In today's world, most industries use service quality in a variety of fields. The five service quality characteristics are tangible, assurance, reliability, responsiveness, and empathy, and they are being implemented across all industries. The primary goal of this study is to look into the quality of service provided by hospitals in Erbil and how that affects patients satisfaction. Furthermore, to determine which service quality factor has a greater impact than the others. The association between each service quality factor and visitor satisfaction was measured using a quantitative research method by the researcher. Patients in Erbil's hospitals were given a questionnaire that had been developed and circulated. In Erbil, 111 questionnaires were completed and received from hospitals patients. The findings revealed that the highest value was assigned to responsiveness as a service dimension, while the lowest value was assigned to assurance as a service dimension.
The Effect of Service Quality on Patient Loyalty (A Study on Inpatients of Re...IJAEMSJORNAL
This study aims at examining whether service quality influences customer loyalty, in this case, hospital’s inpatient. Service quality is represented in the form of five independent variables, which are tangibles, reliability, responsiveness, assurance, and empathy. This study is conducted at some regional hospitals in Jakarta, Indonesia, and the respondents are inpatients of the concerned hospitals. The data are analyzed by employing a multiple linear regression method. The research shows that the five independent variables simultaneously, significantly influence patient loyalty. Partially, almost all of the independent variables significantly influence it except the reliability variable.
The Influence of Service Quality, and Customer Relationship Management (CRM) ...inventionjournals
Indonesian National Army Hospitals (RS TNIs) is one of hospitals that servicing the Indonesian National Army (TNI) member, their family, civil servant and public community. In the competitive business situation like today, RS TNIs have to manage the change due to the new policy of health services in hospital. In 2014, the fundamental change of health services were occurred in correlation to National Health Insurance (JKN) for all of Indonesian people. This change concerned to financial management, funding, membership, treatment procedures, types of services, referral system, pattern rates, claim, supervision and evaluation. The number of regulatory changes in the newera of health care in Indonesia have triggered other changes, particularly hospital customer behavior. Population in this research were patient in 17 TNI level two hospitals all over Indonesia, who have been treated twice or more in TNI level two hospitals, at class 1, class 2 and class 3 rooms. Analyzing data using Generalized Least Square Estimation (GLS), Analysis Structural Equation (SEM) model, the proportional random sampling method and applying software Amos 22, on 246 respondents. The model testing (fit) of research data may viewed from GFI, AGFI, TLI, CFI, RMSEA and CMIN/DF values, which respectively were 0.922,0.914, 0.962, 0.973, 0.062 and 1.636 that all of those in the expected value range thus the model can be accepted. Results of this research indicated that: 1). Service quality is influencing patient satisfaction. 2). Service quality is influencing brand image. 3). Service quality is influencing trust. 4). Service quality is influencing patient loyalty. 5). Customer relationship management (CRM) is influencing patient satisfaction. 6). Customer relationship management (CRM) is influencing brand image. 7). Customer relationship management (CRM) is influencing trust. 8). Customer relationship management (CRM) is insignificantly influence patient loyalty. 9). Patient satisfaction is influencing patient loyalty. 10). Patient satisfaction is insignificantly influence brand image. 11). Brand image is influencing trust. 12). Brand image is influencing patient loyalty. 13). Trust is influencing on patient loyalty
An Empirical Study on Patient Delight and the Impact of Human and Non-Human F...IOSR Journals
Health, one of the Fundamental Human Rights has been accepted in the Indian Constitution. Today the healthcare industry has emerged as one of the most challenging sectors as well as one of the largest service sector industries in India. Patient perceived service quality become the prominent aspect to choose between hospitals. The purpose of this paper is to evaluate patient perceived service quality in Indian hospitals. Further the impact of the dimensions on patient satisfaction and patient delight is examined. A questionnaire was administered to the in-patients and multiple regression analysis has been used to examine the impact of the dimensions on patient satisfaction and patient delight. Findings emphasize eight distinct dimensions of patient perceived service quality and the impact on patient satisfaction and patient delight. A positive and significant relationship with patient satisfaction and patient delight has been found, except two dimensions. The results of this study are limited, as they are based on Indian hospitals. The contribution of this research paper, incorporate patient delight in health care sector. In addition, this paper highlights the importance of emotional attachment for patient satisfaction and patient delight in health care.
