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Development of Service Quality Model for Hospitals

Thesis Info

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Author

Fatima, Iram

Program

PhD

Institute

University of the Punjab

City

Lahore

Province

Punjab

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Bussiness & Management

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/11467/1/Iram%20fatima%20total%20quality%20management%202019.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676724623235

Similar


Superior health care services provide a strategic competitive advantage to health care organizations for catching new customers and retaining existing ones as their loyal members. Therefore, focusing on increased market-driven demand, a lot of service quality models have been conceptualized, discussed and empirically tested for functional quality measurements, but they did not conceive the idea to empirically validate technical aspects of service quality yet.Thus, there is need to develop a model covering both dimensions; functional and technical in South Asian context based on multiple respondents to bring improvement in multi-tasking services like hospitals.Such services possess a pool of multi-specialties and it is very difficult to develop such model that can cover each area collectively. So, in the current study, three departments; surgical, emergency, and diagnostics have been purposively selected to collect data from two types of respondents that include patients and employees (Doctors). Using cross-sectional study design, 1500 questionnaires were randomly self-administered among patients and 900 questionnaires (300 in each department) among employees of tertiary care hospitals from both public and private sector.Out of which 817 valid responses (with response rate of 56.67%) from patients and 518 (overall response rate of 57.56%) from employees were obtained.Data analysis was carried out using SPSS ver. 20.0 and AMOS ver. 20.0. Exploratory factor analysis and confirmatory factor analysis were carried out to determine dimensions within a scale. Findings validate assurance, reliability, communication, and responsiveness as contributing factors from previous studies while food, aesthetics, and promptness as new dimensions along with patient satisfaction as an outcome indicator in South Asian context for determining functional quality.These dimensions focused to synthesize a new scale termed Func.Qual. The Assurance was found as most important factor while Communication as the least one based on quality gap score. Whereas employee’s perspective for technical quality measurement results in reliability, responsiveness, tangibility, assurance, communication, working capacity and empathy to form second-order factor analysis model called Tech.Qual. Clinical indicators of each respective department were outcome measures of Tech.Qual. Assurance was found as most critical factor amongst all dimensions while reliability least one. There exists a significant difference in all dimensions of service quality of public and private hospitals except responsiveness and assurance in process measures and clinical indicators (outcome measures) of surgical and diagnostics departments. But in totality, both patients and employees perspective revealed that private sector possess lesser service quality gaps than public sector hospitals.This model, if applied in health sector, may lead to bringing incremental change in perspectives/priorities of health care providers to satisfy their customers
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