• 한국산학기술학회논문지
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• 제11권12호
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• pp.4954-4961
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• 2010

본 배경 : 병원들과 병상 수들의 과잉공급과 의료시장 개방으로 인해 병원들 사이의 경쟁이 매우 심화되고 있다. 더 많은 환자 유치를 위해 환자들이 선호하는 특화서비스에 대해 조사하게 되었다. 방법 : 환자만족도를 조사하기 위해 약 20개 항목의 설문지를 개발하여 병원들 방문한 외래 환자 297명과 입원환자 302명을 조사하였으며 Excel과 SPSS를 이용하여 기술통계와 회귀분석을 하였다. 결과 : 환자의 충성도와 특화된 병원서비스의 관련성이 지인에게 이 병원 이용을 추천하겠다와 관련이 있으며 1) FHR사용과 지속적인 치료 및 관리를 위한 도우미는 외래환자와 PHR사용에서 양의 관련성을 가지고 있었고 FHR은 외래환자에서 양의 관련성을 갖고 있었다. 2) 병원의 재방문 : PHR사용자와 환자치료 도우미의 요구가 있었으며 TV사용료 지불은 부정적 관련성을 가지고 있었다. 결론 : FHR, PHR과 환자치료 도우미들은 환자의 충성도를 증가시키는데 매우 중요한 요인들이었다.

• 보건의료산업학회지
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• 제2권1호
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• pp.1-27
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• 2008

The purpose of this study is to investigate the effects of customer orientation factors in relation to medical services on the values of the service and customer satisfaction and loyalty. Those factors include patient safety and, as found by previous studies, specialization, explanation of what to be medically examined and customer orientation itself. Based on these pervious studies, this study surveyed customers of 7 general hospitals located in Busan to empirically identify relations between customer orientation factors of medical services and the values of the services and customer satisfaction. Results of the study can be summarized as follows. First, this study is very meaningful in that it established a basic theory of patient safety as one of the above customer orientation factors, and tried to empirically demonstrated the theory by applying it to medical services. Second, another of the factors, specialization was found positively affecting the values of medical services, but not affecting customer satisfaction. Customers are likely to choose specialized medical institutions even at higher cost when they undergo an accident or disease. Nevertheless, in factors, whether medical service providers are specialized is not influencing customer satisfaction. This is because medical institutions are failing to properly make recognized their specialization to customers who want to receive specialized medical services. Third, another of customer orientation factors, that is, explanation of what to be medically examined was found not having positive effects on the values of medical services and customer satisfaction. This is probably because enough time was not given for the explanation or because the explanation itself was not provided enough. Fourth, medical service providers' customer orientation was found positively influencing the values of medical services and customer satisfaction. In other words, it seems that customer-centered attitudes and behaviors of medical service providers had positive effects on customers' perception of medical services. Fifth, another of the factors, that is, patient safety was found positively affecting the values of medical services and customer satisfaction. This is probably because medical services' accurate diagnoses and reliable services had positive effects on customers' perception of medical services. Sixth, customers' perceived values of medical services were found having positive effects on customer satisfaction and loyalty. This suggests that the values of medical services are an antecedent variable that directly influences customer satisfaction and loyalty. Seventh, customer satisfaction was found positively affecting customer loyalty. This suggests that customer satisfaction is an antecedent variable of customer loyalty. In conclusion, this study showed that in relation to medical services, customer orientation factors' significant influences on the values of the services and customer satisfaction requires continuous efforts for raising customers' perceived qualities of medical services.

• 한국병원경영학회지
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• 제23권4호
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• pp.1-14
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• 2018

Purpose : Customers with loyalty are very important to hospitals for sustainable growth in their medical market. Individuals with loyalty are likely to visit same hospital repeatedly when they need medical services. This study was to identify factors associated with selection of specialty hospitals among customers with loyalty. Methods : The subjects of this study were 735 inpatients in 22 specialty hospitals in 6 designated fields(joints, spine, colorectal-anal, obstetrics and gynecology, ophthalmology, otolaryngology). Customer types classified as customers with high loyalty, neutral customers, and customers with low loyalty according to net promoter score(NPS). Factor analysis was conducted to classify 22 hospital selection factors into some similar properties. Logistic regression analysis was conducted to confirm the selection factors related to loyal customers. Findings : Most of specialty hospitals received high NPS of 8 points or higher in all the designated fields. Five factors associated with selection of specialty hospital are (1) hospital facilities and convenience, (2) trust in doctor and hospital, (3) rapidness of treatment, (4) hospital awareness, and (5) accessibility. As a result of logistic regression analysis, selection factors related to loyal customers were 'hospital facilities and convenience', 'trust in doctor and hospital' and 'rapidness of treatment'. Differences in the degree of importance of three selection factors by customer types appeared for each designated field. Practical Implications : This study confirms the high level of patient experience among inpatients of specialty hospitals. Factors associated with selection of hospital among inpatients with loyalty are 'facilities and convenience of hospitals', 'trust of doctor and hospital' and 'rapidness of treatment'. This study will be meaningful as basic data to systematically enhance the roles and functions of the health care system and to provide securing competitiveness according to designated fields in the management aspect of specialty hospitals.