The Effect of Service Quality on Loyalty with Mediation of Patient Satisfactioninventionjournals
Patient satisfaction was one of internal factors that need improvement for betterment of the health care organizations so that the doctors, nurses and administratives staff can produce maximum work productivity. Hospitals and other health care providers assumed an important role in service sector is growing rapidly. Hospitals must paid attention to the decline in the number of inpatients. In case that determined the quality of hospitals, among others: to minimize patient's complaints against service of doctors, nurses and administrators who were often late and less nimble. Hospital industry must achieved service quality parameters with accuracy and precision of the results of medical examination, courteous and friendly service. Patient satisfaction had an important role on several aspects of health care organizations. Service quality was considered as an important factor for developing patient loyalty. Balaraja Hospital made progress of safety patient to improve the service quality. Patients received such satisfaction will feel comfortable and form a positive perception of service quality. Service quality played a major role in achieving patient satisfaction. This condition then made hospital services deserve the number one position according to patient so that he becomes loyalty by not using the hospital services of competitors. The aim of this study was to determine the effect of service quality on loyalty with mediation of patient satisfaction. Respondents were used as many as 170 inpatients grade two and grade three in Hospital Balaraja. Data were analyzed using Structural Equation Model (SEM). The results showed that service quality has an influence on patient satisfaction, patient satisfaction has an influence on loyalty and service quality has an influence on loyalty
The Effect of Service Quality on Patient Loyalty (A Study on Inpatients of Re...IJAEMSJORNAL
This study aims at examining whether service quality influences customer loyalty, in this case, hospital’s inpatient. Service quality is represented in the form of five independent variables, which are tangibles, reliability, responsiveness, assurance, and empathy. This study is conducted at some regional hospitals in Jakarta, Indonesia, and the respondents are inpatients of the concerned hospitals. The data are analyzed by employing a multiple linear regression method. The research shows that the five independent variables simultaneously, significantly influence patient loyalty. Partially, almost all of the independent variables significantly influence it except the reliability variable.
The Influence of Service Quality, and Customer Relationship Management (CRM) ...inventionjournals
Indonesian National Army Hospitals (RS TNIs) is one of hospitals that servicing the Indonesian National Army (TNI) member, their family, civil servant and public community. In the competitive business situation like today, RS TNIs have to manage the change due to the new policy of health services in hospital. In 2014, the fundamental change of health services were occurred in correlation to National Health Insurance (JKN) for all of Indonesian people. This change concerned to financial management, funding, membership, treatment procedures, types of services, referral system, pattern rates, claim, supervision and evaluation. The number of regulatory changes in the newera of health care in Indonesia have triggered other changes, particularly hospital customer behavior. Population in this research were patient in 17 TNI level two hospitals all over Indonesia, who have been treated twice or more in TNI level two hospitals, at class 1, class 2 and class 3 rooms. Analyzing data using Generalized Least Square Estimation (GLS), Analysis Structural Equation (SEM) model, the proportional random sampling method and applying software Amos 22, on 246 respondents. The model testing (fit) of research data may viewed from GFI, AGFI, TLI, CFI, RMSEA and CMIN/DF values, which respectively were 0.922,0.914, 0.962, 0.973, 0.062 and 1.636 that all of those in the expected value range thus the model can be accepted. Results of this research indicated that: 1). Service quality is influencing patient satisfaction. 2). Service quality is influencing brand image. 3). Service quality is influencing trust. 4). Service quality is influencing patient loyalty. 5). Customer relationship management (CRM) is influencing patient satisfaction. 6). Customer relationship management (CRM) is influencing brand image. 7). Customer relationship management (CRM) is influencing trust. 8). Customer relationship management (CRM) is insignificantly influence patient loyalty. 9). Patient satisfaction is influencing patient loyalty. 10). Patient satisfaction is insignificantly influence brand image. 11). Brand image is influencing trust. 12). Brand image is influencing patient loyalty. 13). Trust is influencing on patient loyalty
