An assessment of service quality in tertiary hospitals and medical tourism index for the growth of medical tourism in Asian context, an empirical evidence from India
Keywords:
medical tourism, international healthcare entrepreneurship, service quality, medical tourism index, international patientAbstract
Medical tourism has increased in past decades for better quality treatment all overseas. When compared past decades now hospitals are promoting them for medical tourism destinations. Due to increased in availability of services which are readily available in internet, social media and televisions. India is one of the countries which give tertiary care and quality services at affordable price. Most of the medical tourism in India is developed in last decade as hospitals are equipped with high quality doctors, medical facilities and trained nurses. India has proved to be one of the leading destinations of medical tourism. The main objective of this research was to look for service quality provided by JCI accredited hospitals, challenges faced by the patients after reaching India. Articles also been reviewed in terms of growth of medical tourism in Asian context. 4 centers randomly picked up from both northern and southern part of India and there medical facilities, costs and what made patients to choose a particular hospital has been studied. Randomly picked up patients from outpatient and inpatient basis over a period from 15th March 2018 till15thFebruary 2021.
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References
Connell, J. (2006). Medical tourism: Sea, sun, sand and … surgery. Tourism management, 27(6), 1093-1100.
Hu, H. Y., Cheng, C. C., Chiu, S. I., & Hong, F. Y. (2011). A study of customer satisfaction, customer loyalty and quality attributes in Taiwan‘s medical service industry. African Journal of Business Management, 5(1), 187-195.
Lin, B.Y., Hsu, C.C, Lee, C. and Chao, M. (2010) ‗Patient satisfaction in hospital-based emergency departments: recommendation for healthcare management and policy‘, Int. J. Public Policy, Vol. 5, Nos. 2/3, pp.175–189.
George, B. P., Henthorne, T. L., & Williams, A. J. (2010). Determinants of satisfaction and dissatisfaction among preventive and curative medical tourists: a comparative analysis. International Journal of Behavioural and Healthcare Research, 2(1), 5-19.
Herrick, D. M. (2007). Medical tourism: global competition in health care. NCPA Policy Reports (2007).
Debata, B. R., Patnaik, B., & Mahapatra, S. S. (2011). Development of an instrument for measuring service quality of medical tourism in India. International Journal of Indian Culture and Business Management, 4(6), 589-608.
Bookman, M. and Bookman, K. (2007) Medical Tourism in Developing Countries. New York, NY: Palgrave
MacMillan.
Veerasoontorn, R., Beise-Zee, R., &Sivayathorn, A. (2011). Service quality as a key driver of medical tourism: the case of Bumrungrad International Hospital in Thailand. International Journal of Leisure and Tourism Marketing, 2(2), 140-158.
Guiry, M., Scott, J. J., &Vequist IV, D. G. (2013). Experienced and potential medical tourists' service quality expectations. International journal of health care quality assurance, 26(5), 433-446.
Oliver, R.L. (1980), A cognitive model of the antecedents and consequences of satisfaction decisions'', Journal of Marketing Research, Vol. 17, pp. 460-9.
Singh, G. (2011) ‗Healthcare service delivery and customer satisfaction: insight from
government hospitals in Fiji‘, Int. J. Services, Economics and Management, Vol. 3, No.3 pp.323–335.
Oliver, R. L., &DeSarbo, W. S. (1988). Response determinants in satisfaction judgements. Journal of Consumer Research, 14, 495–504.
Keh, H. T., Ren, R., Hill, S. R., & Li, X. (2013). The beautiful, the cheerful, and the helpful: the effects of service employee attributes on customer satisfaction. Psychology & Marketing, 30(3), 211-226.
Tsu-Ming, Y. (2010). Determining medical service improvement priority by integrating the refined Kano model, Quality function deployment and Fuzzy integrals. African Journal of Business Management, 4(12), 2534-2545.
Singh, J. (1991). Understanding the structure of consumers satisfaction evaluations of service delivery. Journal of the Academy of Marketing Science, 19(3), 223–244.
Andaleeb, S. (1998). Determinant of customer satisfaction with hospitals: A managerial model. International Journal of Health Care Quality Assurance, 11(6), 181–187.
Parasuraman, A., Zeithaml, V. A.&Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. Journal of Marketing, 49(4), 41–50
Parasuraman, A., Berry, L. L., & Zeithaml, V. A. (1991). Refinement and reassessment of the SERVQUAL scale. Journal of Retailing, 67(4), 420–450.
Taylor, S. A., & Cronin, J. J. (1994). Modeling patient satisfaction and service quality. Journal of Health Care Marketing, 14(1), 34–44.
20Cronin, J. J., & Taylor, S. A. (1992). Measuring service quality: a reexamination and extension. Journal of Marketing, 56(3), 55–68.
