题名

中醫診所形象對病患忠誠度的影響-知覺價值的中介作用

并列篇名

The Effect of the Image of Chinese Medicine Clinic on Patient Loyalty-the Mediating Role of Perceived Value

作者

蔡欣育(Shin-Yuh Tsai);劉庭妤(Ting-Yu Liu);張肇松(Chao-Sung Chang);黃英忠(Ing-Chung Huang)

关键词

診所形象 ; 知覺價值 ; 病患忠誠度 ; 聲譽 ; 中介作用 ; Clinic image ; Perceived value ; Patient loyalty ; Reputation ; Mediating role

期刊名称

醫學與健康期刊

卷期/出版年月

11卷3期(2022 / 11 / 01)

页次

29 - 43

内容语文

繁體中文

中文摘要

目的:本研究探討中醫診所的形象、知覺價值與病患忠誠度間之關係,以及知覺價值在診所的形象與病患忠誠度間的中介效果。方法:以高雄地區中醫診所18歲以上病患之有效問卷287份,採相關分析、信度分析及迴歸分析來驗證研究假設。結果:1.診所形象(聲譽、可近性及醫病關係)顯著的正向影響知覺價值(品質價值及貨幣價值);2.診所形象(聲譽、可近性及醫病關係)顯著的正向影響病患的忠誠度(推薦親友及回診意願);3.知覺價值(品質價值)在診所形象(聲譽)及病患忠誠度(推薦親友)間具部分中介效果;4.知覺價值(品質價值及貨幣價值)在形象(聲譽)及病患忠誠度(回診意願)間具部分中介效果。結論:本研究發現病患忠誠度的推薦親友及回診意願在形象及知覺價值間呈現不同的結果,實屬有趣及值得重視,建議對相關議題有興趣之後續研究者可再進一步探討。

