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Structural Equation Modeling for Public Hospital Quality of Care, Image, Role Performance, Satisfaction, Intent to (Re)visit, and Intent to Recommend Hospital as Perceived by Community Residents
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Eun Jeong Hwang, In Ok Sim
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J Korean Acad Nurs 2016;46(1):118-127. Published online February 29, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.1.118
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 Abstract
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Purpose
The study purposes were to construct and test structural equation modeling on the causal relationship of community residents' perceived quality of care, image, and role performance with satisfaction, intention to (re)visit and intention to recommend hospital.
Methods
A cross-sectional survey was conducted with 3,900 community residents from 39 district public hospitals. The questionnaire was designed to collected information on personal characteristics and community awareness of public hospitals. Community awareness consisted of 6 factors and 18 items. The data were collected utilizing call-interview by a survey company. Research data were collected via questionnaires and analyzed using SPSS version 20.0 and AMOS version 20.0.
Results
Model fit indices for the hypothetical model were suitable for the recommended level: χ2=796.40 (df=79, p <.001), GFI=.93, AGFI=.90, RMSR=.08, NFI=.94. Quality of care, image, and role performance explained 68.1% of variance in community awareness. Total effect of quality of care process factors on satisfaction (path coefficients=3.67), intention to (re)visit (path coefficients=2.67) and intention to recommend hospital (coefficients=2.45) were higher than other factors.
Conclusion
Findings show that public hospitals have to make an effort to improve community image through the provision of quality care, and excellent role performance. Support for these activities is available from both Central and Local Governments.
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Citations
Citations to this article as recorded by  - Exploring to improve patient satisfaction through organizational factors consolidation of sharia-based nursing care
Muh. Abdurrouf, Nursalam Nursalam, Ahsan Ahsan, Iwan Ardian, Intan Rismatul Azizah
Healthcare in Low-resource Settings.2024;[Epub] CrossRef - Influence of word of mouth (WOM) in physician selection by the patients in Bangladesh
Md. Noor Un Nabi, Fatema Tuj Zohora, Farzana Akther
International Journal of Pharmaceutical and Healthcare Marketing.2022; 16(4): 542. CrossRef - Medical service quality, patient satisfaction and intent to revisit: Case study of public hub hospitals in the Republic of Korea
Selin Woo, Mankyu Choi, M. Mahmud Khan
PLOS ONE.2021; 16(6): e0252241. CrossRef - The Mediating Role of Patient Distrust in the Impact of Corporate Image on Recommendation Intention
Mahmut AKBOLAT, Ayhan DURMUŞ
Balıkesır Health Sciences Journal.2021;[Epub] CrossRef - Voluntourism sustainability: a case of Malaysian east coast island destinations
Abdul Hafaz Ngah, Abdul Halim Mohd Rahimi, Serge Gabarre, Nor Ida Fatihah Che Saifulizam, Norzalita Abdul Aziz, Heesup Han
Asia Pacific Journal of Tourism Research.2021; 26(12): 1364. CrossRef - Current status of quality of care for public hospitals in Korea : Comprehensive comparison with private hospitals
Hey Jin Ko, Eunji Yun, Boryung Ahn, Won Mo Jang, Jin Yong Lee
Public Health Affairs.2021; 5(1): e10. CrossRef - Canal boat tourism: Application of complexity theory
Javaneh Mehran, Hossein GT. Olya
Journal of Retailing and Consumer Services.2020; 53: 101954. CrossRef - Patients’ intent to revisit with trust as the mediating role: lessons from Penang Malaysia
Salmi Mohd Isa, Grace Sze Sze Lim, Phaik Nie Chin
International Journal of Pharmaceutical and Healthcare Marketing.2019; 13(2): 140. CrossRef - The Effect of Intentional Nursing Rounds Based on the Care Model on Patients' Perceived Nursing Quality and their Satisfaction with Nursing Services
Nayeon Shin, Jummi Park
Asian Nursing Research.2018; 12(3): 203. CrossRef - Perception of Healthcare Accreditation System on Patient Safety Management Activities and Nursing Performance of Regional Public Hospital Nurses
Myung Ju Kang, Kyung Hee Chung
Journal of Korean Academy of Nursing Administration.2017; 23(4): 416. CrossRef
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Educational Needs for Consideration in Developing Curriculum for Staff in Charge of Public Health Services in Public Hospitals
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Eun Jeong Hwang
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J Korean Acad Nurs 2011;41(3):393-402. Published online June 13, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.3.393
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Abstract
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Purpose
This study was done to assess the educational needs that should be considered in developing curriculum for staff in charge of public health services in public hospitals.
Methods
The participants in this study were staff in charge of public health services in 130 public hospitals. The Borich's Needs Assessment Model which analyzed the relation of 'required competence level' and 'present competence level', was utilized. Data were collected from October to November 2007 using a structure self-report questionnaire. The return rate was 66.9%. The Cronbach's alpha score was 0.959.
Results
The mean scores for 'required competence level', 'present competence level' and Borich's need were 4.02, 3.44, and 2.30 respectively. According to public health service items, 'strategies to recognize the present condition and analyze problems' had the highest score for Borich's need, but 'establishment of annual or monthly objectives' had the lowest score for Borich's need.
Conclusion
Education was found to be very important for staff carrying out public health services. Ultimately the results of this study may be utilized to develop education program for staff carrying out public health services in public hospitals.
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Citations
Citations to this article as recorded by - Analyzing the Relative Importance for the Development Plan of the Public Health Care System
You Ho Kim
Journal of Health Informatics and Statistics.2018; 43(4): 300. CrossRef - An Effective Model for Improving Global Health Nursing Competence
Sun-Joo Kang
Frontiers in Public Health.2016;[Epub] CrossRef - A Survey of Role Perception and Function Performance Related to Public Health Service among the Medical Staff in a National Hospital
Young-Hye Cho, Sang-Yeoup Lee, Dong-Wook Jeong, Eun-Jung Choi, Yun-Jin Kim, Jeong-Gyu Lee, Yu-Young Go, Yu-Hyone Lee, Mi-Jin Bae, Chang-Hoon Kim
Journal of agricultural medicine and community health.2012; 37(2): 67. CrossRef
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