• International Journal of Quality Innovation
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• 제10권2호
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• pp.109-126
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• 2009

The purpose of this study was to examine overall customer satisfaction associated with medical service quality in Taiwan by integrated Kano's model and customer satisfaction index model. Another purpose was to confirmed nonlinear and asymmetric relationship of Customer Satisfaction and Quality Performance by the research outcome. By analyzing 1,100 patients or their family members, this study used the structural equation model (SEM) with AMOS software for data analysis. The results show that must-be attributes, one-dimensional attributes and attractive attributes had a direct effect on overall customer satisfaction, Surprisingly, overall customer satisfaction had positively influenced customer loyalty customer satisfaction had negatively influenced customer complaints. The study also found that customer complaints have direct effect on customer loyalty. Importantly, the study found out the must-be attributes, the attractive attributes and one-dimensional attributes increased, the level of overall customer satisfaction also increased. The customer satisfaction positively influences customer loyalty in medical service quality in Taiwan. The findings might reveal new insights for researchers dealing with quality of medical service and for hospital managers who devote resources exclusively to achieving highest possible levels of patient satisfaction.

• 산업진흥연구
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• 제3권2호
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• pp.21-31
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• 2018

본 연구는 간호 간병 통합서비스 품질이 의료서비스 성과에 미치는 영향을 알아보기 위해 가설 검정을 실시했다. 연구 결과는 간호 간병 통합서비스 품질의 반응성, 확신성, 공감성, 계산적 몰입, 신뢰성, 감정적 몰입은 의료서비스 성과의 지각된 성과, 충성도, 지각된 성과, 성과의 충성도와 의료서비스 성과의 지각된 성과는 충성도에 긍정적인 영향은 채택으로 나타났다. 즉, 통합서비스 품질은 의료서비스 역량에 매우 중요함을 검증하였다. 이를 위해서는 간호팀원의 인력확충을 위한 제도적 노력이 우선되어야 하며, 우수한 간호팀원 양성을 위해서 전문적 간호능력 외에도 환자와의 공감을 통해 긍정적 관계 형성을 위한 인성 교육에도 중점을 두어야 할 것이다. 본 연구에서 통합서비스 품질이 의료서비스 성과에 미치는 영향을 검중 하였다는데 연구의 의미를 찾을 수 있다.

• The Journal of Asian Finance, Economics and Business
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• 제9권1호
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• pp.93-103
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• 2022

The main purpose of this study was to gauge the patient satisfaction index and subsequently discuss the Importance-Performance (IP) matrix analysis of the inpatient services in the context of the private hospital setting. The Malaysian Customer Satisfaction Index Model was employed as the theoretical framework for the above purposes. This study involving 242 patients in Malaysian's private healthcare sector used a Web-based survey as the main method of data collection. Partial least square structural equation modeling (PLS-SEM) was utilized for data analysis. Using Fornell et al. (1996)'s formula, the resulting patient satisfaction index was slightly lower than the "very satisfied" category, the target level required for positioning as one of the world's premier medical tourism players. The IP matrix showed that medical quality is the main competitive advantage of the private hospitals that can propel their growth in the global healthcare marketplace. The results also indicate that outcome quality, patient rights, and privacy, and service quality are the three quality domains that need to be prioritized for further improvement. On the other hand, the servicescape quality domain needs to be strategized as the unique selling proposition as the performance of the private hospitals in this regard is already extremely good.

