전문병원 충성고객의 병원 선택에 영향을 미치는 요인

Factors Influencing on Selection of Specialty Hospital among Inpatients with Loyalty

  • 김복미 (순천향대학교 대학원 보건행정경영학과) ;
  • 함명일 (순천향대학교 대학원 보건행정경영학과) ;
  • 민인순 (순천향대학교 대학원 보건행정경영학과) ;
  • 김선정 (순천향대학교 대학원 보건행정경영학과)
  • Kim, Bokmi (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Hahm, Myung-Il (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Min, In Soon (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Kim, Sun Jung (Department of Health Administration and Management, Soonchunhyang University Graduate School)
  • 투고 : 2018.07.18
  • 심사 : 2018.12.13
  • 발행 : 2018.12.30

초록

Purpose : Customers with loyalty are very important to hospitals for sustainable growth in their medical market. Individuals with loyalty are likely to visit same hospital repeatedly when they need medical services. This study was to identify factors associated with selection of specialty hospitals among customers with loyalty. Methods : The subjects of this study were 735 inpatients in 22 specialty hospitals in 6 designated fields(joints, spine, colorectal-anal, obstetrics and gynecology, ophthalmology, otolaryngology). Customer types classified as customers with high loyalty, neutral customers, and customers with low loyalty according to net promoter score(NPS). Factor analysis was conducted to classify 22 hospital selection factors into some similar properties. Logistic regression analysis was conducted to confirm the selection factors related to loyal customers. Findings : Most of specialty hospitals received high NPS of 8 points or higher in all the designated fields. Five factors associated with selection of specialty hospital are (1) hospital facilities and convenience, (2) trust in doctor and hospital, (3) rapidness of treatment, (4) hospital awareness, and (5) accessibility. As a result of logistic regression analysis, selection factors related to loyal customers were 'hospital facilities and convenience', 'trust in doctor and hospital' and 'rapidness of treatment'. Differences in the degree of importance of three selection factors by customer types appeared for each designated field. Practical Implications : This study confirms the high level of patient experience among inpatients of specialty hospitals. Factors associated with selection of hospital among inpatients with loyalty are 'facilities and convenience of hospitals', 'trust of doctor and hospital' and 'rapidness of treatment'. This study will be meaningful as basic data to systematically enhance the roles and functions of the health care system and to provide securing competitiveness according to designated fields in the management aspect of specialty hospitals.

