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Managerial user orientation and the effectiveness of public health services

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Abstract

Due to the inexistence of a consensual state in specialized literature, the objective of this research is to contrast the hypothetical relationship between management’suser orientation (UO) as a managerial variable and the usersatisfaction (SAT) with different elements of general health service provided. p ]The empirical study is based on data obtained through a questionnaire completed by patients in a Chilean public hospital. We get to confirm two measurement models and the existence of a cause-effect relationship between the two latent variables before mentioned and their dimensions. The confirmation of this relationship provides support to hospital managers interested in developing and implementing measures to improve customer service and thus to achieve a higher level of customer satisfaction.

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References

  • Aconcagua Health Service (2003):Modelo de Relación con el Usuario. Los Andes (Chile): Hospital San Juan de Dios de Los Andes.

    Google Scholar 

  • Agus, A.; Krishnan, S.K. and Kadir, S. (2000): The Structural Impact of Total Quality Management on Financial Performance Relative to Competitors through Customer Satisfaction: A Study of Malaysian Manufacturing Companies.Total Quality Management, 11 (4-6), pp. 808–819.

    Article  Google Scholar 

  • Alvarado, R. and Vera, A. (2001): Evaluación de la Satisfacción de los Usuarios del Sistema Nacional de Servicios de Salud.Revista Chilena de Salud Pública, 5 (2-3), pp. 81–89.

    Google Scholar 

  • Anderson, J.C. and Gerbing, D.W. (1988): Structural Equation Modelling in Practice: A Review and Recommended Two-Step Approach.Psychological Bulletin, 103 (3), pp. 411–423.

    Article  Google Scholar 

  • Bagozzi, R.P. and Phillips, L.W. (1982): Representing and Testing Organizational Theories: A Holistic Construct.Administrative Science Quarterly, 27 (3), pp. 458–489.

    Article  Google Scholar 

  • del Barrio, S. and Luque, T. (2000): Análisis de Ecuaciones Estructurales. In Luque, T. (coord),Técnicas de Análisis de Datos en Investigación de Mercados. Madrid: Pirámide, pp. 489–557.

    Google Scholar 

  • Berné, C. (1997): Modelización de la Postcompra: Satisfacción y Lealtad. In Múgica, J.M. and Ruiz de Maya, S. (eds.),El Comportamiento del Consumidor. Barcelona: Ariel Economía, pp. 163–180.

    Google Scholar 

  • Berné, C; Múgica, J.M. and Yagüe, M.J. (1996): La Gestión Estratégica y los Conceptos de Calidad Percibida, Satisfacción del Cliente y Lealtad.Economía Industrial, 307, pp. 63–74.

    Google Scholar 

  • Bigné, E.; Moliner, M.A. and Sánchez, J. (2001): Efectos Moderadores en las Relaciones entre Calidad y Satisfacción en los Servicios Públicos. Un Enfoque de Organización Multiservicio. InXIII Encuentro de Profesores Universitarios de Marketing. Madrid: Esic, pp. 113–126.

    Google Scholar 

  • Bollen, K.A. (1989):Structural Equations with Latent Variables. New York: John Wiley.

    Google Scholar 

  • Bruster, S.; Jarman, B.; Bosanquet, N.; Weston, D.; Erens, R. and Delbanco, T. (1994): National Survey of Hospital Patients.British Medical Journal, 309, pp. 1542–1546.

    Google Scholar 

  • Chilean Government (2002):Hacia un Nuevo Modelo de Gestión en Salud. Available at [http://www.saludyfuturo.cl/ images/pdf/gestion.pdf] (accessed at 22/03/2006).

  • Chilean Ministry of Health (1998):La Satisfacción: Concepto y Medición. Una Herramienta de Gestión en el Sistema de Salud, Programa de Evaluación y Mejoramiento de la Calidad. Santiago de Chile: DISAP-MINSAL.

    Google Scholar 

  • Churchill, G.A. (1979): A Paradigm for Developing Better Measures of Marketing Constructs.Journal of Marketing Research, 16 (1), pp. 64–7.

    Article  Google Scholar 

  • Eiriz, V. and Figueiredo, J. (2004): Quality Evaluation in Healthcare Services Based on the Customer-Provider Relationship. In Raposo, M. (coord.),III Jornadas Internacionais de Marketing Público e Não Lucrativo, Covilhã (Portugal): Universidade da Beira Interior, pp. 13–20.

    Google Scholar 

  • Escrig, A.B. and BOU, J.C. (2002): Desarrollo y Validación de un Instrumento de Medida de la Dirección de la Calidad: una Propuesta de Mejora.Investigaciones Europeas de Dirección y Economía de la Empresa, 8 (1), pp. 151–176.

