Impact of Accreditation, Services Quality, Green Standards and Product Superiority on Customer Loyalty: A Case of Healthcare Quality in Hospitals of Pakistan

  • Manzar Abbas Hydari Superior University, Lahore, Pakistan
  • Muhammad Ali Superior University, Lahore, Pakistan
  • M Khyzer Bin Dost Superior University, Lahore, Pakistan
Keywords: Accreditation, Brand image, Customer trust, Customer loyalty, Green hospital, Healthcare industry, Services quality

Abstract

This study comprehends the association of quality services, product superiority, accreditations and green environment of hospitals; with corporate brand image, patient trust and loyalty.  Respondents of the research study were from seven different healthcare organizations including private, charitable and naval sectors in four major cities (Lahore, Islamabad, Peshawar and Karachi) of Pakistan.  Questionnaires were disseminated to 580 participants, and 447 responses were received.  The data analysis was processed in SPSS 20 and SmartPLS 3.0.  Partial Least Square Structural Equation Modeling (PLS-SEM) was applied to examine the inference for significant and insignificant associations between constructs.

The outcomes specify that hospital accreditation positively and significantly impacts the customer loyalty through mediating effects of corporate brand image and customer trust.  Similarly quality of services positively and significantly impacts the customer loyalty through mediating effects of corporate brand image. However rest of the relationships in this study were not found significant through mediating effects of customer trust and brand image.

The hospitals management in Pakistan is recommended to instrument the accreditation of healthcare standards in its true spirit and should introduce innovations in healthcare technologies in institutions for unveiling more high-quality and superior health products and services to build strong corporate image and patient trust on rock-hard foundations to establish the satisfied and loyal patients.

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Author Biographies

Manzar Abbas Hydari, Superior University, Lahore, Pakistan

Superior University, Lahore, Pakistan

Muhammad Ali, Superior University, Lahore, Pakistan

Superior University, Lahore, Pakistan

M Khyzer Bin Dost, Superior University, Lahore, Pakistan

Superior University, Lahore, Pakistan

References

Ab Hamid, M., Sami, W., & Sidek, M. M. (2017). Discriminant validity assessment: Use of Fornell & Larcker criterion versus HTMT criterion. Paper presented at the Journal of Physics: Conference Series. DOI: https://doi.org/10.1088/1742-6596/890/1/012163

Afifi, I., & Amini, A. (2019). Factors Affect to Relationship Marketing for Creating Customer Loyalty in Hospital Services Business. ASEAN Marketing Journal, 91-108.

Anwar, A., Gulzar, A., Sohail, F. B., & Akram, S. N. (2011). Impact of brand image, trust and affect on consumer brand extension attitude: the mediating role of brand loyalty. International Journal of Economics and Management Sciences, 1(5), 73-79.

Bagozzi, R. P., & Yi, Y. (1988). On the evaluation of structural equation models. Journal of the academy of marketing science, 16(1), 74-94. DOI: https://doi.org/10.1007/BF02723327

Bolarinwa, O. A. (2015). Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Journal, 22(4), 195. DOI: https://doi.org/10.4103/1117-1936.173959

Cheng, J.-C., Chen, C.-Y., Yen, C.-H., & Teng, H.-Y. (2017). Building customer satisfaction with tour leaders: The roles of customer trust, justice perception, and cooperation in group package tours. Asia Pacific Journal of Tourism Research, 22(4), 395-407. DOI: https://doi.org/10.1080/10941665.2016.1271816

Dennis, C., King, T., & Martenson, R. (2007). Corporate brand image, satisfaction and store loyalty. International Journal of Retail & Distribution Management. DOI: https://doi.org/10.1108/09590550710755921

Diamantopoulos, A., & Winklhofer, H. M. (2001). Index construction with formative indicators: An alternative to scale development. Journal of marketing research, 38(2), 269-277. DOI: https://doi.org/10.1509/jmkr.38.2.269.18845

Falstie-Jensen, A. M., Bogh, S. B., & Johnsen, S. P. (2018). Consecutive cycles of hospital accreditation: Persistent low compliance associated with higher mortality and longer length of stay. International Journal for Quality in Health Care, 30(5), 382-389. DOI: https://doi.org/10.1093/intqhc/mzy037

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, 35(6), 1195-1214. DOI: https://doi.org/10.1108/IJQRM-02-2017-0031

Fetter, R. B., & Freeman, J. L. (1986). Diagnosis related groups: product line management within hospitals. Academy of management Review, 11(1), 41-54. DOI: https://doi.org/10.5465/amr.1986.4282622

Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). PLS-SEM: Indeed a silver bullet. Journal of Marketing Theory and Practice, 19(2), 139-152. DOI: https://doi.org/10.2753/MTP1069-6679190202

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. DOI: https://doi.org/10.1007/s11747-014-0403-8

Henseler, J., Ringle, C. M., & Sinkovics, R. R. (2009). The use of partial least squares path modeling in international marketing New challenges to international marketing (pp. 277-319): Emerald Group Publishing Limited. DOI: https://doi.org/10.1108/S1474-7979(2009)0000020014

Hu, L. & Bentler, P. (1999). Cutoff criteria for fit indices in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55. DOI: https://doi.org/10.1080/10705519909540118

Hubley, A. M. (2014). Discriminant Validity. In A. C. Michalos (Ed.), Encyclopedia of Quality of Life and Well-Being Research (pp. 1664-1667). Dordrecht: Springer Netherlands. DOI: https://doi.org/10.1007/978-94-007-0753-5_751

Karliner, J., & Guenther, R. (2011). Global green and healthy hospitals. Health Care without Harm.

