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- 저자 : ( Hendry Raharjo ) (검색결과 1 건)
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Do satisfied employees lead to satisfied patients? An empirical study in an Italian hospital
( Hendry Raharjo ),( Roberta Guglielmetti Mugion ),( Laura Di Pietro ),( Martina Toni ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.2
Purpose The purpose of the study is to understand the relationship between care providers (employees) satisfaction and patient satisfaction and to identify the key drivers of their satisfaction. It is important because it will shape the policies in improving healthcare system, for example, through raising the well-being of physicians and nurses. According to service-profit chain theory, employee satisfaction will indirectly affect customer satisfaction through employee productivity and service value. Does this also apply in healthcare context? The EFQM-based 4P model (Dahlgaard et al., 2011) and Picker□s patient experience quality dimension (Jenkinson et al., 2002) are used as the theoretical basis for understanding their satisfaction relationship along with the key drivers. Methodology A cross-sectional survey was carried out in two wards (maternity and cardiology) in an Italian hospital. The questionnaires for the employees and patients were administered in the two wards at the same time from June to August 2014. For the employee satisfaction survey, 154 questionnaires were distributed and 73 completed questionnaires were returned (a response rate of 47.4%). For the patient satisfaction survey, 200 questionnaires were distributed (125 maternity, 75 cardiology) and 130 completed questionnaires were returned (a response rate of 65%). The final sample used for patient satisfaction analysis, however, was reduced to 102 questionnaires due to various reasons. Since we are interested in identifying key drivers for prediction purpose, the results are analyzed using partial least square structural equation modeling (PLS-SEM) method with Smart PLS software (v.3.2.1). Furthermore, the PLS importance-performance matrix analysis (PLS-IPMA) was used to compare the latent variable scores of patient and employee overall satisfaction in the two wards and to identify improvement areas for the hospital management system. Findings We posed five hypotheses and found, for all except the last one, strong evidence from the data. For the 4P model, the data showed strong support for the influence of enablers on the results and eventually on employee satisfaction. The data also showed strong support for the impact of patient experience on patient overall satisfaction and eventually on loyalty. For the last hypothesis, we found that higher patient satisfaction level in one ward is associated with higher employee satisfaction in the same ward. This is supported by the mean and median values of the latent scores, but unfortunately not by the p-value. Other findings include key drivers of patient and employee satisfaction along with improvement priorities for each ward. Originality and value Our study is probably the first study that contextually adopted the 4P model (Dahlgaard et al., 2011) and the Picker□s patient experience questionnaire (Jenkinson et al., 2002) as the theoretical foundations for measuring, respectively, employee and patient satisfaction. Furthermore, this paper proposes the use of PLS-SEM in the healthcare managerial context as a powerful statistical technique for identifying key drivers of employee and patient satisfaction and improvement priorities (PLS-IPMA).
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