The influence of hospital servicescapes on patient loyalty mediated by patients’ emotion and satisfaction: A study at private hospital in Indonesia

Illona Andromeda, M.D., Ferdi Antonio, M.D., Ph.D.

Abstract


Abstract. This study aims to analyze the influence of hospital servicescape towards patient loyalty mediated by patient emotion and patient satisfaction. The research model made based on the adoption of previous study in a healthcare facility, which was empirically tested on patients in a cardiovascular outpatient setting at a private hospital in Jakarta, Indonesia. Data was taken through a simple random sampling, with 162 eligible respondents. Data from respondents were derived through questionnaires using a Likert scale which was distributed online during September 2021 and analyzed using PLS-SEM. Results of this study showed that hospital servicescape has significant influence on mediating variables, namely patient emotion and patient satisfaction. Positive significant relationship was found on positive emotion, which appeared to have the strongest influence towards dependent variable. These findings confirmed the management theory based on servicescape, which had become one of the appealing topics especially with its relation in the healthcare industry.

Abstrak. Penelitian ini bertujuan untuk menganalisis pengaruh servicescape rumah sakit terhadap loyalitas pasien yang dimediasi oleh emosi pasien dan kepuasan pasien. Model penelitian dibuat berdasarkan adopsi penelitian sebelumnya di fasilitas kesehatan, yang diuji secara empiris pada pasien dalam pengaturan rawat jalan kardiovaskular di sebuah rumah sakit swasta di Jakarta, Indonesia. Pengambilan data dilakukan secara simple random sampling, dengan jumlah responden yang memenuhi syarat sebanyak 162 orang. Data dari responden diperoleh melalui kuesioner dengan menggunakan skala Likert yang disebarkan secara online selama bulan September 2021 dan dianalisis menggunakan PLS-SEM. Hasil penelitian ini menunjukkan bahwa servicescape rumah sakit berpengaruh signifikan terhadap variabel mediasi; yaitu emosi pasien dan kepuasan pasien. Hubungan signifikan positif ditemukan pada emosi positif, yang tampaknya memiliki pengaruh paling kuat terhadap variabel dependen. Temuan ini menegaskan teori manajemen berbasis servicescape, yang telah menjadi salah satu topik menarik terutama dalam kaitannya dengan industri kesehatan. Model penelitian ini memiliki akurasi prediksi yang besar sehingga dapat dikembangkan untuk penelitian lebih lanjut.


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References


Alas, R., Übius, U., Lorents, P., & Matsak, E. (2017). Corporate Social Responsibility In European And Asian Countries. Jurnal Manajemen Bisnis Dan Inovasi (JMBI) UNSRAT Vol. 4 No. 1

Aksoy, L., Keiningham, T.L., Buoye, A., Lariviere, B., Williams, L. & Wilson, I. (2015), “Does loyalty span domains? Examining the relationship between consumer loyalty, other loyalties and happiness”, Journal of Business Research, Vol. 68 No. 12, pp. 2464-2476.

Alkazemi, M. F., Bayramzadeh, S., Alkhubaizi, N. B., & Alayoub, A. (2019). The physical environment and patient satisfaction ratings on social media: An exploratory study. Facilities, 38(1/2), 86–97. https://doi.org/10.1108/f-11-2018-0138

Amin, S. H., Wahid, S. D., & Ismail, M. (2016). Observing the natural dimension of Hospital Servicescape on patient satisfaction. Procedia Economics and Finance, 37, 58–64. https://doi.org/10.1016/s2212-5671(16)30093-4

Andrade, C., Lima, M.L., Fornara, F., & Bonaiuto, M. (2012), “Users’ views of hospital environmental quality: validation of the perceived hospital environment quality indicators (PHEQIs)”, Journal of Environmental Psychology, Vol. 32 No. 2, Elsevier, pp. 97-111.

Baraban, R.S., & Durocher, J.F., 2001. Successful Restaurant Design, 2nd Edition. Wiley, New York.

Beiser, M. (1974). Components and correlates of mental well-being. Journal of Health and Social Behavior,IS, 320-327.

Bitner, M. J. (1992). Servicescapes: The impact of physical surroundings on customers and employees. Journal of Marketing, 56(2), 57–71.

Booms, B.H., & Bitner, M.J. (1981) Marketing Strategies and Organization Structures for Service Firms. In: Marketing of Services, American Marketing Association, Chicago, 47-51.

Bonn MA., Joseph-Mathews SM., Dai M., Hayes S., & Cave J. Heritage/cultural attraction atmospherics: creating the right environment for the heritage/cultural visitor. J Travel Res. 2007;45(3):345-354.

Bradburn, N. M. (1969). The structure of psychological well-being. Chicago: Aldine.

