Abstract

This study aimed to construct and test structural equation modeling of the causal relationship between quality of healthcare, patient satisfaction, and intent to revisit perceived by patients using regional hub public hospitals. In this study, data of 2,951 outpatients and 3,135 inpatients were collected using the "2018 Regional Hub Public Hospital Operational Evaluation." A structural equation model was used to understand the relationship between patient satisfaction and intent to revisit, and bootstrap analysis was performed. In the direct effect, outpatients were presented in the order of the physician's practice service, the hospital's environment, and patient satisfaction. Inpatients were in the order of the physician's practice service and, medical staff's kindness and consideration,; patient satisfaction was shown in this order. In the indirect effect, the outpatients were presented in the order of physician's practice service, medical staff's kindness and consideration, and hospital's physical environment. Inpatients were introduced in the order of medical staff's kindness and consideration, nurse's practice service, physician's practice service, and patient satisfaction. Regional hub public hospitals need high-quality medical services and efforts from all departments to treat patients with sincerity to improve patient satisfaction and increase intent to revisit.

Highlights

  • With improved living standards, convenience in access to various information, and rapid societal aging, quantitative and qualitative demands and medical services expectations increase

  • This study aimed to investigate the influence of the quality of healthcare perceived by patients who use regional hub public hospitals on their satisfaction and intent to revisit

  • This study examined the effect of healthcare quality perceived by patients using regional hub public hospitals on their patient satisfaction and intent to revisit the hospital

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Summary

Introduction

Convenience in access to various information, and rapid societal aging, quantitative and qualitative demands and medical services expectations increase. The increasing level of consciousness and expectations of citizens and the number of medical services consumers mean that only medical institutions meeting these expectations can be managed sustainably. In response to such social trends, the healthcare market is shifting from being supplier-oriented to customer-oriented [1]. Customer-oriented marketing is a standard business administration concept aiming to identify and satisfy customers’ needs [2]. The medical industry was previously dominated by a supplier-oriented market where patients visited hospitals without receiving

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