J Health Policy Admin 1996;6(2):1-13.
  27. Lee JW, Kim KH. A study on the relationship between the name awareness of public medical institutions and patients' intent to revisit. J Digit Policy Manag 2013;11(7):271-279.
  28. Ministry of Health and Welfare, National Medical Center. 2011 Public hospital evaluation programme: survey report. Seoul: Ministry of Health and Welfare; 2011.
  29. Lee SY. Analysis of hospital selection and satisfaction to establishing strategies of nursing marketing [dissertation]. Seoul: Hanyang University; 1998.
  30. Cho WH, Lee SH, Lee HJ, Chun JH. Medical service marketing. Seoul: Taeseoldang; 1999.
  31. Ministry of Health and Welfare, National Medical Center. 2010 Public hospital evaluation programme: survey report. Seoul: Ministry of Health and Welfare; 2011.
  32. Korea Health Industry Development Institute. A study on improvement of public function and effective management of district public hospitals. Seoul: Korea Health Industry Development Institute; 2006.
  33. Ministry of Health, Welfare & Family. 2009 Public hospital evaluation programme: survey report. Seoul: Ministry of Health, Welfare & Family; 2009.
  34. Choe H. The relationship between organizational characteristics and patient's satisfaction in public hospitals. Market Manag Res 2004;9(2):135-155.
  35. Downs RM, Stea D. Image and environment: cognitive mapping and spatial behavior. Chicago: Aldine Publishing Co.; 1973.
  36. Park JY, Han SH. Comparative analysis on patient satisfaction level of public/private hospitals in a local city. Korean Public Health Res 2006; 32(1):41-52.
  37. Lee HS. The impact of hospital selection factors between internal and external customers on hospital image. Korean J Health Policy Admin 2013; 23(3):281-288. https://doi.org/10.4332/KJHPA.2013.23.3.281
  38. Lim HY, Hwang IK, Suh WS. Structural relationship among service value, brand image, and patients revisits in regional public hospitals in Korea. J Contents 2010;10(11):304-317.
  39. Keller KL. Conceptualizing, measuring, and managing customer-based brand equity. J Market 1993;57:1-22.
  40. Lee MH. Revision of indicators and survey methods of customers' satisfaction in public institutions. National Assembly Budget Special Committee. Seoul: National Assembly; 2012.

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