키워드

참고문헌

  1. Min IS, Hahm MI, Kim SJ, Lee YN, Kim BM, Kim DJ, et al. A Study on Improvement in Evaluation and Designation System of Specialty hospital. 2017
  2. Ministry of Health and Welfare. Designated Operation Guide of Specialty Hospital. 2015
  3. Kim MS, Park HY. An Empirical Study on Service Quality and Patient Satisfaction in Specialty and General Hospitals. Korea journal of hospital management 2006;11(1):31-53
  4. Seol SC, Kim SB. A study on the Relationship among Medical Service Quality, Intention of Re-Use, Word-of-Mouth Effects-In Case of General Hospital and Special Hospital-. The Korean Academic Association of Business Administration 2004;45:1485-1512
  5. Seo WS, Kim KJ, Kim HS, Lee WJ, Park HJ Lee YJ, et al. Evaluation of Outcome of Special Hospital and Publicity Plan. Gachon University. 2014
  6. Hwang SI, Lee HJ, Kim JK, Cho WH, Kim JM, Kang HY(2010). Hospital attributes considered by patients with spinal diseases in choosing speciality or general hospitals. Korea journal of hospital management 2010;15(2):27-43
  7. Kim YK, Kim JS. A study on healthcare institution selection of healthcare consumers using theory of consumption values : Focusing on relations among clinics or small sized hospitals, general hospitals, and large-sized hospitals. The Korean Society for Quality Management 2009;37(4):71-86
  8. Health Insurance Review and Assessment Service. Evaluation of the first patient's experience in 2017. 2017
  9. Kim HS, Kim YG, Park CW. CRM Customer Relationship Management Principle and Practical Application. Scitech Media. 2009
  10. Hwang HJ, Choi JW. Effective execution requirement of NPS. LG Economic Research Institute. 2007
  11. Park MH. Analysis of the Effects of Hospital Selection Factors on Customer Satisfaction and Customer Loyalty [dissertation]. Cheongju: Chungbuk National University;2010
  12. May EG. Practical application of recent retail image research. 1975
  13. Jensen JC. Consumer marketing in health services : essential for success. Health Care Marketing Review 1988;1(1), 21-26
  14. Monroe KB, Guiltinan JP. A path: analytic exploration of retail patronage influences. Journal of Consumer Research 1975;2(1), 19-28 https://doi.org/10.1086/208612
  15. Smith R.B.. Patient Opinion Help Place Hospital Services in perspective. Hospitals 1977;51(16):65-66
  16. Sheth JN, Newman, Bruce I, Gross, Barbara L. 'Why We Buy What We Buy ; A Theory of Consumption Values'. Journal of Business Research 1991;22(1), 59-170
  17. Lee SH. A Study of Hospital Choice on the Basis of Consumption Value. J Prev Med Public Health 1997;30(2):413-427
  18. Lee GS, Sohn TY. Hospital Selection Factors and Patient Satisfaction of Refractive Surgery Patients. The Korean Journal of Health Service Management 2012;6(4):279-294 https://doi.org/10.12811/kshsm.2012.6.4.279
  19. Lee IK, Lee HJ, Park CY, Kim DK, Chae YM. Comparisons of patient's selection and satisfaction between corporate and university hospitals. Korean J. of Health Policy & Administarion 1997;7(1):32-54
  20. Chi KS. A Study on Hospital Selection Factors Based on the Consumer Value Theory in Spinal Surgery Cases [dissertation]. Seoul: Yensei University;2004
  21. Hwang SI. A Study on Hospital Choice Factors between Special Hospitals and General Hospitals [dissertation]. Seoul: Yensei University;2007
  22. Min IS, Hahm MI, Kim HS, Jeong YR, Park JH. A Study on the Promotion Strategy of Specialty Hospital. Industry Academy Cooperation Foundation of Soonchunhyang University. 2015
  23. Son SB. Determinants of hospital choice by cancer patients [dissertation]. Seoul: Seoul University;2009
  24. Yang JH, Song TK, Chang DM. Effects of Medical Service Quality on the Customer Satisfaction and Intention of Revisit in Cancer Patients. Journal of the Korea Contents Association 2012;12(12):269-281 https://doi.org/10.5392/JKCA.2012.12.12.269
  25. Kim SY. The Study of Relationship among Decision Factor for Game Viewing, Net Promoter Score(NPS) and Re-attend in Professional Baseball. Journal of Leisure & Wellness 2010;1(1):19-28
  26. Health Insurance Review & Assessment Service. The Result of 'Patient Service Experience Evaluation'[Internet]. Wonju: Health Insurance Review & Assessment Service; 2018 [cited 2018 Aug 9]. Available from http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=9640&pageIndex=1
  27. So KS. The Effects of Special Hospital Competencies on Customer Behavior Intentions. The Korean Journal of Health Service Management 2013;7(4):153-165 https://doi.org/10.12811/kshsm.2013.7.4.153
  28. Rho MJ, Suh WS, Kwon J. Medical Service Factors Associated with Patient Satisfaction: The Difference between Inpatient and Outpatient of A Medial-sized Hospital. Journal of Digital Policy & Management 2011;11(2):331-339
  29. Yang JH. A Comparative Study on Hospital Choice Factors between First-visit and Revisit patients in General Hospitals. Journal of Digital Convergence 2017;15(7):231-238 https://doi.org/10.14400/JDC.2017.15.7.231
  30. Cho SH. Inpatient Satisfaction and Dissatisfaction in Relation to Socio-demographics and Utilization Characteristics. Journal of Korean Academy of Nursing 2005;35(3):535-545 https://doi.org/10.4040/jkan.2005.35.3.535
  31. Kim S, Oh C. Factors that affect decisions for selecting hospitals and different awareness. Korean Institute of Healthcare Architecture Journal 2012;18(4):39-51
  32. Schwartz LM, Woloshin S, Birkmeyer JD. How do elderly patients decide where to go for major surgery? Telephone interview survey. BMJ 2005;331(7520):821-828 https://doi.org/10.1136/bmj.38614.449016.DE
  33. Cho SH. Inpatient Satisfaction and Dissatisfaction in Relation to Socio-demographics and Utilization Characteristics. Journal of Korean Academy of Nursing. 2005;35(3):535-545 Cited from Kocher MS, Steadman JR, Briggs K, Zurakowski D, Strerett WL, Hawkins RJ. Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. Journal of Bone and Joint Surgery 2002;84-A(9):1560-1572 https://doi.org/10.4040/jkan.2005.35.3.535
  34. Lee SH, Jwa YG. The Study on Volume Relationships in Several Diseases. J Prev Med Public Health 1994;27(4):793-805
  35. Ji KJ, Park CM, Lee JR. A Study of the Effects upon Satisfaction, Intention to Revisit and Perceived Value by Patients through the Quality of Medical Services- Focused on Specialized Hospital and General Hospital -. Korean Public Health Research. 2011;37(2):41-56