    Google Scholar 

  • Fitzpatrick, R. (1997): The Assessment of Patient Satisfaction. InAssessment and Evaluation of Health and Medical Care: A methods text. London: Open University Press.

    Google Scholar 

  • Fornell, C. and Larcker, D.F. (1981): Evaluating Structural Equation Models with Unobservable Variables and Measurement Error.Journal Marketing Research, 18 (1), pp. 39–50.

    Article  Google Scholar 

  • Grös, C. (1988): Service Quality: The Six Criteria of Good Service Quality.Review of Business, 9 (3), pp. 10–13.

    Google Scholar 

  • Hair, J. F.; Anderson, R.; Tatham, R. and Black, W. (1999):Multivariate Analysis. 5th ed. Madrid: Prentice-Hall.

    Google Scholar 

  • Harman, H.H. (1967): Modern Factor Analysis. Chicago: University of Chicago Press.

    Google Scholar 

  • Hildebrant, J. (1987): Consumer Retail Satisfaction. A Reanalysis for Survey Data.Journal of Economic Psychology, 8, pp. 19–42.

    Article  Google Scholar 

  • ward, J.A. and Sheth, J.N. (1969):The Theory of Buyer Behavior. New York: John Wiley & Sons.

    Google Scholar 

  • Moliner, M.A. (2006): Hospital Perceived Value.Health Care Management Review, 31 (4), pp. 1–9.

    Google Scholar 

  • Moliner, M. and Moliner, J. (1996): La Calidad Percibida del Servicio de un Centro de Planificación Familiar: Un Enfoque de Marketing.Atención Primaria, 17 (6), pp. 400–407.

    Google Scholar 

  • Mueller, R.O. (1996):Basic Principles of Structural Equation Modelling. An Introduction to LISREL and EQS. New York: Springer.

    Google Scholar 

  • Nunnally J.C. (1978):Psychometric Theory. New York: McGraw-Hill

    Google Scholar 

  • Ortiz, R., Muñoz, S. and Torres, E. (2004): Satisfacción de los Usuarios de 15 Hospitales de Hidalgo, México.Revista Española de Salud Pública, 78 (4), pp. 527–537.

    Google Scholar 

  • Parasuraman, A.; Berry, L.L. and Zeithaml, V.A. (1985): A Conceptual Model of Service Quality and its Implications for Future Research.Journal of Marketing. 49 (4), pp. 41–50.

    Article  Google Scholar 

  • Parasuraman, A.; Berry, L.L. and Zeithaml, V.A. (1988): SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality.Journal of Retailing, 64 (1), pp. 12–40.

    Google Scholar 

  • Parasuraman, A., Berry, L.L. and Zeithaml, V.A. (1991): Refinement and Reassessment of the SERVQUAL Scale.Journal of Retailing. 67 (4), pp. 420–450.

    Google Scholar 

  • dos Reis, A.J.; Raposo, M. and do Paço (2003): Estudio sobre la Satisfacción de los Usuarios de una Unidad de Salud. In Flavián, C. (ed.),Aplicaciones del Marketing en la Administración Pública y Organizaciones No Lucrativas. Zaragoza: Universidad de Zaragoza, pp. 141–152.

    Google Scholar 

  • Rust, R.T. and Oliver, R.L. (1994): Service Quality: Insights and Managerial Implications from the Frontier. In Rust, R.T. and Oliver, R.L. (eds.),Service Quality: New Directions in Theory and Practice, Thousand Oaks (Ca): Sage, pp. 1–19.

    Google Scholar 

  • Seclén-Palacín, J.; Benavides, B.; Jacoby, E.; Velásquez, A. and Watanabe, W. (2004): ¿Existe una Relación entre los Programas de mejora de la Calidad y la Satisfacción de Usuarias de Atención Prenatal? Experiencia en Hospitales del Perú.Revista Panamericana de Salud Pública, 16 (3), pp. 149–157.

    Article  Google Scholar 

  • Sharma, S. (1996):Applied Multivariate Techniques. New York: John Wiley & Sons.

    Google Scholar 

  • Vandamme, R. and Leunis, J. (1993): Development of a Multiple-items Scale for Measuring Hospital Service Quality.International Journal of Service Industry Management, 4 (3), pp. 30–49.

    Article  Google Scholar 

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This research study has been completed in DID-UACH S 2003-68, MCYT-FEDER SEJ2005-06603/ECON and CREAVALOR research group academic and financial context.

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Berné, C., García-Uceda, E. & Riveros, J. Managerial user orientation and the effectiveness of public health services. Int Rev on Public Marketing 4, 31–45 (2007). https://doi.org/10.1007/BF03180753

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