Service-quality dimensions are controversial and they continue to debate about the factors (also called determinants) and indicators (also called criteria). Service quality still constitutes an undecided critical issue. This gives rise to challenges as far as the improvement of healthcare service-quality is concerned, and there Ethiopia is no exception. The main objective of this study is to identify the factors that affect the quality of healthcare services in Ethiopia. This study used a qualitative research design. The study was initially investigated through a comprehensive review of the extant literature regarding factors and indicators of healthcare service quality. Then focus-group discussions and panel of experts were conducted for confirming the indicators identified and also exploring additional indicators as per the Ethiopian context. Lastly, indicators were grouped in to factors. Three hospitals administered by the Federal Ministry of Health, Ethiopia, namely, St. Paul‟s, Tikur Anbessa and ALERT hospitals. Managers, healthcare providers, patients and support staff were participated in the study. This study came up with 60 indicators, 36 indicators were generated from the literature review, and the rest were added by the focus groups and the panel of experts. The panel of experts grouped these indicators into 6 factors, namely tangibles, technical quality, personal care, assurance, medical-administration procedures, and reliability. The factors and indicators of factors identified in this study were the unique characteristics of the healthcare services in Ethiopia. It could also be a basis for every country and even a basis for every organization in the developing world.
| Published in | Science Journal of Business and Management (Volume 9, Issue 3) |
| DOI | 10.11648/j.sjbm.20210903.15 |
| Page(s) | 186-196 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Healthcare Service Quality, Factors, Indicators of Factors, SERVQUAL, SERVPERF
| [1] | Reeves CA Bednar DA. "Defining quality: alternatives and implications’’. Academy of Management Review, 1994; 19 (3): 419-445. |
| [2] | Redman A. ‘Assessment and accountability’. Journal of Health Services Research and Policy, 2009; 14 (4): 249–250. |
| [3] | Ladhari R. ‘A review of twenty years of SERVQUAL research’. International Journal of Quality and Service Sciences, 2009; 1 (2): 172-198. |
| [4] | McLaughlin, C. P. and Kaluzny, A. D. Continuous Quality Improvement in Health Care. 3rd ed. Sudbury, MA: Jones and Bartlett Publishers, 2006. |
| [5] | Eiriz V Figueiredo JA. ‘Quality evaluation in healthcare services based on customer provider relationships’. International Journal of Healthcare Quality Assurance, 2005; 18 (6): 404-12. |
| [6] | Spath P. Introduction to healthcare quality management. USA: Health Administration Press, Chicago; 2009. |
| [7] | Azam M, Rahman Z, Talib F, Singh KJ. “A critical study of quality parameters in health care establishment: developing an integrated quality model”. International Journal of Health Care Quality Assurance. 2012; 25 (5): 387-402. |
| [8] | Nam JH, Lee TJ. ‘Foreign travelers’ satisfaction with traditional Korean restaurants’. International Journal of Hospitality Management, 2011; 30 (4): 982-989. |
| [9] | Zarei A, Arab M, Froushani AR, Rashidian A, Tabatabaei MG. ‘Service quality of private hospitals: the Iranian patients’ perspective. BMC Health Services Research. 2012; 12 (31): 1-7. http://www.biomedcentral.com/1472- 6963/12/31. |
| [10] | Roberge D, Tremblay D, Turgeon MÈ, Berbiche D. ‘Patients’ and professionals’ evaluations of quality of care in oncology outpatient clinics’, Supportive Care in Cancer, 2013; 21 (11): 2983-2990. |
| [11] | Byju KPM. Srinivasulu Y. ‘Measuring service quality in private healthcare using SERVPERF scale’, Journal of Management Research, 2014; 2 (1): 37-349. |
| [12] | Miranda FJ. Chamorro A. Murillo LR Vega J. Assessing primary healthcare services quality in Spain: managers vs. patients’ perceptions. The Service Industry Journal. 2010; 30 (13): 2137-2149. |
| [13] | Longbottom D, Hilton J. Service improvement: lessons from the UK financial service sector. International Journal of Quality and Service Sciences. 2011; 3 (1): 39-59. |
| [14] | Sliwa M, O’Kane J. ‘Service quality measurement: appointment systems in UK GP Bpractices Martyna Sliwa’, International Journal of Health Care Quality Assurance, 2011; 24 (6): 441-452. |
| [15] | Basu R, Biswas D. ‘A conceptual framework to identify quality attributes in healthcare organizations’, International Journal of Contemporary Business Studies, 2012; 3 (12): 45-52. |
| [16] | Brady MK, Cronin JJ. ‘Some new thoughts on conceptualizing perceived service quality: a hierarchical approach’. Journal of Marketing, 2001; 65 (3): 34-49. |
| [17] | Parasuraman A, Zeithaml VA, Berry LL.. "A conceptual model of service quality and its implications for future research’’, Journal of Marketing, 1985; 49 (4): 41–50. |
| [18] | Yarimoglu EK. A review of service and E-Service quality measurements: previous literature and extension. Journal of Economic and Social Studies. 2015; 5 (1): 169-200. |