Cadirci TO., & Akmaz AE. (2017). The Impact of Healthscape on Customer Satisfaction and Loyalty in Public and Private Healthcare Institutions. Yildiz, Social Science Review. Yildiz Technical University

Chen F., & Chen FS. Experience quality, perceived value, satisfaction and behavioral intentions for heritage tourists. Tourism Manage. 2010;31(1):29-35.

Choi HY., & Yoon BK. The study on the medical service quality, hospital environment, and customer satisfaction in order to improve the quality of medical tourism. Int J Tour Hosp Res. 2014;28(8):123-133.

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd Edition) (2nd ed.). Routledge.

DCunha, S., Suresh, S., & Kumar, V. (2019). Service quality in healthcare: Exploring servicescape and patients’ perceptions. International Journal of Healthcare Management, 14(1), 35–41. https://doi.org/10.1080/20479700.2019.1605689

Delloite (2021). “Global Health Care Outlook: Accelerating Industry Change,” Delloitte.

Evans, G.W., & McCoy, J.M. (1998), “When buildings don’t work: the role of architecture in human health”, Journal of Environmental Psychology, Elsevier, Vol. 18 No. 1, pp. 85-94.

Fatima, T., Malik, S.A., & Shabbir, A. (2018), "Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems", International Journal of Quality & Reliability Management, Vol. 35 No. 6, pp. 1195-1214. https://doi.org/10.1108/IJQRM-02-2017-0031

Fornell C., & Larcker DF. Structural equation models with unob- servable variables and measurement error: algebra and statistics. J Marketing Res. 1981;18(3):382-388.

Hall, C. M. (2013). Medical and health tourism: The development and implications of medical mobility. In C. M. Hall (Ed.), Medical tourism: The ethics, regulation, and marketing of health mobility (pp. 3-28). Oxon, UK: Routledge.

Hall, E.T., 1969. The Hidden Dimension. Doubleday, Garden City, NY.

Han H., & Hwang J. Multi-dimensions of the perceived benefits in a medical hotel and their roles in international travelers’ decision-making process. Int J Hosp Manag. 2013;35:100- 108.

Hair, JF., G. Hult, TM., Ringle, CM., & Sarstedt. (2017). A primer on partial least squares structural equation modeling (PLS-SEM), 2nd ed. Thousand Oaks: Sage.

Hair, JF., Risher, JJ., Sarstedt, M., & Ringle, CM. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/ebr-11-2018-0203

Han, J., Kang, H.-J., & Kwon, G. (2018). A systematic underpinning and framing of the Servicescape: Reflections on future challenges in healthcare services. International Journal of Environmental Research and Public Health, 15(3), 509. https://doi.org/10.3390/ijerph15030509

Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8

Holder, M., & Berndt, A. (2011), “The effect of changes in servicescape and service quality perceptions in a maternity unit”, International Journal of Health Care Quality Assurance, Emerald Group Publishing Limited, Vol. 24 No. 5, pp. 389-405.

Huang, I.-C., Du, P.-L., Lin, L.-S., Liu, T.-Y., Lin, T.-F., & Huang, W.-C. (2021). The effect of perceived value, trust, and commitment on patient loyalty in Taiwan. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 004695802110072. https://doi.org/10.1177/00469580211007217

Huang CH, Wu HH, Lee YC, & Li L. What role does patient gratitude play in the relationship between relationship quality and patient loyalty? Inquiry. 2019;56:46958019868324. doi:10.1177/0046958019868324

Hutton, J. D., & Richardson, L. D. (1995). Health- scapes: The role of the facility and physical environment on consumer attitudes, satisfaction, quality assessments, and behaviors. Health Care Management Review, 20(2), 48–61.

Karamoy, H., & Tulung, J. E. (2020). The Effect of Banking Risk on Indonesian Regional Development Bank. Banks and Bank Systems, 15(2), 130-137

Kementrian Kesehatan Republik Indonesia (2020, November 15). RS Online. http://sirs.yankes.kemkes.go.id/rsonline/report/

Kim, M., Koo, D.-W., Shin, D.-J., & Lee, S.-M. (2017). From servicescape to loyalty in the medical tourism industry: A Medical Clinic’s Service Perspective. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 004695801774654. https://doi.org/10.1177/0046958017746546

Kock, N., & Hadaya, P. (2016). Minimum sample size estimation in PLS-SEM: The inverse square root and gamma-exponential methods. Information Systems Journal, 28(1), 227–261. https://doi.org/10.1111/isj.12131

Kotler, Amstrong. 2016. Principles of Marketing Sixteenth Edition Global Edition. England. Pearson Education Limited.

Kraus, S. & Jensen, J. (2010), “Hospitality meets healthcare”, Healthcare Design Magazine.