An Empirical Study on Patient Delight and the Impact of Human and Non-Human F...IOSR Journals
Health, one of the Fundamental Human Rights has been accepted in the Indian Constitution. Today the healthcare industry has emerged as one of the most challenging sectors as well as one of the largest service sector industries in India. Patient perceived service quality become the prominent aspect to choose between hospitals. The purpose of this paper is to evaluate patient perceived service quality in Indian hospitals. Further the impact of the dimensions on patient satisfaction and patient delight is examined. A questionnaire was administered to the in-patients and multiple regression analysis has been used to examine the impact of the dimensions on patient satisfaction and patient delight. Findings emphasize eight distinct dimensions of patient perceived service quality and the impact on patient satisfaction and patient delight. A positive and significant relationship with patient satisfaction and patient delight has been found, except two dimensions. The results of this study are limited, as they are based on Indian hospitals. The contribution of this research paper, incorporate patient delight in health care sector. In addition, this paper highlights the importance of emotional attachment for patient satisfaction and patient delight in health care.
The Effect of Service Quality on Loyalty with Mediation of Patient Satisfactioninventionjournals
Patient satisfaction was one of internal factors that need improvement for betterment of the health care organizations so that the doctors, nurses and administratives staff can produce maximum work productivity. Hospitals and other health care providers assumed an important role in service sector is growing rapidly. Hospitals must paid attention to the decline in the number of inpatients. In case that determined the quality of hospitals, among others: to minimize patient's complaints against service of doctors, nurses and administrators who were often late and less nimble. Hospital industry must achieved service quality parameters with accuracy and precision of the results of medical examination, courteous and friendly service. Patient satisfaction had an important role on several aspects of health care organizations. Service quality was considered as an important factor for developing patient loyalty. Balaraja Hospital made progress of safety patient to improve the service quality. Patients received such satisfaction will feel comfortable and form a positive perception of service quality. Service quality played a major role in achieving patient satisfaction. This condition then made hospital services deserve the number one position according to patient so that he becomes loyalty by not using the hospital services of competitors. The aim of this study was to determine the effect of service quality on loyalty with mediation of patient satisfaction. Respondents were used as many as 170 inpatients grade two and grade three in Hospital Balaraja. Data were analyzed using Structural Equation Model (SEM). The results showed that service quality has an influence on patient satisfaction, patient satisfaction has an influence on loyalty and service quality has an influence on loyalty
Business Plan for Indian Health Care IndustryVenkatesh Kg
Business Plan in using SAAS in Health Care sector to improve customer retention & enhance new customer acquisition for multi-speciality hospitals in India.
A strategic management presentation on a tertiary level hospital in an urban setting (Metro Manila, Philippines),based on a paper written in partial fulfillment of the requirements of a MD-MBA degree. Topics covered include: industry and competitor analysis, internal and company analysis, strategy formulation, strategic plans and objectives, monitoring and control, and contingency plans.