21Risser, N. L. (1975). Development of an instrument to measure patient satisfaction with nurses and nursing care in primary care settings. Nursing Research, 24(1), 45–52.
Ghazali Musa , Dharmesh R. Doshi , Kee Mun Wong &ThinaranjeneyThirumoorthy (2012) How Satisfied are Inbound Medical Tourists in Malaysia? A Study on Private Hospitals in Kuala Lumpur, Journal of Travel & Tourism Marketing, 29:7, 629-646.
Padma, P., Rajendran, C., &Lokachari, P. S. (2010). Service quality and its impact on customer satisfaction in Indian hospitals. Perspectives of patients and their attendants. Benchmarking: An International Journal, 17(6), 807–841.
Stiles, G., Renee, A., Mick, C., & Stephen, S. (1994). Classifying quality initiatives: A conceptual paradigm for literature review and policy analysis. Hospital & Health Services Administration, 39(3), 309-326.
Tarlov, A. R., & Ware, J. E. (1989). An application of methods for monitoring the result of medical care. The Journal of the American Association, 18(7), 925-930.
Babic-Banaszak, A., Kovacic, L., Mastilica, M., Babic, S., Ivankovic, D., & Budak, A. (2001). The Croatian health survey—Patient‘s satisfaction with medical service in primary health care in Croatia. Collegium Antropologicum, 25(2), 449–458.
Leinonen T, Leino KH, Stahlberg M, Lertola K (2001). ―The quality of perioperative care: Development of a tool for the perceptions of patients.‖ J. Adv. Nurs., 35(2): 294-306.
Hensen, P., Schiller, M., Metze, D. and Luger, T. (2008) ‗Evaluating hospital service quality from a physician viewpoint‘, International Journal of Health Care Quality Assurance, Vol. 21, No. 1, pp.75–86.
Woodward, C.A., Ostbye, T., Craighead, J., Gold, G. and Wenghofer, E.F. (2000) ‗Patient satisfaction as an indicator of quality care in independent health facilities: developing and assessing a tool to enhance public accountability‘, American Journal of Medical Quality, Vol. 15, No. 3, pp.94–105.
Yildiz, Z., &Erdogmus, S. (2004).Measuring patient satisfaction of the quality of health care: A study of hospitals in Turkey. Journal of Medical Systems, 28(6), 581–589.
Alhashem, A. M., Alquraini, H., & Chowdhury, R. I. (2011). Factors influencing patient satisfaction in primary healthcare clinics in Kuwait. International Journal of Health Care Quality Assurance, 24(3), 249–262
Abramowitz, S., Cote, A.A. and Berry, E. (1987) ‗Analyzing patient satisfaction: a multianalytic approach‘, Quality Review Bulletin, Vol. 13, No. 4, pp.122–130.
Parasuraman, A., Zeithaml, V. and Berry, L. (1988) ‗SERVQUAL: a multiple item scale for measuring consumer
perceptions of service quality‘, Journal of Retailing, Vol. 64, No. 1, pp.12–40.
John, J. (1989) ‗Perceived quality in health care service consumption: What are the Structural Dimensions?‘, in J.M. Hawes and J. Thanopoulos (Eds.), Developments in Marketing Science, Vol. 12. Akron, OH: Academy of Marketing Science, pp.518–521.
Nelson, C.W. (1990) ‗Patient satisfaction survey: an opportunity for total quality improvement‘, Hospital and Health Services Administration, Vol. 35, No. 3, pp.409–427.
Tung, Y. and Chang, G. (2009) ‗Patient satisfaction with and recommendation of a primary care provider: associations of perceived quality and patient education‘, Int. J. in Quality Health Care, Vol. 21, No. 3, pp.206–213.
Rubin, H.R. (1990) ‗Can patients evaluate the quality of hospital care?‘ Medical Care Review, Vol. 47, No. 3, pp.267–326.
Chang, C. S., Weng, H. C., Chang, H. H., & Hsu, T. H. (2006). Customer Satisfaction in Medical Service Encounters- A Comparison Between Obstetrics and Gynecology Patients and General Medical Patients. Journal of Nursing Research, 14(1), 9-23.
Smith, M. and Puczko, L. (2009) Health and Wellness Tourism. Oxford, UK: Butterworth- Heinemann.
Zeithaml, V. A., Berry, L. L., & Parasuraman, A. (1993). "The nature and determinants of customer satisfaction of service" , Journal of the Academy of marketing Science, Vol. 21 No. 1, pp. 1-12.
Pizam, A., Neumann, Y., & Reichel, A. (1978). Dimensions of tourism satisfaction with a destination area. Annals of Tourism Research, 5, 314–322.
Thuy-Huong Truong (2005) Assessing holiday satisfaction of Australian travellers in Vietnam: An application of the HOLSAT model, Asia Pacific Journal of Tourism Research, 10:3, 227-246.
