C Rajendran

Purpose – The purpose of this paper is to determine the dimensions of service quality in Indian hospitals, from the perspectives of patients and their family members/friends (referred to as “attendants”). Design/methodology/approach – Based on the existing models and the literature on healthcare services, a framework is proposed to conceptualize and measure hospital service quality. Findings – Two instruments for measuring the dimensions of hospital service quality, one each from the perspective of patients and attendants, are proposed. Practical implications – This framework enables hospital managers to understand how patients and their attendants evaluate the quality of healthcare provided in respect of every dimension. A comparison of perceptions between patients and attendants would aid them to allocate resources to various aspects of healthcare, with respect to these two customer groups. Hospital administrators can use the instruments proposed to obtain feedback on their performance on service quality parameters so that they can benchmark themselves with their competitors. Originality/value – This paper contributes to research on healthcare services by the development of a comprehensive framework for customer (both patient and attendant)-perceived healthcare quality. © 2009, Emerald Group Publishing Limited

Purpose - The purpose of this paper is to develop and validate scales to measure and benchmark service quality (SQ) in tourism industry. Design/methodology/approach - The second-order confirmatory factor analysis is employed to validate the instrument. SQ dimensions have been modeled which have significant impact on customer satisfaction (CS) separately from those which do not have a significant impact. Findings - Hospitality, food, logistics, security, and value for money have significant impact on satisfaction, while amenities, core-tourism experience, hygiene, fairness of price, information centers, culture, distractions, personal information, and pubs do not have a significant impact. Research limitations/implications - The above pattern may be different in a different destination, and in a different context. However, a major implication of the current findings is that a destination need not have natural cutting edges to be developed as a tourist destination. A destination with good logistics and assurance for security, value for money, impressive hospitality and food, can satisfy a customer. Practical implications - The scale which has been developed by us will be useful for destination managers to measure the SQ perceptions of tourists and benchmark destinations. The distinction of SQ dimensions with and without the impact on CS could enable a manager to manage these two sets of factors separately. Originality/value - Unlike previous works, SQ has been modeled in tourism as a second-order factor, which appears to be a more appropriate approach. The authors have also modeled factors with and without significant impact on satisfaction separately, and the approach does not seem to have precedence in literature. The inclusion of the factor, "Fairness of Price" is also a new contribution to literature. © Emerald Group Publishing Limited.

Purpose: The purpose of this paper is to conceptualize hospital service quality (SQ) into its component dimensions from the perspectives of patients and their attendants; and to analyze the relationship between SQ and customer satisfaction (CS) in government and private hospitals in India. Design/methodology/approach: The study employs questionnaire-survey approach to obtain the perceptions of patients and attendants. The instruments developed have been validated using tests for reliability, validity and uni-dimensionality. Data collected have been analyzed by using statistical techniques such as bi-variate correlation and multiple regression. Findings: Patients and attendants treat the interpersonal aspect of care as the most important one, as they cannot fully evaluate the technical quality of healthcare services. The study also revealed that the hospital service providers have to understand the needs of both patients and attendants in order to gather a holistic view of their services. Research limitations/implications: Results of the study are dependent on the nature and number of respondents, i.e. the study has captured only the perceptions of service receivers - patients and attendants; and sample size of the study - 204 patients and 204 attendants - due to limited response rate and other operational constraints. Practical implications: The present study allows the hospital administrators to benchmark their hospitals with those of their competitors by comparing the mean values of the dimensions of SQ. The study also allows a comparison of the performance of government and private hospitals in terms of the services offered. Originality/value: The study conceptualizes hospital SQ as an eight-dimensional framework. Further, it also presents the relationship between SQ and CS in Indian Government and private hospitals. © Emerald Group Publishing Limited.