| [19] | Ghotbabadi AR, Feiz S, Baharun R. Service quality measurements: a Review. International Journal of Academic Research in Business and Social Sciences. 2015; 5 (2): 267-286. |
| [20] | Manary MP, Boulding W, Staelin R, Glickman SW. The patient experiences and health outcomes. New England Journal of Medicine. 2013; 368 (3): 201-203. |
| [21] | Perrott BE. ‘Health service delivery in Australia: gaps and solutions’, Journal of General Management, 2011; 36 (3): 55-66. |
| [22] | Solomon MR. Consumer Behavior: Buying and Having. 10th ed. London: Pearson Prentice Hall; 2013. |
| [23] | Buil I, de Chernatony L, Martinez EJ. ‘Methodological issues in cross-cultural research’, Journal of Targeting, Measurement and Analysis for Marketing, 2012; 20 (3/4): 223-234. |
| [24] | Bakti IGMY, Sumaedi S. ‘P-TRANSQUAL: a service quality model of public land transport services’, International Journal of Quality & Reliability Management, 2015; 32 (6): 534-558. |
| [25] | Micuda D, Cruceru G. ‘Testing SERVQUAL dimensions on the Romanian banking sector: Proceedings of the International Conference on Risk Management, Assessment and Mitigation: 2010; 329-334. |
| [26] | Van Duong D, Binns CW, Lee AH Hipgrave DB. ‘Measuring client perceived quality of maternity services in rural Vietnam’, International Journal for quality in Health Care, 2004; 16 (6): 447-452. |
| [27] | Padma P, Rajendran C, Sai LP. A conceptual framework of service quality in healthcare: perspectives of Indian patients and their attendants. Benchmarking: An International Journal. 2009; 16 (2): 157-191. |
| [28] | Habbal Y. Patient’s satisfaction and medical care service quality. International Journal of Business and Public Administration. 2011; 8 (2): 95-112. |
| [29] | Aagja JP, Garg R. Measuring perceived service quality for public hospital (PubHosQual) in the Indian context. International Journal of Pharmaceutical and Health Care Marketing. 2010; 4 (1): 60-83. |
| [30] | Raja, MPN, Deshmukh SG, Wadhawa S. ‘Quality award dimensions: a strategic instrument for measuring health service quality’, International Journal of Health Care Quality Assurance, 2007; 20 (5): 363-78. |
| [31] | Camilleri D, O’Callaghan M. Comparing public and private care service quality. International Journal of Health Care Quality Assurance. 1998; 11 (4): 127-133. |
| [32] | Karami M, Maleki MM, Dubinsky AJ. ‘Cultural values and consumers’ expectations and perceptions of service encounter quality’, International Journal of Pharmaceutical and Healthcare Marketing, 2016; 10 (1): 2-26. |
| [33] | Polsa P, Fuxiang W, Saaksjarvi M, Shuyuan P. ’Cultural values and health service quality in China, International Journal of Health Care Quality Assurance, 2013; 26 (1): 55-73. |
| [34] | Murti A, Deshpande A, Srivastava N. ‘Service quality, customer (patient) satisfaction and behavioral intention in healthcare services: exploring the Indian perspective’, Journal of Health Management, 2013a; 15 (1): 29-44. |
| [35] | Smith AM, Reynolds NL. ‘Measuring cross cultural service quality: a framework for assessment”, International Marketing Review, 2001; 19 (5): 450-481. |
| [36] | Millar R. ‘Framing quality improvement tools and techniques in healthcare: the case of improvement leaders’ guides’, Journal of Health Organization and Management, 2013; 27 (2): 209-204. |
| [37] | Malhotra NK, Ulgado FM, Agarwal J, Baalbaki IB. ‘International services marketing: a comparative evaluation of the dimensions of service quality between developed and developing countries’, International Marketing Review, 1994; 11 (2): 5-15. |
| [38] | Mainz J. ‘Quality indicators: essential for quality improvement’, International Journal for Quality in Health Care, 16 (Supplement I): 2004; 11-12. |
| [39] | Piligrimiene Z, Buciuuiene I. Exploring managerial and professional view to healthcare service quality. Journal of Economics and Management. 2011; 16: 1304-1317. |
| [40] | Mosadeghrad AM. Healthcare service quality: towards a broad definition. International Journal of Health Care Quality Assurance. 2013; 26 (3): 203-219. |
| [41] | WHO. African Regional Health Report. Geneva: WHO press, 2009. |
| [42] | Bopp KD. ‘How patients evaluate the quality of ambulatory medical encounters: A marketing perspective’. Journal of Health Care Marketing, 1990; 10 (1): 6-15. |
| [43] | Grönroos C. ‘The perceived service quality concept – a mistake’, Managing Service Quality, 2001; 11 (3), 46-55. |
| [44] | Donabedian A. ‘Quality assessment and assurance: unity of purpose, diversity of Means’, Inquiry, Spring: 1988; 175-92. |
| [45] | Krueger, R. A. and Casey, M. A.. Focus Groups: A Practical Guide for Applied Research. 5th ed. USA: SAGE Publications, Inc, 2015. |
| [46] | Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its implications for future research. Journal of Marketing. 1985; 49 (4): 41–50. |
| [47] | Van Herk H, Poortinga YH, Verhallen TMM. ‘Equivalence of survey data: relevance for international marketing’, European Journal of Marketing, 2005; 393 (4): 351-64. |
