DOI QR코드

DOI QR Code

Relationship among e-Service Quality, Relationship Quality, and e-Loyalty of Small Medical Clinic

소형병원의 e-서비스품질, 관계의 질, e-충성도의 영향관계

  • Received : 2021.05.03
  • Accepted : 2021.06.28
  • Published : 2021.06.30

Abstract

The spread of the COVID-19 pandemic has been increasing non-face-to-face activities; as a result, this has resulted in the number of individuals obtaining medical information from the websites and mobile contents of medical institutions increasing. The study conducted the structural equation modeling to test hypotheses; as a result, all sub-factors of e-service quality of small medical clinic websites and mobile contents, usability, security, responsiveness, design, and information, had a significant positive effect on relationship quality, and relationship quality had a significant positive effect on e-Loyalty. Moreover, the structural equation model showed a good model fit, χ2/df of 2.021, NFI of .954, TLI of .969, CFI of .976, RMSEA of .046. Future research is suggested to study relationship quality by developing a system able to quickly and accurately respond to websites and mobile contents users; furthermore, improving e-service quality and relationship quality is likely to strengthen e-loyalty.

코로나19 확산으로 개인의 비대면 활동이 증가함에 따라 의료정보를 얻기 위해 의료기관 웹사이트와 모바일 콘텐츠 활용이 증가하고 있다. 본 연구에서 제시한 가설들을 검정하기 위해 구조방정식 분석을 실시한 결과, 소형병원 웹사이트와 모바일 콘텐츠의 e-서비스품질의 모든 하위 요인들인 이용편리성, 보안성, 반응성, 디자인성, 의료정보제공성 요인은 관계의 질에 유의한 영향을 미치고 있었으며, 관계의 질은 e-충성도에 유의한 영향을 미치고 있었다. 또한, 구조모형의 적합도는 χ2/df=2.021, NFI=.954, TLI=.969, CFI=.976, RMSEA=.046으로 모두 기준치를 상회하였다. 이와 같은 가설검정 결과를 통해 소형병원들은 웹사이트와 모바일 콘텐츠 운영에 있어 사용자들에게 빠르고 정확한 응답을 할 수 있는 시스템 개발을 통해 이용자들과의 관계의 질을 향상시키며, 또한 e-서비스품질과 관계의 질 향상을 통해 e-충성도를 향상시킬 필요가 있다. 향후 연구에서는 소형병원 이외에 대형병원에 대한 실증연구를 통해 비대면 의료정보 탐색에 대한 e-서비스품질을 더 명확히 측정할 수 있는 요인 및 측정변수 개발이 필요할 것이다.