• 한국병원경영학회지
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• 제10권4호
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• pp.23-50
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• 2005

The main objectives of this study are to compare the regional differences and to analyse the affecting factors of customer satisfaction. The subjects are 9 hospitals(5 Daegu region, 4 Seoul region) patient satisfaction index that were surveyed the 2004 Hospital Accreditation Program performed by KHIDI(Korea Health Industry Development Institute) and MOHW(Ministry of Health and Welfare). The sample used in this study consisted of 450 inpatients and 454 outpatients. The survey instrument is composed of physical environment items, physician factors, nursing staff factors, ancillary staff factors, administrative procedure items, and quality of hospital stay items. And overall satisfaction, intent to revisit, and intent to recommend as dependent variables are measured. Basically, the reliability and validity of survey items was evaluated. And the T-test was performed to compare regional differences of customer satisfaction. Finally to analyse the affecting factors on overall satisfaction, and customer loyalty(intent to revisit and intent to recommend), the multiple regression analysis was used. This study shows firstly, the Daegu region's patient satisfaction level of inpatients and outpatients is lower than Seoul region. Especially, nursing staff factors and quality of hospital stay items are very low on inpatient's satisfaction. Also all independent variables except the sufficiency of goods in hospital stand are very low on outpatient's satisfaction. Secondly, as a result of multiple regression analysis, ancillary staff factors(Beta=0.281) have a significant effect on overall satisfaction of inpatient cases in Daegu region. In regard to intent to revisit and intent to recommend, physical environment factors have a significant effect. Thirdly, in Seoul region, physical environment factors(Beta=0.430) have a significant effect on overall satisfaction of inpatient cases. In regard to intent to revisit and intent to recommend, administrative procedure items and nursing staff factors have a significant effect, respectively. In conclusion, these results indicate that hospitals in Daegu region make an effort to improve the customer satisfaction level, especially, of physical environment factors on inpatients and administrative procedure factors on outpatients

• 약학회지
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• 제49권6호
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• pp.449-458
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• 2005

There have been rapid changes in the pharmaceutical environment after the separation of Dispensing and Prescribing practice. In the early stage of this system, outpatients had few options to choose their pharmacies due to various obstacles. Under these circumstances, this study on the defection tendency of long-term care patients was performed through the analysis of outpatients who quit visiting a pharmacy nearby general hospital. PowerBuilder ver 9.0 program was used to extract significant data, and SPSS package was employed for statistic analysis. 3,308 outpatients who visited a pharmacy nearby hospital for a month (in January, 2004) were studied. Patients' sex, age and location of residence, the class of medical insurance, the characteristic type of medication (powder, split form, medication for external use/injection), waiting time, disease (department) were considered as variable factors. It turned out that the patient revisit ratio was 80.8$\%$ and the patient defection ratio was 32.4$\%$. As was expected, those factors mentioned above influenced on the revisit and defection ratio considerably. In terms of patient factors, it proved that there was no relationship among sex, location of residence, the class of medical insurance and revisit (defection) ratio. Only age factor influenced the ratio; the older, the higher revisit ratio and the less defection ratio. In respect of dispensing factors, there were obvious relationships among the factors and the ratio: bill (money they had to pay individually), waiting time, number of medications, splitting of tablets, unit price of drug and revisit (defection) ratio showed significant relationship. The result of this study revealed an aspect of outpatients' behavior and it could be used as a reference for better patient service and customer relationship management.

• 한국산학기술학회논문지
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• 제12권12호
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• pp.5819-5826
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• 2011

최근 치과 의료계는 장기화된 경기침체와 인력 공급 증가 및 의료기관의 양적 팽창, 의료소비자의 권리의식 향상과 의료소비 욕구의 다양화에 기인하여 의료산업의 경쟁이 심화되고 있다. 이로 인한 치과 의료기관 경영의 어려움은 치과 의료기관의 경쟁력 확보를 위한 노력을 요구하고 있다. 따라서 적은 비용으로 높은 마케팅 효과를 창출하는 구전 마케팅을 매스커뮤니케이션 마케팅의 새로운 대안으로 적극 활용해야할 필요가 있다. 이에 본 연구는 치과내원환자의 성격특성에 따른 고객충성도 및 구전효과 연구를 통해 치과 의료마케팅활동의 표적 집단을 정확히 파악하고 구전촉진요소를 제시함으로써 실무적 관점의 구전 마케팅 전략방안의 기초자료를 제시하고자 한다. 이를 위해 대구 소재 10개 치과의원을 대상으로 2011년 4월 11일부터 5월 6일 까지 4주 동안 설문을 통해 612부의 최종 분석 자료를 얻었다. 분석 결과는 다음과 같다. 대상자의 성격 특성에 따른 고객충성도 차이는 내 외 성향에서는 유의한 차이가 없었으며 마켓 메이븐 성향이 높게 나타난 대상자에게서 높은 고객충성도를 보였다(F=5.243, p=.006). 성격 특성에 따른 구전 효과 차이는 외향형의 대상자($x^2$=6.738, p=.006)와 마켓 메이븐 성향이 높은 대상자($x^2$=17.251, p=.000)에게서 더 많은 구전 경험 차이를 나타냈다. 본 연구 결과는 치과내원환자의 성격 특성에 따른 고객충성도 및 구전효과의 차별적 영향력을 밝히고 있으며 이를 통해 치과의료 마케팅 전략 수립에 있어 고려해야할 실무적 관점의 전략 수립 방안을 제시한 근거자료가 될 것이라 사료된다.