英文摘要

Objectives. This research investigated the relationship among Chinese medicine clinic image, perceived value, patient loyalty, and the role of perceived value as a mediator on the relationship between traditional medical clinic image and patient loyalty. Methods. Two hundred and eighty seven patients with age of 18 and older visited Chinese medicine clinics in Kaohsiung area were enrolled for study. Statistical analysis including Cronbach's α, correlation analysis, and regression analysis were performed. We also tested hypotheses that patient's perceived value mediated the relationship between clinic image and patient loyalty. Results. Our results showed that (1) clinic image (reputation, accessibility, and patient-clinic relationship) had significant positive effect on Perceptual value (quality value and monetary value), (2) Clinic image (reputation, accessibility, and patient-clinic relationship) had significant positive effect on patient loyalty (recommend relatives and friends and willingness to return); (3) Perceived value (quality value) partially mediating effect between clinic image (reputation) and patient loyalty(recommend relatives and friends), (4) perceived value (quality value and monetary value) partially mediating effect between clinic image (reputation) and patient loyalty(willingness to return). Conclusion. Our study demonstrated the recommendation to relatives and friends and willingness to return visit of patient loyalty having different results between image and perceived value. It is interesting phenomenon and worth further study.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 王明坤, MK,黃國平, KP(2011)。電信解除管制後新產品服務知覺品質、服務等候、企業形象與知覺價值對消費者行為意向之影響-台灣三大電信公司服務競爭模型之比較。電子商務學報,13,303-338。
    連結:
  2. 何清治, CC,洪錦墩, CT,張睿欣, JH,黃湘雄, HH(2018)。醫療品質、知覺價值、病患滿意度與忠誠度之相關性探討-以中部某區域醫院門診病患及其親屬為例。醫學與健康期刊,7,17-28。
    連結:
  3. 吳宗祐, TY(2008)。由不當督導到情緒耗竭:部屬正義知覺與情緒勞動的中介效果。中華心理學刊,50,201-221。
    連結:
  4. 翁瑞宏, RH,黃靖媛, CY,黃金安, JA(2006)。病患與醫師間良好關係是否會增強其對醫院的忠誠度呢?。台灣公共衛生雜誌,25,293-302。
    連結:
  5. 莊錦賜, JS,林芳如, FJ(2011)。台灣顧客滿意指數模型之研究─以中醫診所為例。嶺東學報,29,19-55。
    連結:
  6. 程永明, YM(2009)。醫療服務補救不一致對醫院形象與醫病關係維繫影響之研究:公平理論觀點。東吳經濟學報,64,93-128。
    連結:
  7. Ailawadi, KL,Keller, KL(2004).Understanding retail branding: conceptual insights and research priorities.Journal of Retailing,80,331-342.
  8. Andreassen, TW,Lindestad, B(1998).Customer loyalty and complex services: The impact of corporate image on quality, customer satisfaction and loyalty for customers with varying degrees of service expertise.International Journal of Service Industry Management,9,7-23.
  9. Baron, IL,Kenny, D(1986).The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology,51,1173-1182.
  10. Beneke, J,Brito, A,Garvey, KA(2015).Propensity to buy private label merchandise.International Journal of Retail & Distribution Management,43,43-62.
  11. Caruana, A,Fenech, N(2005).The effect of perceived value and overall satisfaction on loyalty: a study among dental patients.Journal of Medical Marketing,5,245-255.
  12. Chang, CW,Tseng, TH,Woodside, AG(2013).Configural algorithms of patient satisfaction, participation in diagnostics, and treatment decisions’ influences on hospital loyalty.Journal of Service Marketing,27,91-103.
  13. Diallo, MF,Burt, S,Sparks, L(2015).The influence of image and consumer factors on store brand choice in the Brazilian market.European Business Review,27,495-512.
  14. Dijs-Elsinga, J,Otten, W,Versluijs, MM(2010).Choosing a hospital for surgery: the importance of information on quality of care.Medical Decision Making,30,544-555.
  15. Gorondutse, AH,Hilman, H,Nasidi, M(2014).Relationship between corporate reputation and customer loyalty on Nigerian food and beverages industry: PLS Approach.International Journal of Management and Business Research,4,125-136.
  16. Gronholdt, L,Martensen, A,Kristensen, K(2000).The relationship between customer satisfaction and loyalty: cross-industry differences.Total Quality Management,11,509-514.
  17. Hashim, B,Abdullateef, NA,Sarkindaji, BD(2015).The moderating influence of trust on the relationship between institutional Image/Reputation, perceived value on student loyalty in higher education institution.International Review of Management and Marketing,5,122-128.
