DOI QR코드

DOI QR Code

The Effect of Psychological Control Felt by Overseas Medical Tourists on Service Satisfaction and Word of Mouth Communication

해외 의료관광객이 느끼는 통제력이 서비스 만족 및 구전의도에 미치는 영향

  • Chengcheng Ma (College of Global Business, Korea University) ;
  • Jungki Lee (College of Global Business, Korea University)
  • 마성승 (고려대학교 기업경영학과) ;
  • 이정기 (고려대학교 기업경영학과 )
  • Received : 2023.08.31
  • Accepted : 2023.09.21
  • Published : 2023.09.30

Abstract

Receiving medical services abroad is an event that involves a high level of risk and stress for most people. This study proposes and empirically examines perceived control as a factor that has a potential to reduce the stress associated with overseas medical experience and enhance satisfaction with it. Based on the research findings in environmental psychology, one's perceived control was divided into cognitive control, behavior control, and decision control. A research model and a set of hypotheses were constructed to investigate the effect of each control on satisfaction and word-of-mouth communications among consumers who had overseas medical service experiences. The data collection was conducted through an online survey of 220 Chinese consumers who had visited Korea as plastic medicine tourists. Satisfaction with their service experience was significantly affected by both behavioral control and decisional control, but not by cognitive control. Thus, Chinese medical tourists prefer to maintain the belief that they are in charge of major decisions associated with the medical procedure, and that the results of the medical procedure will have personally desirable consequences. In addition, satisfaction experienced by Chinese consumers with overseas medical services had a significant impact on their word-of-mouth activities. Based on the research results, a set of academic and practical implications were derived.

