Does the patient perception of service quality differ in the recession period? Evidence from Greek hospital care

Keramidou, Ioanna and Triantafillopoulos, Loukas (2023): Does the patient perception of service quality differ in the recession period? Evidence from Greek hospital care.

Abstract

The objective of this paper is to identify the determinants of the perceived quality of hospital care in Greece before and during the recession era and explore the potential differences in the client's perceptions in the downward and upward phases of the economic cycle. The findings from a representative sample of 2224 patients discharged from Greek public and private hospitals show that the satisfaction of patients of Greek hospitals with service quality over the period 2006-2016 is 70.2 points on a scale of 1–100. According to our results, in the period of growth and recession, inpatients form their perceptions about service quality based more on process quality than on the outcome of care and the quality of the facilities. Regardless of the economic cycle phases, understanding patients' needs plays the most crucial role in judging process quality. At the same time, competence is a critical factor influencing their satisfaction with technical care. As a result, initiatives that boost personnel empathy and knowledge can improve overall perceived hospital care quality in Greece

• Item Type: MPRA Paper
• Language: English
• Keywords: Perceived Service Quality; Economic Cycle; Hospitals; Greece
• Subjects: I - Health, Education, and Welfare > I1 - Health; L - Industrial Organization > L3 - Nonprofit Organizations and Public Enterprise; L - Industrial Organization > L5 - Regulation and Industrial Policy; L - Industrial Organization > L8 - Industry Studies: Services; M - Business Administration and Business Economics ; Marketing ; Accounting ; Personnel Economics > M2 - Business Economics

References

Babakus E, Bienstock C, Scotter J 2004. Linking perceived quality and customer satisfaction to store traffic and revenue growth. Decis Sci. 35(4), 713–737.

Brady, M.K., Cronin, J.J., 2001. Some New Thoughts on Conceptualizing Perceived Service Quality: A Hierarchical Approach. J Marketing. 65, 34–49.

Chandrinou, A., Gaitanou, K., Exarchos, K., Antoniadou, D., Tsorbanaki, C., Bissias, C., Malliarou, M., 2013. Rating of patient satisfaction factors in a clinical hyperbaric centre of a Greek navy hospital. Int. J. Caring Sci. 6 (1), 69–77.

Chin, W. W., 1998. The partial least squares approach to structural equation modeling, in Marcoulides, G. (Eds.), Modern Methods for Business Research. Lawrence Erlbaum Associates, London, pp. 295–336.

Cohen, J. 1988. Statistical Power Analysis for the Behavioral Sciences. 2e, Hillsdale, NJ: Lawrence Erlbaum Associates, London.

Dabholkar, P. A., Thorpe, D. I., Rentz, J. O.,1995. A measure of service quality for retail stores: scale development and validation. J Acad Market Sci. 24, 3-16.

Dagger, T. S., Sweeney, J. C., Johnson, L. W., 2007. A hierarchical model of health service quality scale development and investigation of an integrated model. J Serv Res-Us. 10, 123-142.

Donabedian, A., Wheeler, J. R., Wyszewianski, L.,1982. Quality, cost, and health: an integrative model. Med Care. 20, 975-992.

Eurostat, 2016. The annual macroeconomic database. URL http://ec.europa.eu/economy_finance /db_indicators/ameco/index_en.htm

Grönroos, C., 1988. Service quality: The six criteria of good perceived service. Rev Bus. 9, 10-13. Kang, G. D., James, J., 2004. Service quality dimensions: an examination of Grönroos's service quality model. Manag Serv Qual: An Int J, 14(4), 266-277.

Keramidou, I., Triantafyllopoulos, L. (2018). The impact of the financial crisis and austerity policies on the service quality of public hospitals in Greece. Health Policy, 122(4), 352-358.

Labiris, G., Niakas, D., 2005. Patient satisfaction surveys as a marketing tool for Greek NHS Hospitals. J. Med. Mark.: Device, Diagn. Pharm. Mark. 5, 324–330.

Lee S, Lee D, Kang C., 2012. The impact of high-performance work system in the health care industry: employee reactions, service quality, customer satisfaction, and customer loyalty. Serv Ind J. 32(2), 17–36.

Matis, G.K., Birbilis, T.A., Chrysou, O., 2009. Patient satisfaction questionnaire and quality achievement in hospital care: the case of a Greek public university hospital. Health Serv. Manag. Res. 22 (4), 191–196.

Mitropoulos, P., Vasileiou, K., Mitropoulos, I, 2018. Understanding quality and satisfaction in public hospital services: A nationwide inpatient survey in Greece. J Retailing and Consum Serv. 40, 270-275.

Pantouvakis, A., Bouranta, N., 2014. Quality and price – impact on patient satisfaction. Int. J. Health Care Qual. Assur. 27 (8), 684–696.

Papanikolaou, V., Ntani, S., 2008. Addressing the paradoxes of satisfaction with hospital care. Int. J. Health Care Qual. Assur. 21 (6), 548–561.

Parasuraman, A., Zeithaml, V.A., Berry, L.,1985. A conceptual model of service quality and its implications for future research. J Marketing. 49, 41–50.

Polyzos, N., Mpartzokas, D., Mylonakis, J., Yfantopoulos, J., Mougia, V., 2005. Factors affecting outpatient and inpatient hospital satisfaction. Eur. J. Sci. Res. 11 (2), 131–144.

Raposo, M.L., Alves, H.M., Duarte, P.A., 2009. Dimensions of service quality and satisfaction in healthcare: a patient's satisfaction index. Serv Bus. 3, 85–100.

Richard, M., Allaway, A., 1993. Service quality attributes and choice behaviour. J Serv Marketing. 7, 59–68.

Ringle, C. M., Wende, S., and Becker, J.-M. 2022. SmartPLS 4. Oststeinbek: SmartPLS GmbH, http://www.smartpls.com.

Ringle, C.M., Sarstedt, M., Zimmermann, L., 2011. Customer satisfaction with commercial airlines: The role of perceived safety and purpose of travel. J Marketing Theor Pract. 19 (4), 459-472.

Rocco, G., Lauro, C., Lauro, N., Sarnelli, M., Olivieri, G., Gatti, S., Rocca, A., La Manna, C., 2009. Partial least squares path modelling for the evaluation of patients' satisfaction after thoracic surgical procedures. Eur J of Cardio-Thor. 35, 353-358.

Rust, R.T., Oliver, R.L.,1993. Service Quality: New Directions in Theory and Practice. Sage, London.

Sarstedt, M., Henseler, J., Ringle, C.M., 2011. Multigroup Analysis in Partial Least Squares (PLS) Path Modeling: Alternative Methods and Empirical Results. Adv Int Mar. 22, 115–139.

Schembri, S., Sandberg, J. 2011. The experiential meaning of service quality. Marketing Theor. 11(2), 165-186.

Zineldin, M., 2006. The quality of health care and patient satisfaction: an exploratory investigation of the 5Qs model at some Egyptian and Jordanian medical clinics. Int. J. Health Care Qual. Assur. 19, 60–92.

Zeithaml, V. A. (1988). Consumer perceptions of price, quality, and value: a means-end model and synthesis of evidence. J Marketing. 52 (3), 2-22.