COVID-19 ACTION AND THE PROCESS OF HEALTH TOURISM IN TURKEY THE EFFECT OF THE QUALITY OF SERVICE PROVIDED ON PATIENT SATISFACTION:A RESEARCH ON MIDDLE EAST PATIENTS

Author :  

Year-Number: 2021-45
Language : null
Konu :
Number of pages: 985-999
Mendeley EndNote Alıntı Yap

Abstract

Purpose: : The Covid-19 outbreak has spread to many countries and has become the world's most important agenda. Middle Eastern countries have been seriously affected by the virus.service quality and patient satisfaction in the health tourism in Turkey Turkey plays an important role in their choice of Middle East patients.The purpose of this study is to analyze whether there is a relationship between the service quality and the patient satisfaction of patients from Middle East who visit Turkey within the scope of medical tourism while receiving healthcare services. Tools and methods: The data was obtained from 221 patients of Middle Eastern origin who came to a private health institution providing health tourism services. Structural validity was evaluated by principal components method using varimax rotation. In order to evaluate the content validity, the skewness value in the score distribution besides the ceiling and floor effects were examined. Reliability was evaluated by using Cronbach's alpha. The relationship between total satisfaction score and demographic characteristics was determined by examining Pearson's or Spearman’s correlation coefficients. Results: Sampling adequacy index was 0.829. Seven factors were obtained in the factor analysis. The total variance explained by them was 73.39%. The frequency distribution of the total and subscale scores was symmetrical. Floor and ceiling effects were not determined. Cronbach’s alpha reliability coefficient was 0.88. No statistically significant relationship was found between total patient satisfaction score and demographic characteristics (p> 0.05). Discussion: It has been determined that there is a significant relationship between the quality of healthcare services received by the Middle Eastern patients and their income. And it has been seen that the pricing and transportation problems are among the factors most frequently encountered by patients, and affecting the service quality.

 

Amaç: Bu çalışmanın amacı medikal turizm kapsamında hastaların sağlık hizmet aldıklarında hizmet kalitesi, hasta memnuniyetleri ile arasında da herhangi bir ilişkin olup olmadıkları belirlenmeye incelemektedir. Gereç ve yöntem: Veriler, sağlık turizmi hizmeti veren özel sağlık kurumuna gelen Ortadoğ kökenli 221 hastadan elde edildi. Yapısal geçerlilik varimax dönüştürmesi kullanılarak temel bileşenler yöntemi ile değerlendirildi. Kapsam geçerliğinin değerlendirilmesi için puan dağılımlarında çarpıklık değeri ile tavan ve taban etkileri incelendi. Güvenirlik Cronbach’s alpha kullanılarak değerlendirildi. Toplam memnuniyet puanı ve demografik özellikleri arasındaki ilişki Pearson’s veya Spearman korelasyon katsayıları incelenerek belirlendi. Sonuçlar: Örneklem yeterlilik indeksi 0.829’ du. Faktör analizinde 7 faktör elde edildi. Bunlar, toplam varyansın %73.39’unu açıklıyordu. Toplam ve alt ölçek puanlarının frekans dağılımları simetrikti. Taban ve tavan etkileri saptanmadı. Cronbach alfa güvenirlik katsayısı 0.88 idi. Toplam hasta memnuniyet puanı ile demografik özellikler arasında istatistiksel olarak anlamlı bir ilişki bulunmadı (p>0.05). Tartışma: Ortadoğu kökenli hastaların aldıkları sağlık hizmeti kalitesi ile gelir durumu arasında anlamlı bir bağlantı olduğu belirlenmiştir. Hastaların en çok karşılaştıkları ve hizmet kalitesini etkileyen faktörler arasında ücretlendirme ve ulaşım sorunları olduğu görülmüştür.

Keywords

Abstract

Purpose: : The Covid-19 outbreak has spread to many countries and has become the world's most important agenda. Middle Eastern countries have been seriously affected by the virus.service quality and patient satisfaction in the health tourism in Turkey Turkey plays an important role in their choice of Middle East patients.The purpose of this study is to analyze whether there is a relationship between the service quality and the patient satisfaction of patients from Middle East who visit Turkey within the scope of medical tourism while receiving healthcare services. Tools and methods: The data was obtained from 221 patients of Middle Eastern origin who came to a private health institution providing health tourism services. Structural validity was evaluated by principal components method using varimax rotation. In order to evaluate the content validity, the skewness value in the score distribution besides the ceiling and floor effects were examined. Reliability was evaluated by using Cronbach's alpha. The relationship between total satisfaction score and demographic characteristics was determined by examining Pearson's or Spearman’s correlation coefficients. Results: Sampling adequacy index was 0.829. Seven factors were obtained in the factor analysis. The total variance explained by them was 73.39%. The frequency distribution of the total and subscale scores was symmetrical. Floor and ceiling effects were not determined. Cronbach’s alpha reliability coefficient was 0.88. No statistically significant relationship was found between total patient satisfaction score and demographic characteristics (p> 0.05). Discussion: It has been determined that there is a significant relationship between the quality of healthcare services received by the Middle Eastern patients and their income. And it has been seen that the pricing and transportation problems are among the factors most frequently encountered by patients, and affecting the service quality.