Keywords

References

  1. 김미경. (2010). 한국의료관광 참여의도의 영향요인에 관한 연구. 관광연구, 24(6), 213-232.
  2. 김은혜. (2015). 의료기관 서비스요인이 환자만족에 미치는 영향. 보건과 복지,17, 101-115.
  3. 이진호, 이현종. (2014). 방한 러시아 의료관광객이 지각하는 의료관광 서비스품질이 만족 및 행동의도에 미치는 영향. 관광연구저널, 28(7), 103-116.
  4. 이현경, 김용정. (2019). 외국인 한국문화체험관광의 서비스품질이 고객만족과 추천의도에 미치는 영향. 국제경영리뷰,23(3), 1-33.
  5. 정민주, 김학준. (2012). 서비스 직원의 언어적, 비언어적 커뮤니케이션 능력이 고객만족과 재방문의도 및 추천의도에 미치는 영향: 광주광역시 패밀리레스토랑을 중심으로. 관광레저연구,24(1), 453-472.
  6. 최낙한, 이진렬. (2000). 정보재구성시점의 상황적 특성과 효과에 관한 연구. 마케팅연구,15(1), 27-50.
  7. 최은미 E. mi, C., 김승희 S. H. K. (2011). 미용성형에 대한 인식 및 의료서비스 만족도에 관한 연구. 보건과 복지, 13, 67-83.
  8. 한국보건산업진흥원(2022) 2022년 외국인환자 한국의료 이용경험 및 만족도 조사 결과보고서
  9. Allsop, D. T., Bassett, B. R., and Hoskins, J. A. (2007). Word-of-Mouth Research: Principles and Applications. Journal of Advertising Research, 47(4), 398-411. https://doi.org/10.2501/S0021849907070419
  10. Anderson, E. W. (1998). Customer Satisfaction and Word of Mouth. Journal of Service Research, 1(1), 5-17. https://doi.org/10.1177/109467059800100102
  11. Anderson, J. and Gerbing, D. (1988), "Structural Equation Modeling in Practice: A Review and Recommended Two-Step Approach," Psychological Bulletin, 103(3), 411-423. https://doi.org/10.1037/0033-2909.103.3.411
  12. Averill, J. R. (1973). Personal Control over Aversive Stimuli and Its Relationship to Stress. Psychological Bulletin, 80(4), 286.
  13. Bagozzi, R. and Yi, Y. (1988), "On the Evaluation of Structural Equation Models," Journal of Academy of Marketing Science, 16(1), 74-94. https://doi.org/10.1007/BF02723327
  14. Berger, J. (2014). Word of Mouth and Interpersonal Communication: A Review and Directions for Future Research. Journal of Consumer Psychology, 24(4), 586-607. https://doi.org/10.1016/j.jcps.2014.05.002
  15. Berry, L. L. (1980), "Services Marketing Is Different," Business, 30(3), 24-29.
  16. Bendapudi, N., and Berry, L. L. (1997). Customers' Motivations for Maintaining Relationships with Service Providers. Journal of Retailing, 73(1), 15-37. https://doi.org/10.1016/S0022-4359(97)90013-0
  17. Brady, M. K., and Cronin Jr, J. J. (2001). Some New Thoughts on Conceptualizing Perceived Service Quality: A Hierarchical Approach. Journal of Marketing, 65(3), 34-49. https://doi.org/10.1509/jmkg.65.3.34.18334
  18. Brown, S., and Swartz, T. (1989). Analysis of Professional Service Quality. Journal of Marketing, 53(2), 92-98. https://doi.org/10.1177/002224298905300207
  19. Calder, B. J., Phillips, L. W., and Tybout, A. M. (1981). Designing Research for Application. Journal of Consumer Research, 8(2), 197-207. https://doi.org/10.1086/208856
  20. Campbell, S. M., Roland, M. O., and Buetow, S. A. (2000). Defining Quality of Care. Social Science & Medicine, 51(11), 1611-1625. https://doi.org/10.1016/S0277-9536(00)00057-5
  21. Cheng, C., Cheung, S. F., Chio, J. H. M., and Chan, M. P. S. (2013). Cultural Meaning of Perceived Control: A Meta-Analysis of Locus of Control and Psychological Symptoms Across 18 Cultural Regions. Psychological Bulletin, 139(1), 152.
  22. Chung, C. M., and Darke, P. R. (2006). The Consumer as Advocate: Self-Relevance, Culture, and Word-of-Mouth. Marketing Letters, 17, 269-279. https://doi.org/10.1007/s11002-006-8426-7
  23. Cleary, P. D., and McNeil, B. J. (1988). Patient Satisfaction as an Indicator of Quality Care. Inquiry, 25-36.
  24. Darby, M. R., and Karni, E. (1973). Free Competition and the Optimal Amount of Fraud. The Journal of Law and Economics, 16(1), 67-88. https://doi.org/10.1086/466756
  25. Faranda, W. T. (2001). A Scale to Measure the Cognitive Control Form of Perceived Control: Construction and Preliminary Assessment. Psychology&Marketing, 18(12), 1259-1281.
  26. Fritsche, I., Jonas, E., and Fankhanel, T. (2008). The Role of Control Motivation in Mortality Salience Effects on Ingroup Support and Defense. Journal of Personality and Social Psychology, 95(3), 524.
  27. Geer, J., Davison, G., and Gatchel, R. (1970). Reduction of Stress in Humans through Nonveridical Perceived Control of Aversive Stimulation. Journal of Personality and Social Psychology, 16(4), 731-738. https://doi.org/10.1037/h0030014
