Abstract
The objective of the study was to qualitatively evaluate the managerial and organisational issues associated with service quality in a privately funded alcohol treatment centre in the UK. Two different groups of participants at a private treatment clinic were interviewed. The first group comprised 25 of its patients. The second group comprised 15 staff members of the same clinic. All 40 interviews were transcribed and a thematic analysis was performed on the data to reveal the key themes. Six themes emerged from the interviews amongst patients and staff of the treatment clinic. The six themes were: (1) the fellowship of patients, (2) professionalism, (3) process and measurement, (4) incarceration, (5) empathy gap, and (6) access to treatment. Findings suggested there was a strong emphasis on management of the service delivery with established quality systems and performance measurement systems in place. The two service quality gaps, suggested by the research, were the rigid delivery of service and a lack of empathetic relationships with patients. Furthermore, by evaluating the service quality delivery from the service user’s perspective, a voice was given to a group of patients, who in research terms have gone largely unheard.
Similar content being viewed by others
References
Alcohol Concern (2007). Safe. Sensible. Social. The next steps in the National Alcohol Strategy. A response from Alcohol Concern. Available at http://alcoholconcern.org.uk/servlets/doc/1195 (Accessed June 20th 2007).
Appleby, J., & Dixon, J. (2004). Patient choice in the NHS. BMJ, 329, 61–62. doi:10.1136/bmj.329.7457.61.
Baggott, R. (2004). Health and health care in Britain (3rd ed.). Basingstoke: Palgrave MacMillan.
Bateson, J. E. G. (1995). Managing services marketing. Text and readings (3rd ed.). New York: The Dryden.
Day, M. (2006). NHS faces job cuts as financial crisis deepens. BMJ, 332, 743. doi:10.1136/bmj.332.7544.743.
Day, P., & Klein, R. (1987). Accountabilities: five public services. London: Tavistock.
Department of Health (1998). Mental Health National Service Framework. (online). Available at http://www.dh.gov.uk/en/PublicationsandStatistics/lettersandcirculars/LocalAuthorityCirculars/AllLocalAuthority/DH-4004760 (last accessed April 6 2009).
Department of Health (2005). Alcohol Needs Assessment Project. Available at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationspolicyAndGuidance/DH-412234 (last accessed April 6 2009).
Edwards, G., Marshall, E. J., & Cook, C. C. H. (2003). The treatment of drinking problems (4th ed.). Cambridge: Cambridge University Press.
Evans, K., & Sullivan, J. M. (2001). Dual diagnosis. Counselling the mentally Ill substance abuser (2nd ed.). New York: The Guildford.
Ferlie, E., Ashburner, L., Fitzgerald, L., & Pettigrew, A. M. (1996). The new public management in action. Oxford: Oxford University Press.
Gronroos, C. (1990). Service management: a management focus for service competition. J Serv Mark, 1(1), 6–14.
Gummesson, E. (1991). Truths and myths in service quality. Int J Serv Ind Manage, 2(3), 17–16. doi:10.1108/09564239110007256.
Klein, R. (2006). The new politics of the NHS. From creation to reinvention (5th ed.). Abingdon: Radcliffe.
Laing and Buisson. (2001). Laing’s healthcare market review 2001/2002. London: Laing and Buisson.
Leatherman, S., & Sutherland, K. (2003). The quest for quality in the NHS. London: The Stationery Office.
Morgan, P., & Potter, C. (1995). Professional cultures and paradigms of quality in health care. In L. Kirkpatrick & M. M. Lucio (Eds.), The politics of quality in the public sector. New York: Routledge.
Ojasalo, J. (2001). Managing customer services expectations in professional services. Managing Serv Qual, 11, 200–212. doi:10.1108/09604520110391379.
Prime Minister’s Strategy Unit. (2004). Alcohol harm reduction strategy for England. London: Cabinet Office.
Raistrick, D., Heather, N., Godfrey, C. (2006). Review of the effectiveness of treatment for alcohol problems. Available at: http://www.nta.nhs.uk/publications/documents/nta_review_of_the_effectiveness_of_treatment_problems_fullreport_2006_alcohol (last accessed April 6 2009).
Robson, C. (2002). Real world research (2nd ed.). Oxford: Blackwell.
Stewart, H. M., Hope, C. A., & Muhlemann, A. P. (2000). Service quality in the legal profession; a review. Int J Manag Rev, 2(3), 261–286. doi:10.1111/1468-2370.00041.
Sutherland, K., & Dawson, S. (1998). Power and quality improvement in the new NHS: the roles of doctors and managers. Qual Health Care, 7, 16–23.
Touquet, R., & Paton, A. (2006). Tackling alcohol misuse at the front line. BMJ, 333, 510–511. doi:10.1136/bmj.38961.556470.BE.
Author information
Authors and Affiliations
Corresponding author
Appendix 1: Topic Guides for Participant Interviews on Whether the Treatment Clinic Delivers a Quality Service to Patients
Appendix 1: Topic Guides for Participant Interviews on Whether the Treatment Clinic Delivers a Quality Service to Patients
-
What does a quality service mean to you?
-
What do you think are the criteria for a quality service in the clinic?
-
Who do you think decides whether the service is good or not?
-
Who do you think judges whether a good service has been delivered?
-
Are systems in place to deliver a quality service? What are these?
-
Are practices in place to deliver a quality service? What are these?
-
What are the gaps in the service provision?
-
Who is important in the service delivery process?
-
What do you think about the service overall?
Rights and permissions
About this article
Cite this article
Resnick, S.M., Griffiths, M.D. Service Quality in Alcohol Treatment: A Qualitative Study. Int J Ment Health Addiction 8, 453–470 (2010). https://doi.org/10.1007/s11469-009-9216-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11469-009-9216-2