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Hwang and Sim: Structural Equation Modeling for Public Hospital Quality of Care, Image, Role Performance, Satisfaction, Intent to (Re)visit, and Intent to Recommend Hospital as Perceived by Community Residents
Original Article

Journal of Korean Academy of Nursing 2016; 46(1): 118-127.

Published online: 29 February 2016

DOI: https://doi.org/10.4040/jkan.2016.46.1.118

Structural Equation Modeling for Public Hospital Quality of Care, Image, Role Performance, Satisfaction, Intent to (Re)visit, and Intent to Recommend Hospital as Perceived by Community Residents

Eun Jeong Hwang1, In Ok Sim2

1Department of Nursing, Sehan University, Yeongam, Korea.

2Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.

Address reprint requests to: Sim, In Ok. Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Korea. Tel: +82-2-820-5988, Fax: +82-2-820-5988, hiraly@cau.ac.kr

Received 2 June 2015       Revised 10 June 2015       Accepted 5 November 2015

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The study purposes were to construct and test structural equation modeling on the causal relationship of community residents' perceived quality of care, image, and role performance with satisfaction, intention to (re)visit and intention to recommend hospital.

Methods

A cross-sectional survey was conducted with 3,900 community residents from 39 district public hospitals. The questionnaire was designed to collected information on personal characteristics and community awareness of public hospitals. Community awareness consisted of 6 factors and 18 items. The data were collected utilizing call-interview by a survey company. Research data were collected via questionnaires and analyzed using SPSS version 20.0 and AMOS version 20.0.

Results

Model fit indices for the hypothetical model were suitable for the recommended level: χ2=796.40 (df=79, p <.001), GFI=.93, AGFI=.90, RMSR=.08, NFI=.94. Quality of care, image, and role performance explained 68.1% of variance in community awareness. Total effect of quality of care process factors on satisfaction (path coefficients=3.67), intention to (re)visit (path coefficients=2.67) and intention to recommend hospital (coefficients=2.45) were higher than other factors.

Conclusion

Findings show that public hospitals have to make an effort to improve community image through the provision of quality care, and excellent role performance. Support for these activities is available from both Central and Local Governments.

Keywords: Community, Public hospitals, Satisfaction

Figures and Tables

Figure 1

Conceptual framework.

jkan-46-118-g001
Figure 2

Path diagram for the hypothetical model.

jkan-46-118-g002
Table 1

General Characteristics of Participants (N =3,900)

jkan-46-118-i001

*Use experience means whether participants were inpatients or outpatients at public hospitals in the past one year or not.

Table 2

Results of Hypothesis Testing

jkan-46-118-i002
Table 3

Standardized Direct, Indirect, and Total Effects for the Hypothetical Model

jkan-46-118-i003

Notes

This paper was supported by the Sehan University Research Fund in 2015.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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