Ladhari, R., Souiden, N. & Dufour, B. (2017). The role of emotions in utilitarian service settings: The effects of emotional satisfaction on product perception and behavioral intentions. Journal of Retailing and Consumer Services, 34, 10–18.

Lee RJ, & Kim BY. The structural relationships among country image, service quality of medical tourism, and intention to revisit: a case of Chinese medical tourists to Korea. Korean J Hotel Admin. 2014;23(3):83-104.

Lee YK, Lee CK, Lee SK, & Babin BJ. Festivalscapes and patrons’ emotion, satisfaction, and loyalty. J Bus Res. 2008;61:56-64.

Lin, I. Y. (2004). Evaluating a servicescape: The effect of cognition and Emotion. International Journal of Hospitality Management, 23(2), 163–178. https://doi.org/10.1016/j.ijhm.2003.01.001

Liu, S., Li, G., Liu, N., & Hongwei, W. (2021). The impact of patient satisfaction on patient loyalty with the mediating effect of Patient Trust. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 004695802110072. https://doi.org/10.1177/00469580211007221

Loureiro, S. M., Sarmento, E. M., Lopes, R., & Jin, K. N. (2015). Feeling better while waiting: Hospital lobby in Portugal and South Korea. Asian Journal of Business Research, 5(2). https://doi.org/10.14707/ajbr.150017

Mari, M., & Poggesi, S. (2013). Servicescape cues and customer behavior: A systematic literature review and research agenda. The Service Industries Journal, 33(2), 171–199. https://doi.org/10.1080/02642069.2011.613934

Mehrabian, A., & Russell, J. A. (1974). An approach to environmental psychology. Cambridge, MA: MIT Press.

Mittal, V., & Kamakura, W. A. (2001). Satisfaction, repurchase intent, and repurchase behavior: Investigating the moderating effect of customer characteristics. Journal of Marketing Research, 38(1), 131–142. https://doi.org/10.1509/jmkr.38.1.131.18832

Mody, M., Suess, C., & Dogru, T. (2019). Restorative Servicescapes in health care: Examining the influence of hotel-like attributes on patient well-being. Cornell Hospitality Quarterly, 61(1), 19–39. https://doi.org/10.1177/1938965519879430

Morgan, RM., & Hunt, SD. The commitment-trust theory of relationship marketing. J Mark. 1994;58(3):20-38. doi:10.2307 /1252308

Morland, K., Wing, S., Roux, A.D. & Poole, C. (2002), “Neighborhood characteristics associated with the location of food stores and food service places”, American Journal of Preventive Medicine, Vol. 22 No. 1, pp. 23-29.

Närvänen, E., Kuusela, H., Paavola, H., & Sirola, N. (2020). A meaning-based framework for customer loyalty. International Journal of Retail & Distribution Management, 48(8), 825–843. https://doi.org/10.1108/ijrdm-05-2019-0153

Oliver, RL., & Swan, JE. Consumer perceptions of interpersonal equity and satisfaction in transaction: a field survey approach. J Marketing. 1989;53(2):21-35.

Oliver, RL. Whence customer loyalty? J Marketing. 1999;63(4):33-44.

Paquette, S. (2006). Customer knowledge management. Encyclopedia of Knowledge Management, Second Edition, 175–184. https://doi.org/10.4018/978-1-59904-931-1.ch017

Perhimpunan Rumah Sakit Seluruh Indonesia (PERSI) (2020, December 6). Persebaran rumah sakit di Indonesia. https://persi.or.id/wp-content/uploads/2020/11/data_statistikrs.htm

Pinna, M., Del Chiappa, G., & Atzeni, M. (2018). Emotions and satisfaction at the Hospital. International Journal of Pharmaceutical and Healthcare Marketing, 12(2), 126–145. https://doi.org/10.1108/ijphm-07-2016-0037

Pizam, A. (2015). Luxurious physical environment and high-quality of service: Do they always go hand in hand? International Journal of Hospitality Management, 47, 151- 152. doi:10.1016/j.ijhm.2015.04.016

PricewaterhouseCoopers (2016), “HRI’s top ten health industry issues of 2016”, PricewaterhouseCoopers.

Reizenstein, J.E. (1982), “Hospital design and human behavior: a review of the recent literature”, Advances in Environmental Psychology, Vol. 4, pp. 137-169.

Ringle, C.M., Wende, S. & Becker, J.-M. (2015), SmartPLS 3, SmartPLS, Bönningstedt.

Ringle, CM., & Sarstedt, M. (2016), “Gain more insight from your PLS-SEM results: the Importance- Performance map analysis”, Industrial Management and Data Systems, Vol. 116 No. 9, pp. 1865-1886.

