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Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China
The purpose of this study is to examine the mediating effect of psychological contracts (including relational and transactional psychological contracts) on the relationship between medical service quality and patient loyalty. A cross-sectional survey was conducted between September and December 2017...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7710247/ https://www.ncbi.nlm.nih.gov/pubmed/33235054 http://dx.doi.org/10.1097/MD.0000000000021079 |
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author | Yu, Yanghang Chen, Zhixia Zhao, Yuanyuan Wang, Yanan Zhang, Rong Zhou, Xining |
author_facet | Yu, Yanghang Chen, Zhixia Zhao, Yuanyuan Wang, Yanan Zhang, Rong Zhou, Xining |
author_sort | Yu, Yanghang |
collection | PubMed |
description | The purpose of this study is to examine the mediating effect of psychological contracts (including relational and transactional psychological contracts) on the relationship between medical service quality and patient loyalty. A cross-sectional survey was conducted between September and December 2017. Questionnaires assessing medical service quality, the psychological contract, and patient loyalty were distributed to a random sample of 600 patients across 6 hospitals. The final sample consisted of 469 participants. Hierarchical regression analyses were conducted to examine the mediating effect of psychological contracts on the relationship between medical service quality and patient loyalty. The mean scores of medical service quality, psychological contracts, and patient loyalty were 3.497 ± 0.571, 3.699 ± 0.503, and 3.342 ± 0.724, respectively. Medical service quality is positively related to psychological contract (β = 0.612, 95% confidence interval [CI] = 0.476–0.603) and patient loyalty (β = 0.676, 95% CI = 0.773–0.944). Further, psychological contract is positively related to patient loyalty (β = 0.599, 95% CI = 0.757–0.968). Both relational psychological contract and transactional psychological contract mediate the relationship between medical service quality and patient loyalty. Our findings reveal that medical service quality is associated with patient loyalty and that this association is mediated by relational and transactional psychological contracts. Therefore, in order to improve patient loyalty, psychological contracts should be reinforced, and medical service quality should be improved. |
format | Online Article Text |
id | pubmed-7710247 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-77102472020-12-03 Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China Yu, Yanghang Chen, Zhixia Zhao, Yuanyuan Wang, Yanan Zhang, Rong Zhou, Xining Medicine (Baltimore) 6600 The purpose of this study is to examine the mediating effect of psychological contracts (including relational and transactional psychological contracts) on the relationship between medical service quality and patient loyalty. A cross-sectional survey was conducted between September and December 2017. Questionnaires assessing medical service quality, the psychological contract, and patient loyalty were distributed to a random sample of 600 patients across 6 hospitals. The final sample consisted of 469 participants. Hierarchical regression analyses were conducted to examine the mediating effect of psychological contracts on the relationship between medical service quality and patient loyalty. The mean scores of medical service quality, psychological contracts, and patient loyalty were 3.497 ± 0.571, 3.699 ± 0.503, and 3.342 ± 0.724, respectively. Medical service quality is positively related to psychological contract (β = 0.612, 95% confidence interval [CI] = 0.476–0.603) and patient loyalty (β = 0.676, 95% CI = 0.773–0.944). Further, psychological contract is positively related to patient loyalty (β = 0.599, 95% CI = 0.757–0.968). Both relational psychological contract and transactional psychological contract mediate the relationship between medical service quality and patient loyalty. Our findings reveal that medical service quality is associated with patient loyalty and that this association is mediated by relational and transactional psychological contracts. Therefore, in order to improve patient loyalty, psychological contracts should be reinforced, and medical service quality should be improved. Lippincott Williams & Wilkins 2020-11-25 /pmc/articles/PMC7710247/ /pubmed/33235054 http://dx.doi.org/10.1097/MD.0000000000021079 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 6600 Yu, Yanghang Chen, Zhixia Zhao, Yuanyuan Wang, Yanan Zhang, Rong Zhou, Xining Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China |
title | Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China |
title_full | Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China |
title_fullStr | Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China |
title_full_unstemmed | Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China |
title_short | Medical service quality, psychological contract, and patient loyalty: An empirical study among patients in China |
title_sort | medical service quality, psychological contract, and patient loyalty: an empirical study among patients in china |
topic | 6600 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7710247/ https://www.ncbi.nlm.nih.gov/pubmed/33235054 http://dx.doi.org/10.1097/MD.0000000000021079 |
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