Customer Engagement in Private Sector Healthcare: How Does it Affect Customer Loyalty
Journal of Economics, Management and Trade,
Service sector grows rapidly and gives a foremost contribution to the world economy. In Sri Lanka, the service sector contributes more than 55% to the Gross Domestic Production. Among such services, health care is pioneering and includes many businesses and a wide variety of organizations. Within the healthcare sector, this study focuses on the private sector hospitals where customer engagement is very high. However, the scholarly attention given to understanding customer engagement and its impact is very rare, particularly in the healthcare sector in Sri Lankan context. Therefore, this study aims to examine the impact of customer engagement on customer loyalty in private sector hospitals. Based on the positivism, a quantitative survey was carried out distributing more than 200 questionnaires among people who have visited private sector hospitals in Colombo district, chosen based on convenience sampling method. The rationale behind limiting the study to Colombo district is, many of the private sector hospitals are located in this district in Sri Lanka. The data were analyzed with descriptive statistics and regression. The study found a high level of customer engagement in private sector healthcare and has a strong positive impact on customer loyalty. As implications, the study suggests private sector healthcare to manage customer engagements providing positive experience in order to sustain a loyal customer base.
- customer engagement
- customer loyalty
- private sector healthcare
How to Cite
Central Bank of Sri Lanka, Annual report. Central Bank of Sri Lanka: Colombo; 2020.
Yeşilada F, Direktouml E. Health care service quality: A comparison of public and private hospitals. African Journal of Business Management. 2010;4(6): 962-971.
Vance C, Larson E. Leadership research in business and health care. Journal of Nursing Scholarship. 2002;34(2):165-171.
Jayasekara RS, Schultz T. Health status, trends, and issues in Sri Lanka. Nursing & Health Sciences. 2007;9(3):228-233.
Govindaraj R, Navaratne K, Cavagnero E, Seshadri SR. Health care in Sri Lanka: What can the Private Health Sector Offer; 2014.
Gonzalez ME. Improving customer satisfaction of a healthcare facility: Reading the customers’ needs. Benchmarking: An International Journal; 2019.
Noronha AMe, Mekoth N. Social support expectations from healthcare systems: Antecedents and emotions. International Journal of Healthcare Management. 2013;6(4):269-275.
Suchman AL, Sluyter DJ, Williamson PR. Leading change in healthcare: Transforming organizations using complexity, positive psychology and relationship-centered care. Radcliffe Publishing; 2011.
Lovelock C, Patterson P. Services marketing. Pearson Australia; 2015.
Galdolage B. Relationship marketing as a base of customer satisfaction in long-run: The case in high involvement services in Sri Lanka. South Asian Journal of Marketing & Management Research. 2013;3(3):30-44.
Galdolage B. Importance of services environment in changing consumer behavioral outcomes: Special reference to retail fashion brands in Sri Lanka. South Asian Journal of Marketing & Management Research. 2015;5(9):56-66.
Kamalasena B, Galdolage B. Impact of Process Enjoyment in Value Co-Creation on Customer Satisfaction in Wedding Planning in Sri Lanka; 2020.
Dong B, Sivakumar K. Customer participation in services: Domain, scope, and boundaries. Journal of the Academy of Marketing Science. 2017;45(6):944-965.
Pyatt AZ, Wright GH, Walley KE, Bleach E. Value co-creation in high-involvement services: The animal healthcare sector. International Journal of Retail & Distribution Management; 2017.
Harmon J, Scotti DJ, Behson S, Farias G. Effects of high-involvement work systems on employee satisfaction and service costs in veterans healthcare. Journal of Healthcare Management. 2003;48(6):393.
Tien JM, Goldschmidt-Clermont PJ. Healthcare: A complex service system. Journal of Systems Science and Systems Engineering. 2009;18(3):257-282.
Galdolage S. Customer Choice of Self-Service Kiosks in Service Transactions; 2020.
Varki S, Wong S. Consumer involvement in relationship marketing of services. Journal of Service Research. 2003; 6(1):83-91.
Osei-Frimpong KG, McLean A Wilson, Lemke F. Customer coproduction in healthcare service delivery: Examining the influencing effects of the social context. Journal of Business Research. 2020;120:82-93.
Mackintosh M, et al. What is the private sector? Understanding private provision in the health systems of low-income and middle-income countries. The Lancet. 2016;388(10044):596-605.
Basu S, Andrews J, Kishore S, Panjabi R, Stuckler D. Comparative performance of private and public healthcare systems in low-and middle-income countries: A systematic review. PLoS Med, 2012;9(6):e1001244.
Bhattacharyya O, et al. innovative health service delivery models in low-and middle-income countries–what can we learn from the private sector? Private Sector Entrepreneurship in Global Health. 2019;3-25.
Dabholkar PA. How to improve perceived service quality by increasing customer participation, in proceedings of the 1990 Academy of Marketing Science (AMS) Annual Conference, B.J. Dunlap, Editor. Springer International Publishing: Cham. 1990 ;83-487.
Mohsen Y, Hussein HM, Mahrous AA. Perceived service value, customer engagement and brand loyalty in Health Care Centres in Egypt; 2018.
How to Capture Consumer Experiences: A Context-Specific Approach To Measuring Engagement; 2016.
Verhoef PC, Reinartz WJ, Krafft M. Customer engagement as a new perspective in customer management. Journal of Service Research. 2010;13(3): 247-252.
Bitner M, Faranda WT, Hubbert AR, Zeithaml VA. Customer contributions and roles in service delivery. International Journal of Service Industry Management. 1997;8(3):193-205.
Dong B, Evans KR, Zou S. The effects of customer participation in co-created service recovery. Journal of the Academy of Marketing Science. 2008; 36(1):123-137.