Keywords


  • Alsharayreh Mohammad, Sultan Mohammad, Mahasneh Majed, and Hmoud Kafa (2017). A Study of the

  • Alsharayreh Mohammad, Sultan Mohammad, Mahasneh Majed, and Hmoud Kafa (2017). A Study of theDeterminants Influencing Customer Satisfaction in the Medical Tourism Industry in Jordan, International Review of Management and Marketing, 7(3), 349-356.

  • Balcı Samet(2019). Perceptions of Patients, Getting Service within the Scope of Medical Tourism, regardingHealth Service: A Research at Private Hospitals in Istanbul, Sakarya University Institute of Business Administration, Sakarya. (Unpublished Master Thesis).

  • Bookman, Malican, And Bookman Karla, (2007) Medical Tourism in Developing Countries, Palgrave Macmillan, New York.

  • Cohen, Glenn, (2015). Patient with Passports Medical Tourism, Law and Ethics, Oxford University press, New York.

  • Connell, John (2011). Medical Tourism, Oxfordshire, London.

  • Cooper Chris (2009) Heath and Wellness Tourism Spas and Hot Springs, Techest Composition Ltd, Salisary.Folamı Olowe, and O. Odeyemi, (2019).Assessment Of Patient Satisfaction With Nursing Care in SelectedWards Of The Lagos University Teaching Hospital (Luth), Biomedical Journal Of Scientific And Technical Research, 17(1), 12489-12497.

  • Foote Patrick,(2017). The Internet Impact On The Advancement Of Medical Tourism, Mondul Vienna University Business Administration, Vienna, (Published Master Thesis).

  • Ford Robert, Sturman Michael, and Heaton Cherrill (2012). Managing Quality Service In Hospitality How Organizations Achieve Excellence in the Guest Experience, Delmar, Cengage Learning, United States.

  • Gola Swati, (2016). The Impact of International Trade in Healthcare Services under GATS on the Right Tohealth: A Study of Medical Tourism in India, Manchester University, Manchester, (Published Phd Thesis).

  • Hall Michael, (2013). Medical Tourism The Ethics, Regulation And Marketing of Health Mobility, Routledge, New York.

  • John Sitzia and Neil Wood, (1997). Patient satisfaction: A review of issues and concepts”, Social Science and Medicine, 45(12), 1829-1843, p.1829

  • Kristin Anderson, and Zemke Ron, (2003). Delivering knock your socks off service, Amacom Div American American Mgmt Assn, Vol: 18, New York.

  • Langabeer James (2018). Performance Improvement in Hospitals and Health Systems Managing Analytics and Quality in Healthcare, CRC Press, Vol: 2, United States.

  • Lunt Neil, Horsfall Daniel, and Hanefeld Johanna,(2015) Hand Book On Medical tourism and Patient Mobility, Edword Elgar, Northampton.

  • Md Crone, and K Robert, (2008) “Flat Medicine? Exploring Trends in the Globalization Of Health Care”, Academic Medicine, 2008, 117-121.

  • Moghavvemı Sedigheh, Ormond Meghann, Musa Ghazali, Isa Ruhana, Thırumoorthı Thinorunjeney, andBın Mustapha Mhod, (2017). Connecting with prospective medical tourists online: A cross-sectionalAnalysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand, Tourism Management, 58, 154-163.

  • Patrick J. Torcson et al., “Patient Satisfaction: the Hospitalist's Role the Hospitalist”, The Hospitalist, 2005, 7, 1-13, p.4.

  • Qdur Bay Amina,(2018). The quality of health services and their impact on patient satisfaction of hospitalpublic institution Bmstganm Higevara Case Study, University of Abdelhamid Ibn Badis Mostaganem Management and Commercial Sciences, Mostaganem, 2018, p.51. (Unpublished Master Thesis).

  • Reddy Sumonth, (2013). Medical Tourism In India: An Exploratory Study, Kansas State University College Of Arts And Sciences, Manhattan, Kansas. (Published Phd Thesis).

  • Reisman, David (2010). Health Tourism Social Welfare through International Trade, Edword Elgar, USA. Schmerler, Klaus (2018). Medical Tourism In Germany, Vol 13, Springer, Germany.

  • Singh Lakhvinder, (2014).An evaluation of medical tourism in India”, African Journal of Hospitality, Tourism and Leisure, 8(1), 1-11.

  • Smith Richard, Mannıon Russell, Green Stephen, Exworthy Mark, Hanefeld Johanna, Horsfall Daniel,Machın Laura, and Kıng Hannah. (2014). Implications for the NHS of inward and outward medical tourism:A policy and economic analysis using literature review and Mixed-methods approaches, Health Services and Delivery Research, 2(2).

  • Stolley, Kathy And Watson Stephanie, (2012). Medical Tourism, Acid Free Paper, Santa Barbara.

  • Sung Eunhee (2017). Investigating Perceived Value And Behavioral Intention in The South Korean MedicalTourism Industry – A Consumer and Management Perspective, Gloucestershire University Department of Business School, Cheltenham, (Published Master Thesis).

  • Todd Maria (2012). Handbook Of Medical Tourism Program Development, Developing Globally Integrated Health System, CRC Press, USA, 2012.

  • Ulusoy Ayşe, (2018), A Research on Medical Tourism, and on the Practices in Antalya; Case of AkdenizUniversity Hospital, Akdeniz University Institute of Social Sciences, Antalya, (Unpublished Master Thesis)

                                                                                                                                                                                                        
  • Article Statistics