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"Customer Satisfaction"

Original Article
Causal Relationships among Quality, Service Value, Satisfaction and Loyalty
Young Hee Yom, In Ja Lee
J Korean Acad Nurs Adm 2010;16(4):497-506.   Published online December 31, 2010
DOI: https://doi.org/10.11111/jkana.2010.16.4.497
PURPOSE
The purpose of this study was to examine the causal relationships among quality of health care service, service value, satisfaction and loyalty as perceived by hospital inpatients.
METHODS
A survey using a structured questionnaire was conducted with 654 hospital inpatients. Analysis of the data was done with both SPSS Win 17.0 for descriptive statistics and AMOS 18.0 for the structural equation model.
RESULTS
The modified model yielded Chi-square=7.96 (p=.019), df=2, chi2/df=3.98, GFI=.99, AGFI=.96, RMSEA=.07, NFI=.99, CFI=.99, TLI=.98 and showed good fit indices. Three dimensions of quality had significant direct effects on service value. Functional quality, technical quality and service value had significant direct effects on customer satisfaction. Technical quality, service value, and customer satisfaction had significant direct effects on customer loyalty.
CONCLUSION
These results suggest that quality of health care is an important element in service value, and through both quality and service value, customer satisfaction and customer loyalty can be enhanced. Further study with a larger sample from various hospitals and a longitudinal design is necessary.

Citations

Citations to this article as recorded by  
  • The Effect of Outpatients’ Perceived Service Quality on Satisfaction with Treatment and Willingness to Recommend Hospital
    Myong Sun Cho
    Journal of Health Informatics and Statistics.2019; 44(4): 349.     CrossRef
  • Factors influencing satisfaction with emergency department medical service: Patients’ and their companions’ perspectives
    Heesook Son, Young‐Hee Yom
    Japan Journal of Nursing Science.2017; 14(1): 27.     CrossRef
  • Factors Influencing Chinese Customers' Loyalty to Korean Medical and Tourism Services
    Young-Hee Yom, Myoung Ae Kim, Jung Hee Han
    Journal of Korean Academy of Nursing Administration.2015; 21(3): 317.     CrossRef
  • The Effect of Service Qualities with University Hospitals in Daejeon on their Overall Service Satisfaction
    Jeong-Kyo Suh, Seo-Kyeong Jang
    The Korean Journal of Health Service Management.2013; 7(4): 93.     CrossRef
  • Causal Relationships Among Perceived Risk, Satisfaction, Switching Cost and Loyalty in Outpatient Health Services
    Young-Hee Yom, Kyu Eun Lee
    Journal of Korean Academy of Nursing Administration.2011; 17(4): 516.     CrossRef
  • The Effect of Hospital SCM on Logistics Performance
    Moon Suk Cho, Young-Hee Yom
    Journal of Korean Academy of Nursing Administration.2011; 17(3): 284.     CrossRef
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