Impact of Service Quality On Trust and Loyalty: An Empirical Study On Private Hospitals in Kurdistan Region of Iraq

Authors: Osman Sahin1
1Department of Business Management, Faculty of Administrative Sciences and Economics, Tishk International University, Erbil, Iraq

Abstract: Aim of this study was to investigate the impact of functional and technical service quality on the trust and loyalty of patients at private hospitals. The study conducted in the Kurdistan region of Iraq. We have collected data via a survey questionnaire from 322 patients or acquaintances of patients. The results revealed that functional and technical service quality at private hospitals had a more or less equal impact on the trust of patients to that hospital. Besides, none of those service qualities significantly impacted the loyalty of patients. As trust had a strongly significant and positive impact on the loyalty to that hospital, it was found that trust had a strong mediating role between service quality and loyalty to a private hospital. There are managerial implications in the conclusion part.

 

Keywords: Functional Quality, Technical Quality, Hospital Service Quality, Trust, Loyalty, Private Hospital

Download the PDF Document

 

doi: 10.23918/ejmss.v1i2p72

References

Alrubaiee, L., & Alkaa’ida, F. (2011). The mediating effect of patient satisfaction in the patients’ perceptions of healthcare quality-patient trust relationship. International Journal of Marketing Studies, 3(1), 103.

Arab, M., Tabatabaei, S. G., Rashidian, A., Forushani, A. R., & Zarei, E. (2012). The effect of service quality on patient loyalty: a study of private hospitals in Tehran, Iran. Iranian journal of public health, 41(9), 71.

Budur, T. (2018b). The impact of Al-Ghazali’s virtues on organizational commitment and performance: A case Study at private education institutions in Kurdistan Region of Iraq. Icabep, Erbil-Iraq, 2, p21.

Budur, T. B. (2018a). Analytic Hierarchy Process to Evaluate Corporate Image, Trust, and Switching Cost of GSM Operators: A Case of Kurdistan Region of Iraq. International Journal of Social Sciences & Educational Studies, 5(2), 241-250.

Budur, T., & Demir, A. (2019a). Leadership effects on employee perception about CSR in Kurdistan Region of Iraq. International Journal of Social Sciences & Educational Studies, 6(1). 142-154.

Budur, T., & Demir, A. (2019b). Leadership perceptions based on gender, experience, and education. International Journal of Social Sciences & Educational Studies, 6(1), 142–154.

Budur, T., Faraj, K. M., & Karim, L. A. (2019). The Benchmarking Operations Strategies via Hybrid Model: A Case study of Café-Restaurant Sector. Amazonia Investiga, 8(23), 842-854.

Budur, T., Rashid, C. A., & Poturak, M. (2018). Students perceptions on university selection, decision making process: A case study in Kurdistan Region of Iraq. International Journal of Social Sciences & Educational Studies, 5(1), 133-144.

Budur, T., & Poturak, M. (2020). Transformational Leadership and its Impact on Customer Satisfaction. Measuring Mediating Effects of Organizational Citizenship Behaviors. Middle East Journal of Management.

Choudhuri, P. S. (2016). An Empirical Study on the Quality of Services Offered by the Private Life Insurers in Burdwan. In Handbook of Research on Promotional Strategies and Consumer Influence in the Service Sector (pp. 31-55). IGI Global.

Dachyar, M., & Minar, I. P. (2018). Patients’ Loyalty Improvement in Public Hospital. In MATEC Web of Conferences (Vol. 248, p. 03015). EDP Sciences.

Demir A, Shawkat S, Majeed BN, Budur T. 2019. Fuzzy AHP and VIKOR to select best location for bank investment: case study in Kurdistan Region of Iraq. In Effective Investments on Capital Markets, Tarczyn’sk W, Nermend K (eds). Springer: Cham; 485-510.

Demir, A. (2019b). The Impact of Strategic Operations Management Decisions on Shoppers’ wellbeing. Asian Academy of Management Journal, 24(1).

Demir, A. D. (2019a). A Benchmarking of service quality in telecommunication services: Case study in Kurdistan Region of Iraq. International Journal of Social Sciences & Educational Studies, 5(3), 216-231.

Demir, A., & Aydinli, C. (2016). Exploring the quality dimensions of mobile instant messaging applications and effects of them on customer satisfaction. International Journal of Computer Theory and Applications, 9(22), 1-15.

Demir, A., & Budur, T. (2019). Roles of leadership styles in corporate social responsibility to non-governmental organizations (NGOs). International Journal of Social Sciences & Educational Studies, 5(4), 174-183.

Demir, A., & Guven, S. (2017). The influence of ISO certificate on quality evaluation of students: a case study at Ishik University. Advances in Social Sciences Research Journal, 4(3).

Demir, A., & Mukhlis, M. (2017). An evaluation of gated communities as a product: An empirical study in Sulaimaniyah, Iraq. Theoretical and Empirical Researches in Urban Management, 12(3), 63-84.

Demir, A., Özmen, Ö., & Rashid, A. (2014). An Estimation of Turkey’s Export Loss to Iraq. Procedia-Social and Behavioral Sciences, 150, 1240-1247.

