The effects of the service quality of the dental hygienist on patients'satisfaction and their intentions to revisit and recommend of dental care services

치과위생사의 의료서비스 질이 내원환자의 만족도에 미치는 영향

Hong, Hyeon-Shil;Choi, Youn-Hee;Ji, Young-Geon;Lee, Sang-Gyu;Kwon, Ho-Jang
홍현실;최연희;지영건;이상규;권호장

  • Published : 20060600

Abstract

Objectives: The purpose of this study is to examine the effects of the service quality of dental hygienists on patients’satisfaction and their intention to revisit and recommend of dental care services. Methods: The subjects of this study were 337 patients aged over 19, who visited one of seven dental clinics in Seoul and Gyeonggi do. A questionnaire survey was conducted on the quality of medical services, the quality of medical services provided by dental hygienists, patients’satisfaction and their intention to revisit and recommend. Results: Firstly, patients’perception on the quality of medical services provided by dentists and dental hygienists was more positive than their perception on treatment procedure and environmental factors according to the general perception on the quality of dental care services. Secondly, in terms of perception on the quality of medical services provided by dental hygienists according to patients’ demographical characteristics, male patients showed higher satisfaction and stronger intention to dental hygienists’kindness, revisit and recommend than female patients. According to occupation, wage workers showed significantly lower satisfaction and weaker intention to reuse and recommend than students, housewives, self employed persons and others. Thirdly, patients’satisfaction was significantly associated with the factors of the general quality of dental care services, services by dentists, services by dental hygienists, treatment procedure, and internal environment. Finally, the effect of the quality of medical services by dental hygienists on patients’satisfaction in dental hygienists’kindness, expertness and patient management. Patients’intentions to revisit and recommend were significantly affected by dental hygienists’kindness and expertness. Conclusions: These results suggest that, in dental care service, the personnel factor of dental hygienists have significant direct and indirect effects on patients’satisfaction and their intention to revisit and recommend.

Keywords

References

  1. 정기택. 의료시장 개방과 관련된 변화와 적극적 대응의 필요성. 예방의학회지 2004;37(1):1-5
  2. 이선희. 고객 지향 마케팅 전략. 대한의사협회지 2001;44(11): 1241-1248
  3. Kotler P, Clarke RN. Marketing for health care organization. New Jersey:Prentice Hall;1987
  4. Kasteler H. Issues underlying prevalence of doctor-shopping behavior. J Health Soc Behav 1976;17(4):328-329 https://doi.org/10.2307/2136711
  5. Dimatteo MR, Prince LM, Haranta A. Patient perceptions of physicians' behavior, determinants of patient commitment to the therapeutic relationship. J Community Health 1979;16(4):280-290
  6. Ware JE, Wright WR, Snyder MK. Consumer perceptions of health care service: implications for academic medicine. J Med Educ 1975;50(9):839-848
  7. Thomas JW, Pencyansky R. Relating satisfaction with access to utilization. Med Care 1984;22(6):553-568 https://doi.org/10.1097/00005650-198406000-00006
  8. Roghonann KJ, Hengst A, Zastowny TR. Satisfaction with medical care, its measurement and relation to utilization. Med Care 1979;17(5):461-471 https://doi.org/10.1097/00005650-197905000-00002
  9. Hulka BS, Cassel JC, Kupper LL, Burdette JA. Communication, compliance and concordance between physicians and patients with prescribed medications. Am J Public Health 1976;66(9):847-853 https://doi.org/10.2105/AJPH.66.9.847
  10. Bopp KD. How patients evaluate the quality of ambulatory medical encounters: a marketing perspective. J Health Care Mark 1990;10(1):6-15
  11. Babakus E, Mangold WG. Adapting the SERVQUAL scale to hospital services: an empirical investigation. Health Serv Res 1992;26(6):767-786
  12. Zifko-Balig GM, Krampf RF. Managing perceptions of hospital quality: negative emotional evaluations can undermine even the best clinical quality. Mark Health Sery 1997;17(1):28-35
  13. 김정숙. 치과위생사의 의료서비스 질이 환자만족과 재이용 의사에 미치는 영향. 계명대학교 대학원 박사학위논문. 2003
  14. 최귀션, 조우현, 이선희, 남정모. 환자가 인지하는 의료의 질과 만족도, 서비스 가치, 재이용 의사간의 구조분석. 예방의학회지 2000;33(4) :426-435
  15. 한지형. 환자만족도와 애호도에 미치는 치과위생사 관련 요인분석.인제대학교 대학원 석사학위논문,2002
  16. 이상형. 치과의원 환자만족 영향요인 .인제대학교 대학원 석사학위논문,1998
  17. 한수진. 치과의료 기관의 치과 의료서비스에 관한 환자의 만족요인 연구. 단국대학교 대학원 석사학위논문, 1999
  18. 조영식, 권호근, 정원균. 치과환자만족의 차원과 측정도구. 대한구강보건학회지 2005;29(4):407-417
  19. 정성화, 송근배, 장현중, 송경희. 치과병원 내원환자들의 만족도 평가를 위한 구조모형. 대한구강보건학회지 2000; 24(1):49-58
  20. 손정일, 권호근. 연세대학교 치과병원 내원환자 만족도 조사시 Dental Satisfaction Questionnaire (DSQ)의 신뢰도와 타당도. 대한구강보건학회지 2001 ;25(2):123-138
  21. 김남중. 치과의료기관별 환자 만족도 비교. 인제대학교 보건 대학원 석사학위논문,2002