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Nurana Sadıgova, Magsud Mirzayev: Service Quality as a Determinant of Patient Satisfaction: An
                        Empirical Study in the Healthcare Sector


                    INTRODUCTION
                    In today's healthcare sector, the relationship between service quality and customer
                    (patient) satisfaction is gaining increasing significance. For the healthcare industry,
                    all activities beginning from the patient's initial  contact with a medical  facility  to
                    diagnosis,  treatment,  and  post-treatment  care  are  considered  to  be  components  of
                    service quality, playing a crucial role in determining overall satisfaction. During this
                    process, patients expect the institution to deliver services that are accurate, clean, and
                    professionally  administered  (Hajiyeva,  2021).  Patients  who  are  satisfied  with  the
                    hospital’s services are more likely to recommend the same hospital to others (Hameed,
                    2023).
                    The  marketing  literature  places  significant  emphasis  on  improving  customer
                    satisfaction.  Satisfaction  is  defined  and  measured  in  various  ways  across  various
                    studies. One common understanding is that satisfaction arises when expectations are
                    met. If a firm’s offerings align with customer expectations, customers are more likely
                    to be satisfied (Inamullah, 2012). Over time, customers tend to expect higher levels
                    of quality from products and services. Satisfaction is a relative concept and relies on
                    each individual's expectations and their evaluation of the service received (Sofaer &
                    Firminger, 2005). For service-oriented firms, the most critical aspect lies in the quality
                    of services  delivered, the process  of service production, and the way services are
                    presented to the customer.
                    Patient satisfaction and the quality of healthcare services are critical elements for the
                    long-term success of healthcare institutions.  (Ramsaran-Fowdar, 2005). Thus, patient
                    satisfaction emerges as a variable that promotes the quality of healthcare organizations
                    by enabling the assessment and determination of patients’ most relevant dimensions
                    and their level of satisfaction. It serves as a tool for evaluating the quality of medical
                    care and has therefore become an important and frequently used indicator. Patient
                    satisfaction influences clinical outcomes, medical malpractice claims, and the delivery
                    of timely, efficient, and patient-centered healthcare services (Prakash, 2010).
                    Like other areas of the service sector, healthcare has also transformed into a more
                    competitive market. The increasing number of private medical institutions serves as
                    evidence of this trend. In such an environment, measuring satisfaction and service
                    quality  can  assist  managers  in  monitoring,  enhancing,  and  optimizing  various
                    organizational aspects. Compared to other service sectors, healthcare professionals
                    must be particularly attentive to behaviors that may influence patients’ expectations
                    (Naidu, 2009).
                    Healthcare systems are constantly evolving and developing. For this reason, analyzing
                    customer satisfaction is of great importance. The results obtained can provide valuable
                    and unique insights into the quality of services delivered by medical institutions. In


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