| [48] | Donabedian A. 2005. ‘Evaluating the quality of medical care. Milbank Memorial Fund Q. Reprinted in Milbank Q, 83 (4): 691-729. |
APA Style
Berhanu Endeshaw. (2021). Factors that Affect the Quality of Healthcare Services in Ethiopia. Science Journal of Business and Management, 9(3), 186-196. https://doi.org/10.11648/j.sjbm.20210903.15
ACS Style
Berhanu Endeshaw. Factors that Affect the Quality of Healthcare Services in Ethiopia. Sci. J. Bus. Manag. 2021, 9(3), 186-196. doi: 10.11648/j.sjbm.20210903.15
AMA Style
Berhanu Endeshaw. Factors that Affect the Quality of Healthcare Services in Ethiopia. Sci J Bus Manag. 2021;9(3):186-196. doi: 10.11648/j.sjbm.20210903.15
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Download@article{10.11648/j.sjbm.20210903.15,
author = {Berhanu Endeshaw},
title = {Factors that Affect the Quality of Healthcare Services in Ethiopia},
journal = {Science Journal of Business and Management},
volume = {9},
number = {3},
pages = {186-196},
doi = {10.11648/j.sjbm.20210903.15},
url = {https://doi.org/10.11648/j.sjbm.20210903.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjbm.20210903.15},
abstract = {Service-quality dimensions are controversial and they continue to debate about the factors (also called determinants) and indicators (also called criteria). Service quality still constitutes an undecided critical issue. This gives rise to challenges as far as the improvement of healthcare service-quality is concerned, and there Ethiopia is no exception. The main objective of this study is to identify the factors that affect the quality of healthcare services in Ethiopia. This study used a qualitative research design. The study was initially investigated through a comprehensive review of the extant literature regarding factors and indicators of healthcare service quality. Then focus-group discussions and panel of experts were conducted for confirming the indicators identified and also exploring additional indicators as per the Ethiopian context. Lastly, indicators were grouped in to factors. Three hospitals administered by the Federal Ministry of Health, Ethiopia, namely, St. Paul‟s, Tikur Anbessa and ALERT hospitals. Managers, healthcare providers, patients and support staff were participated in the study. This study came up with 60 indicators, 36 indicators were generated from the literature review, and the rest were added by the focus groups and the panel of experts. The panel of experts grouped these indicators into 6 factors, namely tangibles, technical quality, personal care, assurance, medical-administration procedures, and reliability. The factors and indicators of factors identified in this study were the unique characteristics of the healthcare services in Ethiopia. It could also be a basis for every country and even a basis for every organization in the developing world.},
year = {2021}
}
TY - JOUR T1 - Factors that Affect the Quality of Healthcare Services in Ethiopia AU - Berhanu Endeshaw Y1 - 2021/07/15 PY - 2021 N1 - https://doi.org/10.11648/j.sjbm.20210903.15 DO - 10.11648/j.sjbm.20210903.15 T2 - Science Journal of Business and Management JF - Science Journal of Business and Management JO - Science Journal of Business and Management SP - 186 EP - 196 PB - Science Publishing Group SN - 2331-0634 UR - https://doi.org/10.11648/j.sjbm.20210903.15 AB - Service-quality dimensions are controversial and they continue to debate about the factors (also called determinants) and indicators (also called criteria). Service quality still constitutes an undecided critical issue. This gives rise to challenges as far as the improvement of healthcare service-quality is concerned, and there Ethiopia is no exception. The main objective of this study is to identify the factors that affect the quality of healthcare services in Ethiopia. This study used a qualitative research design. The study was initially investigated through a comprehensive review of the extant literature regarding factors and indicators of healthcare service quality. Then focus-group discussions and panel of experts were conducted for confirming the indicators identified and also exploring additional indicators as per the Ethiopian context. Lastly, indicators were grouped in to factors. Three hospitals administered by the Federal Ministry of Health, Ethiopia, namely, St. Paul‟s, Tikur Anbessa and ALERT hospitals. Managers, healthcare providers, patients and support staff were participated in the study. This study came up with 60 indicators, 36 indicators were generated from the literature review, and the rest were added by the focus groups and the panel of experts. The panel of experts grouped these indicators into 6 factors, namely tangibles, technical quality, personal care, assurance, medical-administration procedures, and reliability. The factors and indicators of factors identified in this study were the unique characteristics of the healthcare services in Ethiopia. It could also be a basis for every country and even a basis for every organization in the developing world. VL - 9 IS - 3 ER -
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