  28. Guo, L., Lotz, S. L., Tang, C., and Gruen, T. W. (2016). The Role of Perceived Control in Customer Value Cocreation and Service Recovery Evaluation. Journal of Service Research, 19(1), 39-56. https://doi.org/10.1177/1094670515597213
  29. Hair, J. F., Anderson, R. E., Tatham, R. L., and Black, W. C. (2010). Multivariate Data Analysis. New Jersey.
  30. Hansson, A., Arvemo, T., Marklund, B., Gedda, B., and Mattsson, B. (2010). Working Together-Primary Care Doctors' and Nurses' Attitudes to Collaboration. Scandinavian Journal of Public Health, 38(1), 78-85. https://doi.org/10.1177/1403494809347405
  31. Harrison-Walker, L. J. (2001). The Measurement of Word-of-Mouth Communication and an Investigation of Service Quality and Customer Commitment as Potential Antecedents. Journal of Service Research, 4(1), 60-75. https://doi.org/10.1177/109467050141006
  32. Hausman, A. (2003). Professional Service Relationships: A Multi-Context Study of Factors Impacting Satisfaction, Re-patronization, and Recommendations. Journal of Services Marketing, 17(3), 226-242. https://doi.org/10.1108/08876040310474792
  33. Hui, M. K., and Bateson, J. E. (1991). Perceived Control and the Effects of Crowding and Consumer Choice on the Service Experience. Journal of Consumer Research, 18(2), 174-184. https://doi.org/10.1086/209250
  34. Jansen, S., Otten, W., vand de Velde, C., Nortier, J., and Stiggelbout, A. (2004). The Impact of the Perception of Treatment Choice on Satisfaction with Treatment, Experienced Chemotherapy Burden and Current Quality of Life. British Journal of Cancer, 91, 56-61. https://doi.org/10.1038/sj.bjc.6601903
  35. Kelly, G. (1955). Personal Construct Psychology. Nueva York: Norton.
  36. Langer, E. J., Janis, I. L., and Wolfer, J. A. (1975). Reduction of Psychological Stress in Surgical Patients. Journal of Experimental Social Psychology, 11(2), 155-165. https://doi.org/10.1016/S0022-1031(75)80018-7
  37. Langer, E., and Rodin, J. (1976). The Effects of Choice and Enhanced Personal Responsibility for the Aged: A Field Experiment in an Institutional Setting. Journal of Personality and Social Psychology, 34(2), 191-198. https://doi.org/10.1037/0022-3514.34.2.191
  38. Langer, E., and Saegert, S. (1977). Crowding and Cognitive Control. Journal of Personality and Social Psychology, 35(3), 175-182. https://doi.org/10.1037/0022-3514.35.3.175
  39. Lee, J., and A. Allaway (2002). Effects of Personal Control on Adoption of Self-Service Technology Innovations. Journal of Services Marketing, 16(6), 553-572. https://doi.org/10.1108/08876040210443418
  40. Lee, J. (2010). Perceived Power Imbalance and Customer Dissatisfaction. The Service Industries Journal, 30(7), 1113-1137. https://doi.org/10.1080/02642060802298384
  41. Lewis, P., and Blanchard, E. (1971). Perception of Choice and Locus of Control. Psychological Reports, 28(1), 67-70. https://doi.org/10.2466/pr0.1971.28.1.67
  42. Lien, C. H., Wu, J. J., Chen, Y. H., and Wang, C. J. (2014). Trust Transfer and the Effect of Service Quality on Trust in the Healthcare Industry. Managing Service Quality, 24(4), 399-416. https://doi.org/10.1108/MSQ-11-2013-0255
  43. Lijander, V., and Strandvik, T. (1997). Emotions in Service Satisfaction. International Journal of Service Industry Management, 8(2), 148-69. https://doi.org/10.1108/09564239710166272
  44. Litt, M. (1988). Self-Efficacy and Perceived Control: Cognitive Mediators of Pain Tolerance. Journal of Personality and Social Psychology, 54(1), 149-60. https://doi.org/10.1037/0022-3514.54.1.149
  45. Lovett, M. J., Peres, R., and Shachar, R. (2013). On Brands and Word of Mouth. Journal of Marketing Research, 50(4), 427-444. https://doi.org/10.1509/jmr.11.0458
  46. Luarn, P., Huang, P., Chiu, Y. P., and Chen, I. J. (2016). Motivations to Engage in Word-of-Mouth Behavior on Social Network Sites. Information Development, 32(4), 1253-1265. https://doi.org/10.1177/0266666915596804