Keywords

References

  1. J. Y. Kim, K. I. Lee, "Advantages and Necessities of Telehealth Care Service", The Korean Journal of Medicine, Vol.95, No.4, pp.217-227, (2020). https://doi.org/10.3904/kjm.2020.95.4.217
  2. K. H. Baek, "A Study on Telemedicine in the United States-Focusing on Implications for Countermeasures about COVID-19", Kyungbuk National University Law Journal, Vol.70, pp.363-386, (2020).
  3. K. B. Kim, K. H. Han, "A Study of the Digital Healthcare Industry in the Fourth Industrial Revolution", Journal of Convergence for Information Technology, Vol.10, No.3, pp.7-15 (2020). https://doi.org/10.22156/CS4SMB.2020.10.03.007
  4. J. M. Kim, C. H. Ban, "Usability Evaluation for Hospital Websites in Korea", Journal of The Korea Institute of Information and Communication Engineering, Vol.15, No.11, pp.2426-2432, (2011). https://doi.org/10.6109/jkiice.2011.15.11.2426
  5. M. K. Hwang, M. W. Kwon, "A Study on the Website Encounter Analysis for Improving Healthcare Service Design : Focusing on Private Hospital Website in Busan", The Journal of The Korea Contents Association, Vol.17, No.9, pp.597-605, (2017) https://doi.org/10.5392/JKCA.2017.17.09.597
  6. S. Ok, J. Y. Oh., S. M. Kim, "The Impact of Online Health Information Service Quality on Expectation and Purchase Intention of Offline Health Service", The e-Business Studies, Vol.19, No.3, pp.173-201, (2009). https://doi.org/10.20462/TeBS.2018.2.19.1.173
  7. C. H. Cho, B. S. Kang, "An Effect of Service Quality on Service Value and Customer Satisfaction in the Hospital Website", Journal of Korea Service Management Society, Vol.7, No4, pp.83-108, (2006).
  8. H. R. Kim, H. E. Moon., J. S. Yu, H. S. Han, "Influence of Hospital Mobile Website Quality on Medical Service Expectation, Image, and Reliability : From Chinese Medical Travelers' Perspectives", Korean Journal of Hospitality and Tourism, Vol.26, No.7, pp.179-197, (2017).
  9. A. Shankar, B. Datta, "Measuring e-Service Quality: A Review of Literature", International Journal of Services Technology and Management, Vol.26, No.1, pp.77-100, (2020). https://doi.org/10.1504/ijstm.2020.105398
  10. J. H. Park, T. H. Kim, "The Influence of the Website e-Service Quality on Relationship Quality and e-Loyalty", Journal of Hospitality and Tourism Studies, Vol.13, No.1, pp.290-306, (2012).
  11. D. Y. Roh, Y. S. Oh, S. H. Park, "The Effect pf Information Quality on Relationship Quality and Loyalty of Professional Sports Club Website", Korean Journal of Sports Science, Vol.28, No.2, pp.695-706, (2019). https://doi.org/10.35159/kjss.2019.04.28.2.695
  12. S. C. Chen, S. C. Liu, S. H. Li, D. C. Yen, "Understanding the Mediating Effects of Relationship Quality on Technology Acceptance: An Empirical Study of e-Appointment System", Journal of Medical Systems, Vol.27, No.6, pp.1-13, (2013).
  13. H. C. Kim, K. S. Kim, J. Shin, "The Relationship between e-Perceive Value, e-Relationship Quality, and e-Loyalty", Journal of Theoretical Applied Information Technology, Vol.97, No.18, pp.4811-4823, (2019).
  14. A. Parasuraman., V. A. Zeithaml, A. Malhotra, "ES-QUAL: A multiple-item scale for assessing electronic service quality", Journal of Service Research, Vol.7, No.3, pp.213-233, (2005). https://doi.org/10.1177/1094670504271156
  15. S. M. Kim., K. H. Um, J. Y. OH, "Relationships between Online Web Service Quality and Knowledge Transfer", Knowledge Management Review, Vol.11, No.1, pp.1-17, (2010).
  16. S. Ahmad., S. H. Bhatti, Y. Hwang, "E-service Quality and Actual Use of e-Banking: Explanation through the Technology Acceptance Model", Information Development, Vol.36, No.4, pp.503-519, (2020) https://doi.org/10.1177/0266666919871611
  17. M. J. Kim, D. J. Shin, "The Effect of the e-Service Quality of Delivery Platform on Perceived Usefulness and User Satisfaction: Moderating Effects of Demographic Characteristics", International Journal of Tourism Management and Sciences, Vol.33, No.2, pp.83-101, (2018). https://doi.org/10.21719/ijtms.33.2.5
  18. V. A. Zeithaml., L. L. Berry, A. Parasuraman, "Communication and Control Processes in the Delivery of Service Quality", Journal of Marketing, Vol.52, No.2, pp.35-48, (1988). https://doi.org/10.2307/1251263
  19. A. C. Van Riel., J. Semeijn, P. Pauwels, "Online Travel Service Quality: The Role of Pre-transaction Services", Total Quality Management & Business Excellence, Vol.15, No.4, pp.475-493, (2004). https://doi.org/10.1080/1478336042000183578
  20. M. J. Kim, M. S. Choi, "The Effects of e-Service Quality of Cruse Travel Agents on Relational Quality and Behavioral Intention", Journal of Hotel & Resort, Vol.13, No.3, pp.435-448, (2014).