A Review Role of Mobile Application for Medical Servicesijtsrd
"In advanced mobile communications and portable computation devices are now combined in handheld devices called “smart mobile phones, IPADs, Tablet PCâ€, which are also capable of running third party software. The number of smart mobile phones users is growing rapidly, including among healthcare professionals. The purpose of this study was to classify smart mobile phones based healthcare technologies as discussed in academic literature according to their functionalities, services and summarize articles in each category. Many medical applications for smart mobile phones have been developed and widely used by health professionals, doctors, consultant and patients. The use of smart phones is getting more attention in healthcare and medical services day by day. Medical service provider applications make smart mobile phones useful tools in the practice of evidence based medicine at the point of care, in addition to their use in mobile clinical communication with an correct references. Also, smart mobile phones can play a very important role in patient education, disease self management, and remote monitoring of patients. Miss. Naina S Thorat | Dr. R. V Kulkarni ""A Review- Role of Mobile Application for Medical Services"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Special Issue | Fostering Innovation, Integration and Inclusion Through Interdisciplinary Practices in Management , March 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23060.pdf
Paper URL: https://www.ijtsrd.com/computer-science/programming-language/23060/a-review--role-of-mobile-application-for-medical-services/miss-naina-s-thorat"
Before January 2009, inpatient discharges were done through central discharges system at the ground floor of finance department. Effective January 2010 a new decentralise inpatient discharges system at wad level was implemented . Before the implementation of the new system, data were collected from July 2009 to December 2009 on the total number of feedback form received, number of complaint on hassle of discharge and complaint of long waiting time. After the implementation of the new system, the same data were collected from January to June 2010. The two set of data were compared to see the impact of the new discharge system. Further monitoring was done by collecting data for the first six month of 2011 and the first six month of 2012.Based on the data collected it was found that for a period of July to December 2009, 295 complaints on hassle of discharges and 46 complaints on long waiting time. For the period from January to June 2010, there was no complaint on the hassle of discharges but 38 complaints on the long waiting time. Further monitoring was done from January to June 2011 and it was found that there was no complaint on the hassle of discharges but complaints on the long waiting time had reduced to 8 cases. For the period from January to June 2012, there was no complaint about the hassle but only 6 cases on the long waiting time. Revenue of the hospital grows by 35% from year 2009 to 2012 and PBT grows by 250% from year 2009 to 2012.
It's National Nurses week . Acute care nurses and other healthcare staff are at high risk of injuries, particularly musculoskeletal disorders, due to intense physical demands of manually lifting and moving patients. In this white paper We discuss effective patient mobilization programs and more.
Dissertation presentation: Study of the Process of Hospital Accreditation and Its Impact on Healthcare Facilities.
Presented By: Yasser Alsharif, Muwafag Kamash, Nasrat Esmat, Amer Tayeb
Supervised By: Dr. Mohammad Kamal Hussain
Analysis Factors of Hospital Services Quality and User Satisfactioninventionjournals
This study aims to identify the factors of service quality and user satisfaction Hospital type B in East Java and constraints the government's efforts in improving the quality of hospital services. Technique of the analysis of data in this study using descriptive analysis and factor analysis and also obtained by interview to director of hospitals. The results showed that hospital users are women with the quality of hospital services is good, but there is still an effort to improve and based on that service quality established by 5 factors; clarity of procedures, employee competence, professionalism, effectiveness and competence. While user satisfaction built by 3 factors are tangible, reliability and empathy. Constraints faced by the government in improving service quality is the limited medical and paramedical personnel, facilities and infrastructure, including the availability of medical equipment, low public awareness of service and the poor public image of hospital services.
A STUDY ON PATIENT SATISFACTION TOWARDS THE QUALITY OF SERVICES OFFERED IN GO...IAEME Publication
According to the hospital industry, service quality and patient satisfaction are crucial concepts. The majority of people in India, particularly the poor, struggle to find high-quality healthcare at a price they can afford and a location they can go to. In order to comprehend the effects of individual dimensions and the degree to which people are satisfied with the services provided by government hospitals in the Madurai district, this study has been done. The entire nation is undergoing a demographic and environmental shift that is increasing the burden of disease. The medical equipment and services offered by government hospitals are essential. Patients who have visited government hospitals in the Madurai district provided the data that was used. A study was conducted to gauge patient happiness, and the results show that there is still much room for improvement in the service quality. The study found that responsiveness, along with empathy and reliability, is the most crucial quality component.
Business Plan for Indian Health Care IndustryVenkatesh Kg
Business Plan in using SAAS in Health Care sector to improve customer retention & enhance new customer acquisition for multi-speciality hospitals in India.
A strategic management presentation on a tertiary level hospital in an urban setting (Metro Manila, Philippines),based on a paper written in partial fulfillment of the requirements of a MD-MBA degree. Topics covered include: industry and competitor analysis, internal and company analysis, strategy formulation, strategic plans and objectives, monitoring and control, and contingency plans.