Pearce, P. L. (1980). A Favourability-Satisfaction model of tourists evaluations. Journal of Travel Research, 14(1), 13–17.
Moutinho, L. (1987). Consumer behavior in tourism. European Journal of Marketing, 21(10), 1–44.
Alegre, J., &Garau, J. (2010). Tourist satisfaction and dissatisfaction. Annals of tourism research, 37(1), 52-73.
Siskos, Y., Rodios, V., &Tsotsolas, N. (2013). A tourist satisfaction measurement model based on multiple criteria: application to the case of Skopelos Island. International Journal of Data Analysis Techniques and Strategies, 5(1), 63- 83.
del Bosque, I. R., & Martín, H. S. (2008). Tourist satisfaction a cognitive-affective model. Annals of tourism research, 35(2), 551-573.
Murphy, P., M. Pritchard, and B. Smith (2000) The Destination Product and Its Impact on Traveler Perceptions. Tourism Management 21:43–52.
Babin, B. J., & Griffin, M. (1998). The nature of satisfaction: An update examination and analysis. Journal of Business research, 41, 127–136.
Babin, B. J., & Griffin, M. (2001). International students‘ travel behavior: A model of the travelrelated consumer/dissatisfaction process. Journal of Travel & Tourism Marketing, 10(1), 93–106.
Tribe, J. & Snaith, T. (1998). From SERVQUAL to HOLSAT: Holiday satisfaction in Varadero, Cuba. Tourism Management, 19(1), 25–34.
Cronin, J., & Taylor, S. (1994). SERVPERF versus SERQUAL: Reconciling performance-based and perception- minus-expectations measurement of service quality. Journal of Marketing, 58, 125–131.
Truong, T. H., & Foster, D. (2006). Using HOLSAT to evaluate tourist satisfaction at destinations: The case of Australian holidaymakers in Vietnam. Tourism management, 27(5),842-855.62.
Kano, N. (1984). Attractive quality and must-be quality. Journal of the Japanese Society for Quality Control, 1(4), 39–48.
Theresia A. PawitraKay C. Tan, (2003),"Tourist satisfaction in Singapore – a perspective from Indonesian tourists", Managing Service Quality: An International Journal, Vol. 13 Iss 5 pp. 399 -411.
Yu, J., Lee, T. J., & Noh, H. (2011). Characteristics of a medical tourism industry: The case of South Korea. Journal of Travel & Tourism Marketing, 28(8), 856-872.
Kano, N., Seraku, N., Takahashi, F., & Tsuji, S. (1984). Attractive quality and mustbe quality. Quality: The Journal of the Japanese Society for Quality Control, 14(April), 39–48.
Kano N, Seraku N, Takahashi F, Tsuji S (1984) Attractive quality and must-be quality. J. Japan. Society Quality Control, 14:39-48.
Saunders, Mark, Philip Lewis, and Adrian Thornhill (2009), Research Methods for Business Students, 5th ed.. Harlow: Pearson Education Limited.
Bryman, A., & Bell, E. (2007). Business research strategies. Business research methods.
Wang, T. (2009). Quality function deployment optimization with Kano's model (Doctoral dissertation, The Hong Kong Polytechnic University).
Berger, C., Blauth, R., Boger, D., Bolster, C., Burchill, G., DuMouchel, W., Pouliot, F., Richter, R., Rubinoff, A.,
Shen, D., Timko, M. & Walden, D. (1993). Kano‘s methods for understanding customer-defined quality. The Center for Quality Management Journal, 2 (4), 2-36.
Yin, Robert K. (2009), Case Study Research: Design and Methods, 4th ed.. Thousand Oaks:SAGE.
Han, H., & Hyun, S. S. (2015). Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness. Tourism Management, 46, 20-29.
Bamberg, G., Baur, F. &Krapp, M. (2008). Statistik. München: Oldenburg. Begum, S. S., Naveed, M., Bilal, A. R., Ahmad Ur Rehman, N. B., Talib, A., Anuar, M. A., ... &Sarma, Y. S. (2013). Medical and wellness tourism: opportunities and challenges-marketing.
Sauerwein, E. (1999, June). Experiences with the reliability and validity of the Kano-method: comparison to alternate forms of classification of product requirements. In Symposium on QFD (Vol. 11, pp. 1-14).
Medical Tourism Index: Global Healthcare Resources & International Healthcare Resource Center, 2020
Florenta Larisa ILE ( 2017), Medical tourism market trends- an exploratory research, proceedings of the 11th international conference on Business excellence ( DE Gruyter, 2017, pp 1111-1121)
Mediastari, A. A. P. A. (2020). Local wisdom traditional medicine for the health and beauty of postpartum mother in Denpasar City, Bali Province, Indonesia. International Journal of Health & Medical Sciences, 3(1), 65-71. https://doi.org/10.31295/ijhms.v3n1.149
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
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