• Asia Marketing Journal
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• 제12권1호
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• pp.1-30
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• 2010

서비스를 구매하기 위해 고객들은 자주 대기를 경험하게 된다. 고객은 대기로 인해 불만족을 느끼고 서비스 장소를 이탈할 수도 있기 때문에 서비스 제공자가 대기시간을 관리하는 것은 중요하다. 이를 위해 대기시간에 관한 연구가 다양하게 진행되어 왔다. 그 결과, 서비스 제공 단계별 대기시간 연구, 실제와 지각된 대기시간에 대한 연구, 대기를 경험하는데 영향을 미치는 대기환경과 대기정보 등 매개변수에 대한 연구, 고객의 특성에 따른 대기경험의 차이 연구 등을 통해 고객의 대기경험을 개선시키고자 하였다. 본 연구에서는 Hui and Tse(1996)가 제시한 고객의 행동적 메커니즘의 평가적 요소, 즉 지각된 대기시간, 대기수용정도, 대기에 대한 감정적 반응을 고객이 대기할 때 경험한다는 것을 바탕으로 서비스 제공자가 대기 시점에서 통제하기 어려운 고객의 개인적 요소들(고객충성도, 거래중요도, 대기기대수준)이 미치는 영향을 알아보기 위해 실제 대기상황(패밀리 레스토랑, 놀이공원)에서 탐색적 연구를 하였다. 두 번의 실험을 진행한 결과는 다음과 같다. 첫째, 레스토랑에서 조사한 결과, 고객의 거래중요도가 대기경험에 긍정적으로 미치는 영향이 큰 것으로 나타났다. 이는 레스토랑의 서비스 제공자가 고객의 거래중요도를 높일 수 있는 전략을 통해 고객의 이탈을 효과적으로 방지할 수 있음을 시사한다. 둘째, 놀이공원에서 조사한 결과는 거래중요도뿐만 아니라 고객충성도가 대기경험에 긍정적인 영향을 미치는 것으로 나타났다. 이를 통해, 놀이공원의 서비스 제공자는 지속적으로 고객충성도를 높일 수 있는 전략을 통해 필연적으로 발생하는 대기에 대한 고객의 불만을 최소화할 수 있음을 시사한다. 위의 연구결과는 서비스 장소의 특성에 따라 고객이 대기를 다르게 경험하기 때문에 서비스 제공자는 해당 서비스 장소에 따라 고객특성을 파악하여 이를 강화, 개선해 대기시간을 관리하는 것이 효과적일 수 있음을 시사한다. 셋째, 지금까지 대부분의 연구에서 조절적인 변수로 취급되었던 거래중요도, 대기기대수준 등의 고객 특성이 대기경험에 영향을 미치는 주요 독립 변수로 연구됨으로써 대기경험에 직접적인 영향을 미칠 수 있다는 것을 밝혔다. 즉, 획일화된 서비스전략이 모든 고객을 만족시키지 못하기 때문에, 고객의 개인적 요소들에 따라 대기경험에도 차이가 생길 수 있음을 감안한 마케팅 전략이 필요하다. 또한, 대기시간 연구에서 다루어지지 않았던 고객충성도가 대기경험에 미친다는 것도 알아내었다. 고객충성도는 중·장기의 긍정적인 서비스 경험에 의해 형성되는 것이기 때문에 누적되는 고객만족의 중요성을 위해 대기시간 관리에서 중요한 개념이라고 할 수 있다. 넷째, 실제 대기시간과 대기경험 간의 관계에서 지금까지 대기시간 연구들이 지각된 대기시간을 위주로 연구해왔으나, 실제 대기시간이 대기경험에 미치는 영향도 주목할 필요가 있다는 것을 밝혔다. 특히, 본 연구에서는 한계 대기시간과 함께 실제 대기시간의 영향력을 알아봄으로써, 동일한 실제 대기시간에도 개인이 느끼는 한계 대기시간에 따라 대기경험에 다양한 반응이 있음을 알 수 있었다. 마지막으로, 대기경험 간의 관계에 있어서도 Hui and Tse(1996)의 연구와 달리 고객은 대기시간을 지각하면, 이에 대한 수용여부를 결정하고, 대기상황에 대한 감정적 반응을 한다는 어느 정도의 방향성을 발견할 수 있었다.