Ind N, Coates N. The meanings of concreation. European Business Review. 2013;25(1):86-95.
Bettencourt LA. Customer voluntary performance: Customers as partners in service delivery. Journal of Retailing. 1997;73(3):383-406.
Pera R, Occhiocupo N, Clarke J. Motives and resources for value co-creation in a multi-stakeholder ecosystem: A managerial perspective. Journal of Business Research. 2016;69(10):4033-4041.
Higuchi Y, Yamanaka Y. Knowledge sharing between academic researchers and tourism practitioners: A Japanese study of the practical value of embeddedness, trust and co-creation. Journal of Sustainable Tourism. 2017;25(10): 1456-1473.
Gustafsson A, Per K, Witell L. Customer concreation in service innovation: a matter of communication? Journal of Service Management. 2012;23(3):311-327.
Ballantyne D, Varey RJ. The service-dominant logic and the future of marketing. Journal of the Academy of Marketing Science. 2008;36(1):11-14.
Kondasani RKR, Panda RK, Basu R. Better healthcare setting for better healthcare service quality. International Journal of Quality & Reliability Management; 2019.
Patrício L, de Pinho NF, Teixeira JG, Fisk RP. Service design for value networks: Enabling value cocreation interactions in healthcare. Service Science. 2018;10(1): 76-97.
Mosadeghrad AM. Factors influencing healthcare service quality. International Journal of Health Policy and Management. 2014;3(2):77.
Brand SL, et al. Whole-system approaches to improving the health and wellbeing of healthcare workers: a systematic review. PloS One. 2017;12(12):e0188418.
Brodie RJ, Hollebeek LD, Smith SD. Engagement: An important bridging concept for the emerging SD logic lexicon. In Proceedings; 2011.
Van Doorn J, et al. Customer engagement behavior: Theoretical foundations and research directions. Journal of Service Research. 2010;13(3): 253-266.
Islam JU, Rahman Z. Linking customer engagement to trust and word-of-mouth on Facebook brand communities: An empirical study. Journal of Internet Commerce. 2016;15(1):40-58.
Van Tonder E, Petzer DJ. The interrelationships between relationship marketing constructs and customer engagement dimensions. The Service Industries Journal. 2018;38(13-14):948-973.
Sweeney J, Swait J. The effects of brand credibility on customer loyalty. Journal of Retailing and Consumer Services. 2008;15(3):179-193.
Gremler DD, Brown SW. Service loyalty: Its nature, importance, and implications. Advancing Service Quality: A global Perspective. 1996;5(1):171-181.
Andreassen TW, Lindestad B. Customer loyalty and complex services: The impact of corporate image on quality, customer satisfaction and loyalty for customers with varying degrees of service expertise. International Journal of Service Industry Management; 1998.
Khan MT, Humayun AA, Sajjad M. Customer loyalty-attitudinal and behavioral aspects (A review). International Journal of Information, Business and Management. 2015;7(2):163.
Cheng SI. Comparisons of competing models between attitudinal loyalty and behavioral loyalty. International Journal of Business and Social Science. 201;2(10):149-166.
Heere B, Dickson G. Measuring attitudinal loyalty: Separating the terms of affective commitment and attitudinal loyalty. Journal of Sport Management. 2008;22(2):227-239.
Kumar SA, Mani B, Mahalingam S, Vanjikovan M. Influence of Service Quality on Attitudinal Loyalty in Private Retail Banking: An Empirical Study. IUP Journal of Management Research. 2010; 9(4).
Labeaga JM, Lado N, Martos M. Behavioural loyalty towards store brands. Journal of Retailing and Consumer Services. 2007;14(5):347-356.
Meyer-Waarden L, Benavent C. The impact of loyalty programmes on repeat purchase behaviour. Journal of Marketing Management. 2006;22(1-2):61-88.
Casaló LV, Flavián, Guinalíu M.,The role of satisfaction and website usability in developing customer C loyalty and positive word of mouth in the e-banking services. International Journal of Bank Marketing; 2008.
Tripathi G. Customer satisfaction and word of mouth intentions: Testing the mediating effect of customer loyalty. Journal of Services Research. 2017;17(2):1-16.
Kassim NM, Abdullah NA. Customer loyalty in e-commerce settings: An Empirical Study. Electronic Markets. 2008;18(3):275-290.
Watson GF, Beck JT, Henderson CM, Palmatier RW. Building, measuring, and profiting from customer loyalty. Journal of the Academy of Marketing Science. 2015;43(6):790-825.
Caruana, A., Service loyalty. European Journal of Marketing; 2002.
Kasemsap K. The role of brand loyalty on CRM performance: An innovative framework for smart manufacturing, in Marketing and consumer behavior: Concepts, methodologies, tools, and applications. IGI Global. 2015;413-446.
Ramli AH, Sjahruddin H. Building patient loyalty in healthcare services. International Review of Management and Business Research. 2015;4(2):391.
Sekaran U. Research Methods For Business. New Delhi: Wiley. 2006;203.
Vogenberg FR, Santilli J. Healthcare trends for 2018. American Health & Drug Benefits. 2018;11(1):48.
Lo Presti L, Testa M, Marino V, Singer P. Engagement in healthcare systems: adopting digital tools for a sustainable approach. Sustainability. 2019; 11(1):220.
Velamuri SR, Anant P, Kumar V. Doing well to do good: Business model innovation for social healthcare, in Business models and modelling. Emerald Group Publishing Limited; 2015.
Avgar AC, Givan RK, Liu M. Patient-centered but employee delivered: Patient care innovation, turnover intentions, and organizational outcomes in hospitals. ILR Review. 2011;64(3):423-440.
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