  18. Hibbard, JH,Stockard, J,Tusler, M(2005).Hospital performance reports: impact on quality, market share, and reputation.Health Affairs,24,1150-1160.
  19. Javalgi, R,Whipple, T,McManamon, M,Edick, V(1992).Hospital image: a correspondence analysis approach.Journal Health Care Mark,12,34-41.
  20. Kristensen, K,Martensen, A,Grønholdt, L(1999).Measuring the impact of buying behaviour on customer satisfaction.Total Quality Management,10,602-614.
  21. Liu, S,Li, G,Liu, N(2021).The Impact of patient satisfaction on patient loyalty with the mediating effect of patient trust.The Journal of Health Care Organization, Provision, and Financing,58,1-11.
  22. MacStravic, S(1994).Patient loyalty to physicians.Journal of Health Care Marketing,14,53-56.
  23. Martensen, A,Gronholdt, L,Kristensen, K(2000).The drivers of customer satisfaction and loyalty: Cross-industry findings from Denmark.Total quality management,11,544-553.
  24. Moliner-Velázquez, B,Fuentes-Blasco, M,Servera-Francés, D,Gil-Saura, I(2019).From retail innovation and image to loyalty: moderating effects of product type.Services Business,13,199-224.
  25. Pan, FC(2011).Perceived values on hospital services: a fuzzy logic application.African Journal of Business Management,5,4465-4475.
  26. Parasuraman, A,Grewal, D(2000).The impact of technology on the quality-value-loyalty chain: a research agenda.Journal of the Academy of Marketing Science,28,168-174.
  27. Petrick, JF(2002).Development of a multi-dimensional scale for measuring the perceived value of a service.Journal of Leisure Research,34,119-134.
  28. Pevec, T,Pisnik, A(2018).Empirical evaluation of a conceptual model for the perceived value of health services.Zdravstveno varstvo,57,175-182.
  29. Richard, JE,Zhang, A(2012).Corporate image, loyalty, and commitment in the consumer travel industry.Journal of Marketing Management,28,568-593.
  30. Ryu, K,Han, H,Kim, TH(2008).The relationships among overall quick-casual restaurant image, perceived value, customer satisfaction, and behavioral intentions.International Journal of Hospitality Management,27,459-469.
  31. Ryu, K,Lee, H,Gon, KW(2012).The influence of the quality of the physical environment, food, and service on restaurant image, customer perceived value, customer satisfaction, and behavioral intentions.International Journal of Contemporary Hospitality Management,24,200-223.
  32. Sekhon, HS,Al-Eisawi, D,Roy, SK,Pritchard, A(2015).Service excellence in UK retail banking: customers’ perspectives of the important antecedents.International Journal of Bank Marketing,33,904-921.
  33. Smith, JB,Barclay, DW(1997).The effects of organizational differences and trust on the effectiveness of selling partner relationships.Journal of Marketing,61,3-21.
  34. Smith, SM,Clark, M(1990).Hospital Image and the Positioning of Service Centers:An Application in Market Analysis and Strategy Development.Journal of Health Care Marketing,10,13-22.
  35. Tarus, DK,Rabach, N(2013).Determinants of customer loyalty in Kenya: does corporate image play a moderating role?.The TQM Journal,25,473-491.
  36. Wu, CC(2015).The impact of hospital brand image on service quality, patient satisfaction and loyalty.African Journal of Business Management,12,4873-4882.
  37. Yoon, S,Oh, S,Song, S,Kim, KK,Kime, Y(2014).Higher quality or lower price? How value-increasing promotions affect retailer reputation via perceived value.Journal of Business Research,67,2088-2096.
  38. Zhou, WJ,Wan, QQ,Liu, CY,Feng, XL,Shang, SM(2017).Determinants of patient loyalty to healthcare providers: An integrative review.International Journal for Quality in Health Care,29,442-449.
  39. 李英英, YY,蔡金川, CC,丘周萍, CP(2010)。老年中醫養生飲食。護理雜誌,57,16-19。
  40. 林正祥, CH(1993)。研究設計之樣本數決定。中華民國公共衛生學會雜誌,12,282-290。
  41. 洪瑞鴻, JH,楊潤, J,李育臣, YC(2017)。老人照護的推手-中醫。台灣老年醫學暨老年學雜誌,12,236-244。
  42. 陳券彪, CB,陳桂英, KY(2017)。醫院服務行銷對內外部顧客與經營績效之影響。環境與管理研究,18,21-44。
  43. 陳怡君, YC,張嘉晃, CH,王拔群, PC,簡湘文, HW,林思源, SY(2008)。病人滿意度與回診意願之相關性探討—以某醫學中心眼科為例。輔仁醫學期刊,6,105-115。
  44. 衛生福利部:108年全民健康保險統計年報。2020年12月編印。Ministry of Health and Welfare: Statistical Annual Report of Medical Care, National Health Insurance, 2019. Date of Publication: December 2020. [In Chinese]
  45. 衛生福利部統計處:國醫節衛生福利統計通報,第三科,2021年11月11日。Ministry of Health and Welfare: Bulletin of Health and Welfare Statistics of Traditional Chinese Medicine Festival, Division Three, 2021, November 11. [In Chinese]