Ehsan, S. (2017). Interrelationships among quality enablers, service quality, patients’ satisfaction and loyalty in hospitals, The TQM Journal.

Essay, U. (2015). The Five Dimensions of Service Quality Measured Marketing Essay. Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty. International Journal of Quality & Reliability Management.

Fisk, R. P., Grove, S. J., & John, J. (2012). Services marketing self-portraits: Introspections, reflections, and glimpses from the experts. Marketing Classics Press.

Kesuma, I. A. W., Hadiwidjojo, D., Wiagustini, N. L. P., & Rohman, F. (2013). Service quality influence on patient loyalty: Customer relationship management as mediation variable (study on private hospital industry in Denpasar). International Journal of Business and Commerce, 2(12), 1-14.

Khan, N. U. S., & Yildiz, Y. (2020). Impact of Intangible Characteristics of Universities on Student Satisfaction. Amazonia Investiga, 9(26), 105-116.

Lertwannawit, A., & Gulid, N. (2011). International tourists service quality perception and behavioral loyalty toward medical tourism in bangkok metropolitan area. Journal of Applied Business Research (JABR), 27(6), 1-12.

Lestariningsih, T., Hadiyati, E., & Astuti, R. (2018). Study of service quality and patient satisfaction to trust and loyalty in public hospital, Indonesia. International Journal of Business Marketing and Management, 3(2), 1-12.

Martin, A. B., Lassman, D., Washington, B., Catlin, A., & National Health Expenditure Accounts Team. (2012). Growth in US health spending remained slow in 2010; health share of gross domestic product was unchanged from 2009. Health Affairs, 31(1), 208-219.

Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269.

Melisidou, S., & Theocharis, N. (2007). Service Quality, Customer Satisfaction and Customer Retention in the hospitality industry: Keys to achieve tourism growth. In 2nd International Scientific Conference (eRA 2), “The Conference for the contribution of Information Technology to Science, Economy, Society and Education”, ΤΕΙ of Piraeus-University of Paisley, Aegina (pp. 22-23).

Mohammed, S. S., Suleyman, C., & Taylan, B. (2020). Burnout Determinants and Consequences Among University Lecturers. Amazonia Investiga, 9(27), 13-24.

Moliner, M. A. (2009). Loyalty, perceived value and relationship quality in healthcare
services. Journal of service management.

Moore, M., Anthony, C. R., Lim, Y. W., Jones, S. S., Overton, A., & Yoong, J. K. (2014). The Future of Health Care in the Kurdistan Region—Iraq: Toward an Effective, High-Quality System with an Emphasis on Primary Care. Rand health quarterly, 4(2).

Özmen, Ö., Demir, A., & Celepli, M. (2013). An Analysis of Iraq’s Pre-import Inspection, Testing & Certification Program: A’WOT Analysis. ProcediaSocial and Behavioral Sciences, 99, 85-93.

Rahman, M. R., & Kutubi, S. S. (2013). Assessment of service quality dimensions in healthcare industry A study on patient’s satisfaction with Bangladeshi private Hospitals. International Journal of Business and Management Invention, 2(4), 59-67.

Rehaman, B., & Husnain, M. (2018). The impact of service quality dimensions on patient satisfaction in the private healthcare industry in Pakistan. J Hosp Med Manage [Internet]. Retrieved from: https://investingroup.org/review/245/on-track-forexpansion-health-kurdistan.

Shabbir, A., & Malik, S. A. (2016). Measuring patients’ healthcare service quality perceptions, satisfaction, and loyalty in public and private sector hospitals in Pakistan. International Journal of Quality & Reliability Management, 33(5), 538-557.

Suki, N. M. (2011). Assessing patient satisfaction, trust, commitment, loyalty and doctors’ reputation towards doctor services. Pakistan Journal of Medical Science, 27(5), 1207-1210.

Sumaedi, S., Bakti, I. G. M. Y., Rakhmawati, T., Astrini, N. J., Yarmen, M., & Widianti, T. (2015). Patient loyalty model. Leadership in Health Services.

Top, C., Abdullah, B. M. S., & Faraj, A. H. M. (2020). Transformational Leadership Impact on Employees Performance.

Torlak, N. G., Demir, A., & Budur, T. (2019). Impact of operations management strategies on customer satisfaction and behavioral intentions at caférestaurants. International Journal of Productivity and Performance Management.

Wu, C. C. (2011). The impact of hospital brand image on service quality, patient satisfaction and loyalty. African Journal of Business Management, 5(12), 4873.

Yildiz, Y., & Amin, H. H. H. (2020). Impact of Organizational Citizenship Behavior on Customer Satisfaction.

Yildiz, Y., & Budur, T. (2019). Introducing Environmental Awareness to College Students with Curricular and Extracurricular Activities. International journal of Academic Research in business and Social Sciences, 9(3)667-675.

Zaim, H., Demir, A., & Budur, T. (2020). Ethical Leadership, Effectiveness and Team Performance: An Islamic Perspective. Middle East Journal of Management.

Zeithaml, V. A., Parasuraman, A., Berry, L. L., & Berry, L. L. (1990). Delivering quality service: Balancing customer perceptions and expectations. Simon and Schuster.


Visits: 23