Ryu, K., Han, H., & Kim, T. H. (2007). The relationships among overall quickcasual restaurant image, perceived value, customer satisfaction, and behavioral intentions. International Journal of Hospitality Management, 27(3), 459–469. https://doi.org/10.1016/j.ijhm.2007.11.001

Sag, I., Zengul, F. D., & Landry, A. Y. (2018). Patient perceptions of Servicescape in healthcare. Journal of Healthcare Management, 63(2), 94–104. https://doi.org/10.1097/jhm-d-16-00014

Sahoo, D., & Ghosh, T. Healthscape role towards customer satisfaction in private healthcare. Int J Health Care Qual Assur. 2016;29(6):600-613.

Sarstedt, M., Ringle, CM., & Hair, J.F. (2017), “Partial least squares structural equation modeling”, in Homburg, C., Klarmann, M. and Vomberg, A. (Eds), Handbook of Market Research, Springer, Heidelberg.

Sekaran, U., & Bougie, R. (2020). Research Methods for Business: A Skill Building Approach (8th ed.). Wiley.

Shmueli, G., Sarstedt, M., Hair, JF, Cheah, JH., Ting, H., Vaithilingam, S., & Ringle, CM. (2019), “Predictive model assessment in PLS-SEM: guidelines for using PLSpredict”, Working Paper.

Sirgy, M. J., & Jackson, P. A. (2015). How to enhance the well-being of healthcare service providers and their patients? A mindfulness proposal. Frontiers in Psychology. Retrieved from https://www.frontiersin.org/article/10.3389/fpsyg.2015.00276

Sirohi, N., McLaughlin, E.W., & Wittink, D.R. (1998), “A model of consumer perceptions and store loyalty intentions for a supermarket retailer”, Journal of Retailing, Vol. 74 No. 2, pp. 223-245.

Steele, J. R., Jones, A. K., Clarke, R. K., & Shoemaker, S. (2015). Health care delivery meets hospitality: A pilot study in radiology. Journal of the American College of Radiology, 12, 587- 593. doi:10.1016/j.jacr.2014.10.008

Tessler, R., & Mechanic, D. (1978). Psychological distress and perceived health status.Journal of Health and Social Behavior,19.254-262

Toufaily, E., Ricard, L., & Perrien, J. (2013). Customer loyalty to a commercial website: Descriptive meta-analysis of the empirical literature and proposal of an integrative model. Journal of Business Research, 66(9), 1436–1447. https://doi.org/10.1016/j.jbusres.2012.05.011

Turley, L.W., & Milliman, R. E. (2000). Atmospheric effects on shopping behavior: A review of the experimental evidence. Journal of Business Research, 49(2), 193–211. https://doi.org/10.1016/S0148-2963(99)00010-7

Ulrich, R. (1991), “Effects of interior design on wellness: theory and recent scientific research”, Journal of Health Care Interior Design: Proceedings from the Symposium on Health Care Interior Design. Symposium on Health Care Interior Design, Vol. 3 No. 1, pp. 97-109.

Verderber, S., & Fine, D.J. (2000), Healthcare Architecture in an Era of Radical Transformation, Yale University Press, New Haven, CT.

Vigolo, V., Bonfanti, A., Sallaku, R., & Douglas, J. (2019). The effect of signage and emotions on satisfaction with the servicescape: An empirical investigation in a healthcare service setting. Psychology & Marketing, 37(3), 408–417. https://doi.org/10.1002/mar.21307

Watson D., & Tellegen A. Toward a consensual structure of mood. Psychological bulletin. 1985;98(2):219.

Yeganeh, H. (2019). An analysis of emerging trends and transformations in Global Healthcare. International Journal of Health Governance, 24(2), 169–180. https://doi.org/10.1108/ijhg-02-2019-0012

Yoo, M., & Bai, B. (2013). Customer Loyalty Marketing Research: A comparative approach between hospitality and Business Journals. International Journal of Hospitality Management, 33, 166–177. https://doi.org/10.1016/j.ijhm.2012.07.009

Yoon Y., & Uysal M. An examination of the effects of motivation and satisfaction on destination loyalty: a structural model. Tourism Manage. 2005;26(1):45-56.

Yu Y., & Dean A. The contribution of emotional satisfaction on customer loyalty. Int J Serv Ind Manag. 2000;12(3):234-250.

Zeithaml VA., Bitner MJ., & Grember DD. (2010) “Services Marketing Strategy” in Wiley International Encyclopedia of Marketing: Marketing Strategy, Vol. 1. UK: John Wiley & Sons, 208-2018

Zhou, W.-J., Wan, Q.-Q., Liu, C.-Y., Feng, X.-L., & Shang, S.-M. (2017). Determinants of patient loyalty to Healthcare Providers: An integrative review. International Journal for Quality in Health Care, 29(4), 442–449. https://doi.org/10.1093/intqhc/mzx058




DOI: https://doi.org/10.35794/jmbi.v9i2.39077

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