Quality of service in a level II hospital for patient satisfaction in Peru

Authors

DOI:

https://doi.org/10.53732/rccsociales/e601123

Keywords:

Services, third sector, hospital, health services, patients, Peru

Abstract

The purpose of this study is to describe the quality of service in a level II hospital for patient satisfaction in Peru. A quantitative, transversal and explanatory level approach was used. 300 users of the Carlos Lanfranco la Hoz level II-2 hospital in Lima were surveyed at random in 2023. The instrument incorporated the service quality variable (12 items) adapted from the SERVQUAL model developed by Parasuraman et al. and modified by Park et al., plus the satisfaction variable (3 items). Regarding data processing, SPSS v25 and AMOS v25 were used. The results indicate that the perception of service quality and patient satisfaction is moderate, with notable differences between different demographic groups. A strong positive correlation was found between service quality, based on responsiveness, tangible elements, empathy, security and reliability with patient satisfaction (Beta = 0.760, R² = 0.577). It is concluded that improving the quality of service could significantly increase patient satisfaction. This study highlights the need for personalized services and provides perspectives for the design of improvement strategies in the Peruvian hospital environment.

References

Amarantou, V., Chatzoudes, D., Kechagia, V., & Chatzoglou, P. D. (2019). The Impact of Service Quality on Patient Satisfaction and Revisiting Intentions: The Case of Public Emergency Departments. Quality Management in Health Care, 28(4), 200–208. https://doi.org/10.1097/QMH.0000000000000232

Arrieta, A., Suárez, G., & Hakim, G. (2018). Assessment of patient safety culture in private and public hospitals in Peru. International Journal for Quality in Health Care, 30(3), 186–191. https://doi.org/10.1093/intqhc/mzx165

Barrios-Ipenza, F., Calvo-Mora, A., Velicia-Martín, F., Criado-García, F., & Leal-Millán, A. (2020). Patient Satisfaction in the Peruvian Health Services: Validation and Application of the HEALTHQUAL Scale. International Journal of Environmental Research and Public Health, 17(14), 5111. https://doi.org/10.3390/ijerph17145111

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https://doi.org/10.1037/0033-2909.107.2.238

Bolton, R. N., & Drew, J. H. (1991). A Multistage Model of Customers’ Assessments of Service Quality and Value. Journal of Consumer Research, 17(4), 375–384. https://doi.org/10.1086/208564

Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297–334. https://doi.org/10.1007/BF02310555

Darzi, M. A., Islam, S. B., Khursheed, S. O., & Bhat, S. A. (2023). Service quality in the healthcare sector: a systematic review and meta-analysis. LBS Journal of Management & Research, 21(1), 13–29. https://doi.org/10.1108/LBSJMR-06-2022-0025

Derksen, F., Bensing, J., & Lagro-Janssen, A. (2013). Effectiveness of empathy in general practice: a systematic review. British Journal of General Practice, 63(606), e76–e84. https://doi.org/10.3399/bjgp13X660814

Espinoza-Portilla, E., Gil-Quevedo, W., & Agurto-Távara, E. (2020). Principales problemas en la gestión de establecimientos de salud en el Perú. Revista Cubana de Salud Pública, 46(4). https://revsaludpublica.sld.cu/index.php/spu/article/view/2146/1664

Febres-Ramos, R. J., & Mercado-Rey, M. R. (2020). Patient satisfaction and quality of care of the internal medicine service of Hospital Daniel Alcides Carrión. Huancayo - Perú. Revista de La Facultad de Medicina Humana, 20(3), 397–403. https://doi.org/10.25176/RFMH.v20i3.3123

Gestión. (2020). Más del 77% establecimientos de salud con infraestructura precaria y equipamiento obsoleto. Diario Gestión. https://gestion.pe/economia/mas-del-77-establecimientos-de-salud-con-infraestructura-precaria-y-equipamiento-obsoleto-noticia/

Grönroos, C. (1984). A Service Quality Model and its Marketing Implications. European Journal of Marketing, 18(4), 36–44. https://doi.org/10.1108/EUM0000000004784

Hair, J. F., Black, W., Babin, B. J., & Anderson, R. E. (2009). Multivariate Data Analysis. 7th ed. Pearson.

Hair, J., Black, W., Babin, B., & Anderson, R. (2010). Multivariate Data Analysis: A Global Perspective. Pearson.

Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Partial Least Squares Structural Equation Modeling (PLS-SEM) Using R. Springer International Publishing. https://doi.org/10.1007/978-3-030-80519-7

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2

Lis, C. G., Rodeghier, M., & Gupta, D. (2011). The relationship between perceived service quality and patient willingness to recommend at a national oncology hospital network. BMC Health Services Research, 11(1), 46. https://doi.org/10.1186/1472-6963-11-46

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. https://doi.org/10.1016/j.jretconser.2016.10.011

Nguyen, T., Nguyen, H., & Dang, A. (2020). Determinants of patient satisfaction: Lessons from large-scale inpatient interviews in Vietnam. Plos One, 15(9), e0239306. https://doi.org/10.1371/journal.pone.0239306

Parasuraman, A. P., Zeithaml, V., & Berry, L. (1988). Servqual: A multiple- Item Scale for measuring consumer perceptions of service quality. Journal of Retailing. 64(1), 12-40. https://www.researchgate.net/publication/200827786_SERVQUAL_A_Multiple-item_Scale_for_Measuring_Consumer_Perceptions_of_Service_Quality

Park, S. J., Yi, Y., & Lee, Y. R. (2021). Heterogeneous dimensions of SERVQUAL. Total Quality Management and Business Excellence, 32, 1-2. https://doi.org/10.1080/14783363.2018.1531700

Pasinringi, S. A., Rivai, F., Arifah, N., & Rezeki, S. F. (2021). The relationship between service quality perceptions and the level of hospital accreditation. Gaceta Sanitaria, 35, 116–S119. https://doi.org/10.1016/j.gaceta.2021.10.009

Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. Methods of Psychological Research, 8, 23–74. https://www.researchgate.net/publication/251060246_Evaluating_the_Fit_of_Structural_Equation_Models_Tests_of_Significance_and_Descriptive_Goodness-of-Fit_Measures

Schoenfelder, T., Klewer, J., & Kugler, J. (2011). Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. International Journal for Quality in Health Care, 23(5), 503–509. https://doi.org/10.1093/intqhc/mzr038

Soto, A. (2019). Barreras para una atención eficaz en los hospitales de referencia del Ministerio de Salud del Perú: atendiendo pacientes en el siglo XXI con recursos del siglo XX. Revista Peruana de Medicina Experimental y Salud Pública, 36(2), 304. https://doi.org/10.17843/rpmesp.2019.362.4425

Wright, L., & Lovelock, C. H. (2002). Principles of service marketing and management: International edition .2nd ed. Pearson.

Zahlimar, Zuriati, Z., & Chiew, L. (2020). Relationship quality of health services with satisfaction of patients in H. Hanafie Muara Bungo Hospital in 2019. Enfermería Clínica, 30, 168–170. https://doi.org/10.1016/j.enfcli.2019.11.047

Zeithaml, V., Bitner, M. J., & Gremler, D. D. (1996). Services Marketing: Integrating Customer Focus Across the Firm.

Published

2024-11-11

How to Cite

Córdova Camacho, A. M., Aparicio Dávila, M. I., & Huamanchumo Venegas, H. I. (2024). Quality of service in a level II hospital for patient satisfaction in Peru. Revista científica En Ciencias Sociales - ISSN: 2708-0412, 6, 1–12. https://doi.org/10.53732/rccsociales/e601123