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http://dx.doi.org/10.3961/jpmph.2008.41.5.315

How Are Consumers, Service and Market Factors Related to Customer Loyalty in Medical Service? -Targeting the Medical Consumer in a City-  

Lee, Sun-Hee (Department of Preventive Medicine, School of Medicine, Ewha Womans University)
Kim, Hyun-Mi (Department of Medicine, Graduate School of Ewha Womans University)
Kim, Ju-Hye (Department of Medicine, Graduate School of Ewha Womans University)
Ha, Gwi-Yeom (Department of Medicine, Graduate School of Ewha Womans University)
Publication Information
Journal of Preventive Medicine and Public Health / v.41, no.5, 2008 , pp. 315-322 More about this Journal
Abstract
Objectives : This study was performed to explore customer royalty and the related factors. Methods : 900 households(a 1% sample) were randomly selected from the total population of K city located in Kangwon province. An interview survey was performed with using a structured questionnaire for the subjects(923 persons) who had used medical service during the year before the survey, and the survey was done September, 2002. Results : When comparing the relating factors related with customer royalty according to the sociodemographic characteristics, the older group showed a significantly higher level of recognition for service quality, service reputation, internal customers' attitudes and switching cost. The lower income group showed a higher level of recognition for service quality, service image and switching cost. The lower educated group showed a higher level of recognition for service reputation, service image and internal customers' attitudes. The higher educated group showed a higher level of recognition for perceived risk, and seeking variety. In addition, the expert group or the service and manufacturing workers group showed a higher level of recognition for service involvement. On multiple regression analysis, internal customers' attitudes, service image, service reputation, service quality, switching cost, and substitutability showed significant relations with customer loyalty. Conclusions : This study showed that customer loyalty was significantly influenced by service factors like internal customers' attitudes, service image, service reputation, and service quality, and by market factors like switching cost, and substitutability. The results of this study can be used as a baseline for developing strategies to create and keep customers with high loyalty.
Keywords
Customer loyalty;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Yoo SL. Study of the Effect of Consumer-Brand Relationship on Customer Satisfaction and Brand Lotalty [dissertation]. Seoul: Ewha University; 2002. (Korean)
2 Lee MK. A study on the determinants of service loyalty. Korea Mark Rev 1999; 14(1): 21-45. (Korean)
3 Ganesan S. Determinants of long-term orientation in buyer-seller relationship. J Mark 1994; 58(2): 1-19
4 Choi KS, Cho WH, Lee SH, Nam JM. Structural modeling of quality, satisfaction, value and purchase intention in health care service. Korean J Prev Med 2000; 33(4): 426-435. (Korean)
5 Erins BM, Gorden WP. Store loyalty characteristics of shoppers and switchers. Southern J Bus 1968; 3(4): 347-356
6 DE Ruyter K, Wetzels M, Bloemer J. On the relationship between perceived service quality, service loyalty and switching costs. Int J Serv Ind Manage 1998; 9(5): 436-453   DOI   ScienceOn
7 Bloemer J, Ruyter KD. On the relationship between store image, store satisfaction and store royalty. European J Mark 1998; 32(5/6): 499-513   DOI   ScienceOn
8 Dick AS, Kunal B. Customer loyalty: Toward an integrated conceptual framework. J Acad Mark Sci 1994; 22(2): 99-113   DOI   ScienceOn
9 Parasuraman A, Zeithmal VA, Berry LL. A conceptual model of service quality and its implications for future research. J Mark 1985; 49(4): 41-50
10 Oh H. Transaction evaluation and relationship intentions. J Hosp Tour Res 2002; 26(3): 278-305   DOI   ScienceOn
11 Boulding W, Kalra A, Staelin R, Zeithaml VA. A dynamic process model of service quality: From expectations to behavioral intentions. J Mark Res 1993; 30(1): 7-27   DOI   ScienceOn
12 Nguyen N, Leblanc G. Corporate image on customers>retention decisions. Int Bank Mark 1998; 16(2): 52-65   DOI   ScienceOn
13 Zineldin M. The royalty of loyalty: CRM, quality and retention. J Consum Mark 2006; 23(7): 430-437   DOI   ScienceOn
14 Reicheld F, Sasser WE Jr. Zero defections: Quality comes to services. Harvard Bus Rev 1990; 68(5): 105-111
15 Parasuraman A, Zeithaml VA, Berry LL. Reassessment of expectations as comparison standard in measuring service quality: Implications for further research. J Mark 1994; 58(1): 111-124   DOI   ScienceOn
16 Lee J, Feick L. The impact of switching costs on the customer satisfaction-loyalty Link. J Serv Mark 2001; 15(1): 35-48   DOI   ScienceOn
17 Jones MA, Mothersbaugh DL, Beatty SE. Why customer stay: measuring the underlying dimensions of services swiching costs and managing their differential strategic outcomes. J Bus Res 2002; 55(6): 441-450   DOI   ScienceOn
18 Zeithmal VA, Leonard LB, Parasuraman A. The behavioral consequences of service quality. J Mark 1996; 60(2): 31-46
19 Ko JK. A study on the determinants of health care service quality and recommendation. Gogaeg Manjog Yeongu 2001; 3(2): 111-134. (Korean)
20 Anderson EW. Cross-category variation in customer satisfaction and retention. Mark Lett 1994; 5(1): 19-30   DOI
21 Bagozzi RP, Lynn WP. Representing and testing organizational theories: A holistic construal. Adm Sci Q 1982; 27(3): 459-489   DOI   ScienceOn
22 Seol DW, Yu SH, Park EC, Kim ES. Factors related to willingness of choosing the same hospital. Korean J Hosp Manage 1997; 2(1): 65-79. (Korean)
23 Lee SH, Lee HJ, Jung SH. Analysis of relating factors with customer loyalties in medical services. Korean J Health Policy Adm 2005; 15(2): 37-52. (Korean)   DOI
24 Maute MF, Forrester WR. The structure and determinants of consumer complaint intentions and behavior. J Econ Psychol 1993; 14(2): 219-247   DOI   ScienceOn
25 Mittal B, Lassar WM. Why do customers switch? The dynamics of satisfaction versus loyalty. J Serv Mark 1998; 12(3): 177-194   DOI   ScienceOn
26 Gremler DD. The Effect of Satisfaction, Switching Costs, and Interpersonal Bonds on Service Loyalty [dissertation]. Phoenix; Arizona State University: 1995
27 Porter M. Competitive Strategy: Techniques for Analyzing Industries and Competitors. New York: The Free Press; 1980
28 Kim CM. Analysis of relating factors with customer loyalties in hair service. J Mark Manage Res 2002; 7(2): 87-115. (Korean)
29 Kaplan L, George JS, Jacob J. Component of perceived risk in product purchase: A crossvalidation. J Appl Psychol 1974; 59(3): 287-291   DOI
30 Lee SH, Kim HM, Chae YM. The modifying effect of switching barriers in customer loyalties in medical services. Korean J Health Policy Adm 2007; 17(3): 68-86. (Korean)   과학기술학회마을   DOI
31 Park JY, Shin DG. A study on influence upon customer satisfaction and customer loyalty of perception of attributes in the airlines. Gwangwang Yeongu 1999; 14: 287-306. (Korean)
32 Cho KH, Lim CU. The effects of customer satisfaction and switching Barrier on Store Loyalty. Marketing Yeongu 1999; 14(1): 1-28. (Korean)
33 Lee MS, Chun HJ. Analysis of relating factors with customer loyalties in service marketing. Sobi Munhwa Yeongu 1998; 1(1): 117-142. (Korean)