  47. Macho, S., and Ledermann, T. (2011). Estimating, Testing, and Comparing Specific Effects in Structural Equation Models: The Phantom Model Approach. Psychological Methods, 16(1), 34.
  48. Mangold, W. G., Miller, F., and Brockway, G. R. (1999). Word-of-Mouth Communication in the Service Marketplace. Journal of Services Marketing, 13(1), 73-89. https://doi.org/10.1108/08876049910256186
  49. de Matos, C. A., and Rossi, C. A. (2008). Word-of Mouth Communications in Marketing: A Meta-Analytic Review of the Antecedents and Moderators. Journal of Academy of Marketing Science, 36(4), 578-596. https://doi.org/10.1007/s11747-008-0121-1
  50. Mattila, A., and Enz, C. (2002). The Role of Emotions in Service Encounters. Journal of Service Research, 4(4), 268-277. https://doi.org/10.1177/1094670502004004004
  51. Maxham III, J. G., and Netemeyer, R. G. (2002). Modeling Customer Perceptions of Complaint Handling Over Time: The Effects of Perceived Justice on Satisfaction and Intent. Journal of Retailing, 78(4), 239-252. https://doi.org/10.1016/S0022-4359(02)00100-8
  52. Menon, K., and Bansal, H. (2007). Exploring Consumer Experience of Social Power during Service Consumption. International Journal of Service Industry Management, 18(1), 89-104. https://doi.org/10.1108/09564230710732911
  53. Miller, S. (1979). Controllability and Human Stress: Method, Evidence, and Theory. Behavioral Research and Therapy, 17(4), 287-304. https://doi.org/10.1016/0005-7967(79)90001-9
  54. Mitra, K., Reiss, M., and Capella, L. (1999). An Examination of Perceived Risk, Information Search and Behavioral Intentions in Search, Experience and Credence Services. Journal of Services Marketing, 13(3), 208-228. https://doi.org/10.1108/08876049910273763
  55. Mohtasham, S. S., Sarollahi, S. K., and Hamirazavi, D. (2017). The Effect of Service Quality and Innovation on Word of Mouth Marketing Success. Eurasian Business Review, 7(2), 229-245. https://doi.org/10.1007/s40821-017-0080-x
  56. Murray, K. B. (1991). A Test of Services Marketing Theory: Consumer Information Acquisition Activities. Journal of Marketing, 55(1), 10-25. https://doi.org/10.1177/002224299105500102
  57. Newcomb, M., and L. Harlow, L. (1986). Life Events and Substance Use among Adolescents: Mediating Effects of Perceived Loss of Control and Meaningless in Life. Journal of Personality and Social Psychology, 51(3), 564-577. https://doi.org/10.1037/0022-3514.51.3.564
  58. Oliver, R. L. (1980). A Cognitive Model of the Antecedents and Consequences of Satisfaction Decisions. Journal of Marketing Research, 17(4), 460-469. https://doi.org/10.1177/002224378001700405
  59. Oliver, R. L., Rust, R. T., and Varki, S. (1997). Customer Delight: Foundations, Findings, and Managerial Insight. Journal of Retailing, 73(3), 311-336. https://doi.org/10.1016/S0022-4359(97)90021-X
  60. Parasuraman, A. B. L. L., Zeithaml, V. A., and Berry, L. (1988). SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality. 1988, 64(1), 12-40.
  61. Ranaweera, C., and Prabhu, J. (2003). The Influence of Satisfaction, Trust and Switching Barriers on Customer Retention in a Continuous Purchasing Setting. International Journal of Service Industry Management, 14(4), 374-395. https://doi.org/10.1108/09564230310489231
  62. Reutskaja, E., and Hogarth, R. (2009). Satisfaction in Choice as a Function of the Number of Alternatives: When "Goods Satiate." Psychology & Marketing, 26(3), 197-203. https://doi.org/10.1002/mar.20268
  63. Risser, N. L. (1975). Development of an Instrument to Measure Patient Satisfaction with Nurses and Nursing Care in Primary Care Settings. Nursing Research, 24(1), 45-52. https://doi.org/10.1097/00006199-197501000-00011
  64. Rodin, J., Rennert, K., and Solomon, S. K. (2013). Intrinsic Motivation for Control: Fact or Fiction. In Advances in Environmental Psychology (pp. 131-148). Psychology Press.
  65. Sarwer, D. B., Wadden, T. A., Pertschuk, M. J., and Whitaker, L. A. (1998). The Psychology of Cosmetic Surgery: A Review and Reconceptualization. Clinical Psychology Review, 18(1), 1-22. https://doi.org/10.1016/S0272-7358(97)00047-0
