Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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Structural Causal Relationships among Service Image, Service Satisfaction, Emotional Commitment and Customer Loyalty in Hospitals: Moderating Effects of Relationship Proneness

병원의 서비스이미지, 서비스만족, 감정적 몰입 및 고객충성도 간 구조적 인과관계: 관계성향의 조절효과

  • Received : 2017.10.19
  • Accepted : 2018.03.12
  • Published : 2018.03.31
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Abstract

The purpose of this study is to examine the structural causal relationships between service image, service satisfaction, affective commitment, and customer loyalty to customers who have experienced hospital medical services, and to identifies the mediating effect of relationship proneness in explaining the effects of service image, service satisfaction, and affectivel commitment on customer loyalty. For this study, 250 respondents were surveyed and data were analyzed using SPSS 21.0 and AMOS 20.0 statistical package. Statistical analysis tools, such as SPSS 21.0 and AMOS 20.0 were utilized for ensuring the validity and the reliability, whereas the SEM method was used for testing the research hypothesis. The results of study are as follows. Service image had significant influence on service satisfaction and emotional commitment. First, Service satisfaction was significant for emotional commitment and customer loyalty, and emotional commitment had a significant effect on customer loyalty. Therefore, the path relations between variables were all statistically significant. Second, there was differences the moderating effect of the relationship proneness in the effects of service satisfaction, service image and affective commitment on customer loyalty. In other words, the moderating effect of the relationship tendency was consistent with the research hypothesis and the adjustment effect was significant in the relationship between service satisfaction and customer loyalty. However, there was no control effect in relation to service image and customer loyalty and affective commitment and customer loyalty. Therefore, In order to secure long-term and stable profits by establishing a relationship with their customers, the medical service marketing strategies of hospitals should be promoted to enhance customer loyalty by raising the level of service satisfaction to high relationship proneness group and by raising the the level of affective commitment to low relationship proneness group.

