Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty

Purpose – This empirical study aims to explore sufficiency conditions for patient loyalty to a hospital.Design/methodology/approach – The study collected 645 self-administered questionnaires from patients in a major medical center in Taiwan andapplied fuzzy set qualitative comparative analysis (fs/Q...

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Main Authors: Chang, Chia-Wen, Tseng, Ting-Hsiang, Woodside, Arch
Format: Journal Article
Published: Emerald Group Publishing Limited 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/21262
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author Chang, Chia-Wen
Tseng, Ting-Hsiang
Woodside, Arch
author_facet Chang, Chia-Wen
Tseng, Ting-Hsiang
Woodside, Arch
author_sort Chang, Chia-Wen
building Curtin Institutional Repository
collection Online Access
description Purpose – This empirical study aims to explore sufficiency conditions for patient loyalty to a hospital.Design/methodology/approach – The study collected 645 self-administered questionnaires from patients in a major medical center in Taiwan andapplied fuzzy set qualitative comparative analysis (fs/QCA) to explore the sufficiency conditions for patient loyalty.Findings – The findings support the conclusion that the three conditions (patient satisfaction, patient participation in the process of diagnosis, andpatient participation in treatment decision-making) in combination are sufficient for high patient loyalty to the hospital but high patient satisfactionalone is insufficient. While the three conditions in configural algorithm are sufficient, this expression is not necessary, which means the findings do notreject possible alternative conditions for high patient loyalty.Research limitations/implications – The study applies a relatively new method, fuzzy set qualitative comparative analysis (fs/QCA) to test thesufficiency proposition of the theory. This method enables researchers to focus on examining sufficient conditions without worrying about variousconfounding factors and informs this study’s conclusion that patients exhibiting high scores in all three conditions mentioned above constitute a nearperfectsubset of highly loyal patients. Hospitals thus should provide their satisfied patients opportunities to share a role in the process of diagnosis andtreatment decision-making.Originality/value – Along with patient satisfaction, this study clearly identifies two important stages of patient participation (i.e., participation in theprocess of diagnosis and treatment decision-making) that are important in forming patient loyalty to a hospital. Prior studies do not present empiricalevidence to this proposition.
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format Journal Article
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institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T07:38:28Z
publishDate 2013
publisher Emerald Group Publishing Limited
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spelling curtin-20.500.11937-212622017-09-13T13:53:46Z Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty Chang, Chia-Wen Tseng, Ting-Hsiang Woodside, Arch Customer satisfaction Patient participation fs/QCA Satisfaction - Taiwan Customer loyalty Patient care Patient-centred healthcare Loyalty Purpose – This empirical study aims to explore sufficiency conditions for patient loyalty to a hospital.Design/methodology/approach – The study collected 645 self-administered questionnaires from patients in a major medical center in Taiwan andapplied fuzzy set qualitative comparative analysis (fs/QCA) to explore the sufficiency conditions for patient loyalty.Findings – The findings support the conclusion that the three conditions (patient satisfaction, patient participation in the process of diagnosis, andpatient participation in treatment decision-making) in combination are sufficient for high patient loyalty to the hospital but high patient satisfactionalone is insufficient. While the three conditions in configural algorithm are sufficient, this expression is not necessary, which means the findings do notreject possible alternative conditions for high patient loyalty.Research limitations/implications – The study applies a relatively new method, fuzzy set qualitative comparative analysis (fs/QCA) to test thesufficiency proposition of the theory. This method enables researchers to focus on examining sufficient conditions without worrying about variousconfounding factors and informs this study’s conclusion that patients exhibiting high scores in all three conditions mentioned above constitute a nearperfectsubset of highly loyal patients. Hospitals thus should provide their satisfied patients opportunities to share a role in the process of diagnosis andtreatment decision-making.Originality/value – Along with patient satisfaction, this study clearly identifies two important stages of patient participation (i.e., participation in theprocess of diagnosis and treatment decision-making) that are important in forming patient loyalty to a hospital. Prior studies do not present empiricalevidence to this proposition. 2013 Journal Article http://hdl.handle.net/20.500.11937/21262 10.1108/08876041311309225 Emerald Group Publishing Limited restricted
spellingShingle Customer satisfaction
Patient participation
fs/QCA
Satisfaction
- Taiwan
Customer loyalty
Patient care
Patient-centred healthcare
Loyalty
Chang, Chia-Wen
Tseng, Ting-Hsiang
Woodside, Arch
Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty
title Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty
title_full Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty
title_fullStr Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty
title_full_unstemmed Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty
title_short Configural Algorithms of Patient Satisfaction, Participation in Diagnostics, and Treatment Decisions' Influences on Hospital Loyalty
title_sort configural algorithms of patient satisfaction, participation in diagnostics, and treatment decisions' influences on hospital loyalty
topic Customer satisfaction
Patient participation
fs/QCA
Satisfaction
- Taiwan
Customer loyalty
Patient care
Patient-centred healthcare
Loyalty
url http://hdl.handle.net/20.500.11937/21262