  66. Seligman, M. E. P., and Miller, S. M. (1979). The Psychology of Power: Concluding Comments. Choices and Perceived Control (Ed.), Lawrence Erlbaum, Hillside, NJ.
  67. Sharma, D. R., and Singh, B. (2023). Understanding the Relationship Between Customer Satisfaction, Customer Engagement, and Repeat Purchase Behavior. Vision, 27(4), 449-457. https://doi.org/10.1177/0972262921992593
  68. Skinner, E., Chapman, M., and Baltes, P. (1988). Control Means-Ends, and Agency Beliefs: A New Conceptualization and Its Measurement During Childhood. Journal of Personality and Social Psychology, 54(1), 117-133. https://doi.org/10.1037/0022-3514.54.1.117
  69. Soderlund, M., and Rosengren, S. (2007). Receiving Word-of-Mouth from the Service Customer: An Emotion-Based Effectiveness Assessment. Journal of Retailing and Consumer Services, 14(2), 123-136. https://doi.org/10.1016/j.jretconser.2006.10.001
  70. Taheri, B., Chalmers, D., Wo;spm. K/.amd Arshed, N. (2021). Would You Really Recommend? Antecedents of Word-of-Mouth in Medical Tourism. Tourism Management, 83(April), 1-18. https://doi.org/10.1016/j.tourman.2020.104209
  71. Taylor, S. E., and Stanton, A. L. (2007). Coping Resources, Coping Processes, and Mental Health. Annual Review of Clinical Psychology, 3, 377-401. https://doi.org/10.1146/annurev.clinpsy.3.022806.091520
  72. Tetrick, L., and LaRocco, J. (1987). Understanding, Prediction, and Control as Moderators of the Relationships between Perceived Stress, Satisfaction, and Psychological Well-Being. Journal of Applied Psychology, 72(4), 538-543. https://doi.org/10.1037/0021-9010.72.4.538
  73. Thompson, S. (1981). Will It Hurt If I Can Control It: A Complex Answer to a Simple Question. Psychological Bulletin, 90(1), 89-101. https://doi.org/10.1037/0033-2909.90.1.89
  74. Thompson, S., and Spacan, T. (1991). Perceptions of Control in Vulnerable Populations. Journal of Social Issues, 47(4), 1-21. https://doi.org/10.1111/j.1540-4560.1991.tb01831.x
  75. Tripathi, G. (2017). Customer Satisfaction and Word of Mouth Intentions: Testing the Mediating Effect of Customer Loyalty. Journal of Services Research, 17(2), 1-16.
  76. v. Wangenheim, F., and Bayon, T. (2007). The Chain from Customer Satisfaction via Word-of-Mouth Referrals to New Customer Acquisition. Journal of the Academy of Marketing Science, 35, 233-249. https://doi.org/10.1007/s11747-007-0037-1
  77. Ward, J. and Barnes, J. (2001). Control and Affect: The Influence of Feeling in Control of the Retail Environment on Affect, Involvement, Attitude, and Behavior. Journal of Business Research, 54(2), 139-144. https://doi.org/10.1016/S0148-2963(99)00083-1
  78. Wei, S., Ang, T., and Anaza, N. A. (2019). The Power of Information on Customers' Social Withdrawal and Citizenship Behavior in a Crowded Service Environment. Journal of Service Management, 30(1), 23-47. https://doi.org/10.1108/JOSM-10-2017-0274
  79. Westbrook, R. A. (1987). Product/Consumption-Based Affective Responses and Postpurchase Processes. Journal of Marketing Research, 24(3), 258-270. https://doi.org/10.1177/002224378702400302
  80. White, C. J. (2010). The Impact of Emotions on Service Quality, Satisfaction, and Positive Word-of-Mouth Intentions Over Time. Journal of Marketing Management, 26(5-6), 381-394. https://doi.org/10.1080/02672571003633610
  81. White, R. (1959). Motivation Reconsidered: The Concept of Competence. Psychological Review, 66(5), 297-333. https://doi.org/10.1037/h0040934
  82. Williams, A. M., and Irurita, V. F. (2005). Enhancing the Therapeutic Potential of Hospital Environments by Increasing the Personal Control and Emotional Comfort of Hospitalized Patients. Applied Nursing Research, 18(1), 22-28. https://doi.org/10.1016/j.apnr.2004.11.001
  83. Zhu, M., Gao, J., Zhang, L., and Jin, S. (2020). Exploring Tourists' Stress and Coping Strategies in Leisure Travel. Tourism Management, 81, 104-167. https://doi.org/10.1016/j.tourman.2020.104167
  84. China Business Information Network https://www.askci.com/