Kline, R. B. (2015). Principles and practice of structural equation modeling: Guilford publications.

Kotler, P., & Keller, K. L. (2015). Marketing Management, Global Edition: Pearson Education Limited.

Latif, W. B., Islam, M. A., Mohamad, M., Sikder, M. A. H., & Ahmed, I. (2015). A conceptual framework of brand image on customer-based brand equity in the hospitality industry at Bangladesh: tourism management and advertisement as moderators. Journal of Scientific Research and Development, 2(11), 1-16.

Leisen, B., & Hyman, M. R. (2001). An improved scale for assessing patients' trust in their physician. Health marketing quarterly, 19(1), 23-42. DOI: https://doi.org/10.1300/J026v19n01_03

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.

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.

Lock, A. C. (2016). Impact of Brand Knowledge on Brand Trust in Private Higher Education Institutions: How Do Word of Mouth Sources Intervene'. Sarjana, 31(2), 13-32.

Lorah, J. (2018). Effect size measures for multilevel models: Definition, interpretation, and TIMSS example. Large-Scale Assessments in Education, 6(1), 8. DOI: https://doi.org/10.1186/s40536-018-0061-2

Mbuthia, M. G., & Thaddaeus, E. (2015). Validating Customer Loyalty Model Using Structural Equation Modelling in a Kenyan Hospital. Open Access Library Journal, 2(04), 1. DOI: https://doi.org/10.4236/oalib.1101213

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

Ou, W.-M., Shih, C.-M., Chen, C.-Y., & Wang, K.-C. (2011). Relationships among customer loyalty programs, service quality, relationship quality and loyalty: An empirical study. Chinese Management Studies, 5(2), 194-206. DOI: https://doi.org/10.1108/17506141111142825

Pangaribuan, C. H., Aggraeni, E. I., & Sitinjak, M. F. (2018). EXPLORING THE FIVE-FACTOR PERSONALITY TRAITS ON THE USEFULNESS AND EASINESS PERCEPTIONS OF USING INSTAGRAM’S PAID PROMOTION. Journal of Business And Entrepreneurship, 6(2), 46-57.

Patawayati, D. Z., Setiawan, M., & Rahayu, M. (2013). Patient satisfaction, trust and commitment: Mediator of service quality and its impact on loyalty (an empirical study in Southeast Sulawesi Public hospitals). IOSR Journal of Business and Management, 7(6), 1-14. DOI: https://doi.org/10.9790/487X-0760114

Pek, J., & Flora, D. B. (2018). Reporting effect sizes in original psychological research: A discussion and tutorial. Psychological methods, 23(2), 208. DOI: https://doi.org/10.1037/met0000126

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

Saleem, A., Ghafar, A., Ibrahim, M., Yousuf, M., & Ahmed, N. (2015). Product perceived quality and purchase intention with consumer satisfaction. Global journal of management and business research.

Sandoval, R. R., & Ramos-Diaz, J. (2018). Comparative approach on structural equation modeling software applications. Paper presented at the 2018 IEEE XXV International Conference on Electronics, Electrical Engineering and Computing (INTERCON). DOI: https://doi.org/10.1109/INTERCON.2018.8526448

Shabbir, S., Kaufmann, H. R., & Shehzad, M. (2010). Service quality, word of mouth and trust: Drivers to achieve patient satisfaction. Scientific research and Essays, 5(17), 2457-2462.

Sirisha, B., & Babu, M. K. (2014). Branding of hospitals–through tangible factors by selected hospitals. International Journal of Multidisciplinary Management Studies, 4(3), 227-237.

Ujan, I. A., Bhutto, A., & Ismaili, I. A. (2019). SURVEY OF PAKISTAN HEALTH SECTOR. 17th, 121.

Upadhyai, R., Jain, A. K., Roy, H., & Pant, V. (2019). A Review of Healthcare Service Quality Dimensions and their Measurement. Journal of Health Management, 21(1), 102-127. DOI: https://doi.org/10.1177/0972063418822583

Van Vuuren, T., Roberts-Lombard, M., & Van Tonder, E. (2012). The relationship between selected variables and customer loyalty within an optometric practice environment. Acta Commercii, 12(1), 94-106. DOI: https://doi.org/10.4102/ac.v12i1.137

Vittori, G. (2002). Green and healthy buildings for the healthcare industry: American Society for Healthcare Engineering of the American Hospital Association.

Wolf, E. J., Harrington, K. M., Clark, S. L., & Miller, M. W. (2013). Sample size requirements for structural equation models: An evaluation of power, bias, and solution propriety. Educational and psychological measurement, 73(6), 913-934. DOI: https://doi.org/10.1177/0013164413495237

Wu, C.-C. (2011). The impact of hospital brand image on service quality, patient satisfaction and loyalty. African Journal of Business Management, 5(12), 4873-4882.

Zhang, Y. (2015). The impact of brand image on consumer behavior: A literature review. Open journal of business and management, 3(1). DOI: https://doi.org/10.4236/ojbm.2015.31006

Published
2020-03-31
How to Cite
Hydari, M. A., Muhammad Ali, & M Khyzer Bin Dost. (2020). Impact of Accreditation, Services Quality, Green Standards and Product Superiority on Customer Loyalty: A Case of Healthcare Quality in Hospitals of Pakistan. Journal of Accounting and Finance in Emerging Economies, 6(1), 219-236. https://doi.org/10.26710/jafee.v6i1.1080