  21. Y. A. Park, U. Gretzel, "Success Factors for Destination Marketing Web Sites: A Qualitative Meta-Analysis", Journal of Travel Research, Vol.46, No.1, pp.46-63, (2007). https://doi.org/10.1177/0047287507302381
  22. X. Zhang, V. R. Prybutok, "A Consumer Perspective of e-Service Quality", IEEE Transactions on Engineering Management, Vol.52, No.4, pp.461-477, (2005). https://doi.org/10.1109/TEM.2005.856568
  23. A. Rahahleh., S. Al-Nsour., M. Moflih., Z. Alabaddi,., B. Al-nassar, N. Al-Nsour, "The Influence of Electronic Service Quality on Relationship Quality: Evidence from Tourism Industry", Management Scence Letters, Vol.10, No.12, pp.2759- 2768, (2020).
  24. V. D. TRAN, "Assessing the Effects of Service Quality, Experience Value, Relationship Quality on Behavioral Intentions", The Journal of Asian Finance, Economics, and Business, Vol.7, No.3, pp.167-175, (2020). https://doi.org/10.13106/jafeb.2020.vol7.no3.167
  25. X. Y. Zhang, Y. S. Yeo, "The Effects of e-Service Quality of Online Travel Agency on Relationship Quality and Reuse Intention: Focused on Chinese Individual Tourists", The Journal of The Convergence on Culture Technology, Vol.6, No.4, pp.171-177, (2020). https://doi.org/10.17703/JCCT.2020.6.4.171
  26. N. O. Ndubisi, "A Structural Equation Modelling of the Antecedents of Relationship Quality in the Malaysia Banking Sector", Journal of Financial Services Marketing, Vol.11, No.2, pp.131-141, (2006). https://doi.org/10.1057/palgrave.fsm.4760033
  27. B. Menon, "The Influence of e-Relationship Quality and e-Service Quality on Customer Loyalty in the Context of Flipkart Online Retailer Services", Journal of Customer Behaviour, Vol.17, No.1-2, pp.121-137, (2018). https://doi.org/10.1362/147539218x15333820725155
  28. L. C. Hsu., K. Y. Wang, W. H. Chih, "Effects of Web Site Characteristics on Customer Loyalty in B2B e-Commerce: Evidence from Taiwan", The Service Industries Journal, Vol.33, No.11, pp.1026-1050, (2013). https://doi.org/10.1080/02642069.2011.624595
  29. M. Abdul-Rahman, Y. Kamarulzaman, "The Influence of Relationship Quality and Switching Costs on Customer Loyalty in the Malaysian Hotel Industry", ProcediaSocial and Behavioral Sciences, Vol. 62, pp.1023-1027, (2012). https://doi.org/10.1016/j.sbspro.2012.09.174
  30. D. Cyr, "Modeling Web Site Design across Cultures: Relationships to Trust, Satisfaction, and e-Loyalty", Journal of Management Information Systems, Vol.24, No.4, pp.47-72, (2008). https://doi.org/10.2753/MIS0742-1222240402
  31. S. R. Min, S. K. Lee, "Effects of OTA Service Quality on Satisfaction and Behavioral Intention", Journal of Tourism and Leisure Research, Vol.32, No.3, pp.147-167, (2020). https://doi.org/10.31336/jtlr.2020.3.32.3.147
  32. M. K. Kim, "A Study on the Effect of the Quality Attributes of Foodservice O2O Platform's on Perceived Value, Customer Satisfaction and Continuous Use Intention", International Journal of Tourism and Hospitality Research, Vol.34, No.1, pp.147-172, (2020). https://doi.org/10.21298/IJTHR.2020.6.34.6.147
  33. Y. M. Park, "The Study on the Camping Website e-Service Quality Effect on Satisfaction, Trust & Loyalty", Journal of Tourism and Leisure Research, Vol.29, No.11, pp.5-21, (2017).
  34. D. Suhartanto, M. Ali, K. H. Tan, F. Sjahroeddin, L. Kusdibyo, "Loyalty toward Online Food Delivery Service: The Role of e-Service Quality and Food Quality. Journal of Foodservice Business Research, Vol.22, No.1, pp.81-97, (2019). https://doi.org/10.1080/15378020.2018.1546076
  35. S. Joel, P. W. Eastwick, C. J. Allison, X. B. Arriaga, Z. G. Baker, E. Bar-Kalifa, S. Wolf, "Machine Learning Uncovers the Most Robust Self-report Predictors of Relationship Quality across 43 Longitudinal Couples Studies", Proceedings of the National Academy of Sciences, Vol.117, No.32, pp.19061-19071, (2020). https://doi.org/10.1073/pnas.1917036117
  36. E. P. Finley, J. A. Pugh, H. J. Lanham, L. K. Leykum, J. Cornell, J., P. Veerapaneni, M. L. Parchman, "Relationship Quality and Patient-assessed Quality of Care in VA Primary Care Clinics: Development and Validation of the Work Relationships Scale", The Annals of Family Medicine, Vol.11, No.6, pp.543-549, (2013). https://doi.org/10.1370/afm.1554
  37. Y. H. Jang, J. W. Yoo, J. W. Seo, "The Effect of e-Service Quality of Online Travel Business on Loyalty and Quality of Relationship with Customer", Journal of Tourism Management, Vol.16, No.4, pp.277-300, (2012).
  38. B. Kaya, E. Behravesh, A. M. Abubakar, O. S. Kaya, C. Orus, "The Moderating Role of Website Familiarity in the Relationship between e-Service Quality, e-Satisfaction and e-Loyalty", Journal of Internet Commerce, Vol.18, No.4, pp.369- 394, (2019). https://doi.org/10.1080/15332861.2019.1668658