Keywords

References

  1. Kemp E, Fillapalli R, Becera E. Healthcare branding: developing emotionally based consumer brand relationships. Journal of Service Marketing. 2014;28(2):126-137. https://doi.org/10.1108/JSM-08-2012-0157
  2. Javalgi RG, Joseph WB, Gombeski Jr WR. Positioning your service to target key buying influences: the case of referring physicians and hospitals. Journal of Service Marketing. 1995;9(5):42-52. https://doi.org/10.1108/08876049510100308
  3. Blomer J, de Ruyter K. On the relationship between store image, store satisfaction, store loyalty. European Journal of Marketing. 1998;32(5/6):499-513. https://doi.org/10.1108/03090569810216118
  4. Minkiewicz J, Evans J, Bridson K, Mavando F. Corporate image in the leisure services sector. Journal of Service Marketing. 2011;25(3):190-201. https://doi.org/10.1108/08876041111129173
  5. Ogba I, Tan Z. Exploring the impact of brand image on customer loyalty and commitment in china. Journal of Technology Management in China. 2009;4(2):132-144. https://doi.org/10.1108/17468770910964993
  6. Cater B, Zabkar V. Antecedents and consequences of commitment in marketing research services: the client's perspective. Industrial Marketing Management, 2009;38:785-797. https://doi.org/10.1016/j.indmarman.2007.10.004
  7. Beatson A, Coote LV, Rudd JM. Determining consumer satisfaction and commitment through self-service technology and personal service usage. Journal of Marketing Management. 2006;22(7):853-882. https://doi.org/10.1362/026725706778612121
  8. Bowen JT, Shoemaker S. Loyalty: A strategic commitment. Cornell hotel and restaurant administration quarterly. 2003;44(5-6)31-46. https://doi.org/10.1177/001088040304400505
  9. Cater B, Zabkar V. Antecedents and consequences of commitment in marketing research services: The client's perspective. Industrial Marketing Management. 2009;38(7):785-797. https://doi.org/10.1016/j.indmarman.2007.10.004
  10. Bloemer J, Schroder GO. The psychological antecedents of enduring customer relationships: an empirical study in a bank setting. Journal of Relationship Marketing. 2007;6(1):21-43. https://doi.org/10.1300/J366v06n01_03
  11. Orth UR, Green MT. Consumer loyalty to family versus non-family buiness: the role of store image, trust and satisfaction. Journal of Retailing and Consumer Services. 2009;16:248-259. https://doi.org/10.1016/j.jretconser.2008.12.002
  12. Abrudan I, Plaias I, Dabija D.(2015), The relationship among image, satisfaction and loyalty-innovative factors of competitiveness for shopping centers. Amfiteatru Economic. 2015;17(39): 536-552.
  13. Gwinner KP, Gremler DD, Bitner MJ. Relational benefits in services industries: the consumer's perspective. Journal of the Academy of Marketing Science. 1998;26(2):101-114. https://doi.org/10.1177/0092070398262002
  14. Marinkovic V, Oradovic V. Customer's emotional reactions in the banking industry. International Journal of Bank Marketing. 2015;33(3):243-260. https://doi.org/10.1108/IJBM-09-2013-0107
  15. Andreassen TW, Linstad B. Customer loyalty and complex services: the impact of corporate image on quality, customer satisfaction and loyalty for customers with varying degrees of service expertise. International Journal of Service Industry Management. 1998;9(1):7-23. https://doi.org/10.1108/09564239810199923
  16. Barich HP, Kotler P.(1991), A framework for marketing image management. Sloan Management Review. 1991;32(2):94-104.
  17. Oliver RL. Whence consumer loyalty?. the Journal of Marketing. 1999;33-44.
  18. Leo PL, Philippe J. Retail centres: location and consumer's satisfaction. The Service Industries Journal. 2002;22(1):122-146. https://doi.org/10.1080/714005055
  19. Abrudan IN. Determunants of shopping centers image for romanian consumers. Marketing-from Information to Decision. 2012;5;11-30.
  20. Anderson EW. Customer satisfaction and price tolerance. Marketing letters. 1996;7(3):265-274. https://doi.org/10.1007/BF00435742
  21. Bitner MJ, Hubbert AR. Encounter satisfaction versus overall satisfaction versus quality. Service quality: New directions in theory and practice. 1994;34:72-94.
  22. Morgan RM, Hunt SD. The commitment-trust theory of relationship marketing. Journal of Marketing. 1994;58(2):20-38. https://doi.org/10.1177/002224299405800202
  23. Reichheld FF. The Loyalty Effect. Harvard Business School Press. Boston MA. 1996.
  24. Tones T, Fox GL .Taylor SF, Fabridgar LR. Service customer commitment and response. Journal of Service Marketing. 2006;24(1):16-28. https://doi.org/10.1108/08876041011017862
  25. Evanschitzky H, Iyer GR, Plassmann H, Niessing J, Meffert H. The relative strength of affective commitment in securing loyalty in service relationships. Journal of Business Research. 2006;59:1207-1213. https://doi.org/10.1016/j.jbusres.2006.08.005
  26. Venetis KA, Ghauri PN. Service quality and customer retention: building long-term relationships. European Journal of Marketing. 2004;38(11/12):1577-1598. https://doi.org/10.1108/03090560410560254
  27. de Wulf K, Oderkerken-Schroder G, Iacobucci D. Investments in consumer relationships: a crosscountry and cross-industry exploration. Journal of Marketing, 2001;65:33-50. https://doi.org/10.1509/jmkg.65.4.33.18386
  28. Jacoby J, Chestnut RW. Brand Loyalty: Measurement and Management, New York, NY: John Wiley and Sons Inc. 1978.
  29. Zeithaml VA, Berry LL, Parasuraman A. The behavioral consequences of service quality. Journal of Marketing. 1996;60:31-46. https://doi.org/10.2307/1251886
  30. Reynolds KE, Beatty SE. Consumer benefits and company consequences of customer-salesperson relationships in retailing. Journal of Retailing. 1999;75(1):11-33. https://doi.org/10.1016/S0022-4359(99)80002-5
  31. Burt S, Johnson U, Thelander A. Retail image as seen through consumers' eyes: studying international retail image through consumer photographs of stores. International Review of Retail, Distribution and Consumer Research. 2007;17(5):447-467. https://doi.org/10.1080/09593960701631516
  32. Champion JC, Hurt T. The effect of retail store image on students perceptions of merchandise quality and willingness to buy. American Journal of Business research. 2010;3(1):17-32.
  33. Chun R, Davies G. The influence of corporate character on customers and employees: exploring similiarities and differences. Journal of Academy of Marketing Science. 2006;34(2):138-146. https://doi.org/10.1177/0092070305284975
  34. Helgesen O, Nesset N.(2007), Images, satisfaction and antecedents: drivers of student loyalty? a case study of a norwegian university college. Corporate Reputation Review. 2007;10(1):38-59. https://doi.org/10.1057/palgrave.crr.1550037
  35. Oliver R. A cognitive model of the antecedents and consequences of satisfaction decisions. Journal of Marketing Research. 1980;17(4):460-469. https://doi.org/10.1177/002224378001700405
  36. Hwang B, Park S, Kim B, Choi C. Consumer behavior understanding and application. DKbook Publishing. 2012.
  37. Sharma N, Young I, Wilkison I.(2006), The commitment mix: dimensions of commitment in international trading relationships in india. Journal of International Marketing. 2006;14(3):64-91. https://doi.org/10.1509/jimk.14.3.64
  38. Fullerton G. When does commitment lead to loyalty ?. Journal of Service Research. 2003;5(4):333-344. https://doi.org/10.1177/1094670503005004005
  39. Fournier S. Consumers and their brands: developing relationship theory in consumer research. Journal of Consumer Research. 1998;24:343-373. https://doi.org/10.1086/209515
  40. Choi K, Lee H, Kim C, Lee S. The service quality dimensions and patient satisfaction relationships in south korea: comparisons across gender, age and types of service. Journal of Service marketing. 2005;19(3):140-149. https://doi.org/10.1108/08876040510596812
  41. Calnan M. Towards a conceptual framework of lay evaluation of health care. Social science & medicine. 1988;27(9):927-933. https://doi.org/10.1016/0277-9536(88)90283-3
  42. Osman MZ. A conceptual model of retail image influences on loyalty patronage behavior. The International Review of Retail. Distribution and Consumer Research. 1993;31:149-166.
  43. Petzer DJ, de Meyer CF, Svari S, Svesson G. Service receivers' negative emotions in airline and hospital service settings. Journal of Service Marketing. 2012;26(7):484-496. https://doi.org/10.1108/08876041211266413
  44. LeBlanc G, Nguyen N. Cues used by customers evaluating corporate image in service firms. International Journal of Service Industry Management. 1996;7(2):44-56. https://doi.org/10.1108/09564239610113460