Abstract

Dentistry is highly energy- and resource-intensive with a significant environmental impact. To consolidate green dentistry supply chains, delivering the care of highest quality that meets client value should not be neglected. This study emphasized the importance of client-centered healthscape design for facilitating a green dentistry supply chain. A client-centered healthscape design, which promotes clients’ positive emotions and increases willingness to revisit the dentist, plays a critical role in realizing green dentistry supply chains in the long run. For this purpose, the relationship among dental healthscape design elements, client emotions, and revisit intentions was investigated using a Kansei engineering-based approach. The effects of dental healthscape elements on clients’ positive emotions and the effects of positive emotions on clients’ revisit intentions were holistically examined on the basis of the stimulus–organism–response model. Through this approach, 17 elements of design, ambience, and social interaction factors that comprise the dental healthscape and 20 Kansei words used to express clients’ positive emotions regarding dental service were identified. A questionnaire survey was used to assess Kansei and revisit intention in healthscape scenarios, composed of varied design elements. Primary data were collected from 600 individuals from 2017 to 2018 throughout Taiwan. Partial least squares was applied to holistically analyze the effects of dental healthscape elements on clients’ positive emotions and the effects of positive emotions on clients’ revisit intention to generate a Kansei model for the dental healthscape. All 20 Kansei words had significant positive effects on the dental revisit intention of clients. The five positive emotions most associated with increased revisit intention were thoughtful, hopeful, tender, comfortable, and cozy. The Kansei model of the dental healthscape provides references for healthscape design that maintains positive client emotions during the dental service and results in high revisit intention. This approach can realize an emotion-centered design for dental healthscapes that promotes preventive dental care, early treatment, and effective use of medical resources, and consequently contributes to green dentistry supply chains.

Highlights

  • A supply chain is a system of organizations, people, information, and resources involved directly or indirectly in different activities that produce value in the form of physical goods or services delivered from supplier to the ultimate consumer [1]

  • Twenty words were identified through the KJ method as central to the positive Kanseis of clients receiving dental service: capable (K1), trustworthy (K2), hospitable (K3), tender (K4), steady (K5), friendly (K6), informed (K7), obliging (K8), helpful (K9), relieved (K10), comfortable (K11), encouraging (K12), calm (K13), clean (K14), cozy (K15), warm (K16), relaxed (K17), healthful (K18), thoughtful (K19), and hopeful (K20)

  • With consideration given to the three dimensions of design, ambience, and social interaction [65], 17 design elements of the dental healthscape (E1–E17) were selected, each of which had two or three attributes, resulting in a total of 39 attributes (A1–A39), as displayed in the left column of Table 1

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Summary

Introduction

A supply chain is a system of organizations, people, information, and resources involved directly or indirectly in different activities that produce value in the form of physical goods or services delivered from supplier to the ultimate consumer [1]. Unlike physical goods, are intangible, perishable, and heterogeneous, and often involve customers as active participants in the production process. The implication is that all services have customers as primary suppliers of inputs, which is the customer–supplier duality [2]. Converting or creating value for customers in services always involves the customers actively; customers are often co-producers. Res. Public Health 2019, 16, 3507; doi:10.3390/ijerph16193507 www.mdpi.com/journal/ijerph

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