Shafiq Muhammad, Naeem Muhammad Azhar, Munawar Zartasha, Fatima Iram
1 Institute of Quality and Technology Management, University of the Punjab, Lahore, Pakistan.
2 Department of Electrical Engineering, University of the Punjab, Lahore, Pakistan.
Inquiry. 2017 Jan 1;54:46958017714664. doi: 10.1177/0046958017714664.
Hospitals vary from one another in terms of their specialty, services offered, and resource availability. Their services are widely measured with scales that gauge patients' perspective. Therefore, there is a need for research to develop a scale that measures hospital service quality in Asian hospitals, regardless of their nature or ownership. To address this research need, this study adapted the SERVQUAL instrument to develop a service quality measurement scale. Data were collected from inpatients and outpatients at 9 different hospitals, and the scale was developed using structural equation modeling. The developed scale was then validated by identifying service quality gaps and ranking the areas that require managerial effort. The findings indicated that all 5 dimensions of SERVQUAL are valid in Asian countries such as Pakistan, with 13 items retained. Reliability, tangibility, responsiveness, empathy, and assurance were ranked first, second, third, fourth, and fifth, respectively, in terms of the size of the quality gap. The gaps were statistically significant, with values ≤.05; therefore, hospital administrators must focus on each of these areas. By focusing on the identified areas of improvement, health care authorities, managers, practitioners, and decision makers can bring substantial change within hospitals.
不同医院在专业特色、提供的服务以及资源可用性方面存在差异。人们广泛使用衡量患者观点的量表来评估医院的服务。因此,有必要开展研究以开发一种能够衡量亚洲医院服务质量的量表,无论其性质或所有权如何。为满足这一研究需求,本研究对SERVQUAL工具进行了改编,以开发一种服务质量测量量表。从9家不同医院的住院患者和门诊患者那里收集了数据,并使用结构方程模型开发了该量表。然后,通过识别服务质量差距并对需要管理努力的领域进行排名,对所开发的量表进行了验证。研究结果表明,SERVQUAL的所有5个维度在巴基斯坦等亚洲国家都是有效的,保留了13个项目。就质量差距的大小而言,可靠性、有形性、响应性、同理心和保证分别排名第一、第二、第三、第四和第五。这些差距具有统计学意义,值≤0.05;因此,医院管理人员必须关注这些领域中的每一个。通过关注已确定的改进领域,医疗保健当局、管理人员、从业者和决策者可以在医院内部带来实质性的变革。