A Review Role of Mobile Application for Medical Servicesijtsrd
"In advanced mobile communications and portable computation devices are now combined in handheld devices called “smart mobile phones, IPADs, Tablet PCâ€, which are also capable of running third party software. The number of smart mobile phones users is growing rapidly, including among healthcare professionals. The purpose of this study was to classify smart mobile phones based healthcare technologies as discussed in academic literature according to their functionalities, services and summarize articles in each category. Many medical applications for smart mobile phones have been developed and widely used by health professionals, doctors, consultant and patients. The use of smart phones is getting more attention in healthcare and medical services day by day. Medical service provider applications make smart mobile phones useful tools in the practice of evidence based medicine at the point of care, in addition to their use in mobile clinical communication with an correct references. Also, smart mobile phones can play a very important role in patient education, disease self management, and remote monitoring of patients. Miss. Naina S Thorat | Dr. R. V Kulkarni ""A Review- Role of Mobile Application for Medical Services"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Special Issue | Fostering Innovation, Integration and Inclusion Through Interdisciplinary Practices in Management , March 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23060.pdf
Paper URL: https://www.ijtsrd.com/computer-science/programming-language/23060/a-review--role-of-mobile-application-for-medical-services/miss-naina-s-thorat"
Before January 2009, inpatient discharges were done through central discharges system at the ground floor of finance department. Effective January 2010 a new decentralise inpatient discharges system at wad level was implemented . Before the implementation of the new system, data were collected from July 2009 to December 2009 on the total number of feedback form received, number of complaint on hassle of discharge and complaint of long waiting time. After the implementation of the new system, the same data were collected from January to June 2010. The two set of data were compared to see the impact of the new discharge system. Further monitoring was done by collecting data for the first six month of 2011 and the first six month of 2012.Based on the data collected it was found that for a period of July to December 2009, 295 complaints on hassle of discharges and 46 complaints on long waiting time. For the period from January to June 2010, there was no complaint on the hassle of discharges but 38 complaints on the long waiting time. Further monitoring was done from January to June 2011 and it was found that there was no complaint on the hassle of discharges but complaints on the long waiting time had reduced to 8 cases. For the period from January to June 2012, there was no complaint about the hassle but only 6 cases on the long waiting time. Revenue of the hospital grows by 35% from year 2009 to 2012 and PBT grows by 250% from year 2009 to 2012.
It's National Nurses week . Acute care nurses and other healthcare staff are at high risk of injuries, particularly musculoskeletal disorders, due to intense physical demands of manually lifting and moving patients. In this white paper We discuss effective patient mobilization programs and more.
Dissertation presentation: Study of the Process of Hospital Accreditation and Its Impact on Healthcare Facilities.
Presented By: Yasser Alsharif, Muwafag Kamash, Nasrat Esmat, Amer Tayeb
Supervised By: Dr. Mohammad Kamal Hussain
Analysis Factors of Hospital Services Quality and User Satisfactioninventionjournals
This study aims to identify the factors of service quality and user satisfaction Hospital type B in East Java and constraints the government's efforts in improving the quality of hospital services. Technique of the analysis of data in this study using descriptive analysis and factor analysis and also obtained by interview to director of hospitals. The results showed that hospital users are women with the quality of hospital services is good, but there is still an effort to improve and based on that service quality established by 5 factors; clarity of procedures, employee competence, professionalism, effectiveness and competence. While user satisfaction built by 3 factors are tangible, reliability and empathy. Constraints faced by the government in improving service quality is the limited medical and paramedical personnel, facilities and infrastructure, including the availability of medical equipment, low public awareness of service and the poor public image of hospital services.
A STUDY ON PATIENT SATISFACTION TOWARDS THE QUALITY OF SERVICES OFFERED IN GO...IAEME Publication
According to the hospital industry, service quality and patient satisfaction are crucial concepts. The majority of people in India, particularly the poor, struggle to find high-quality healthcare at a price they can afford and a location they can go to. In order to comprehend the effects of individual dimensions and the degree to which people are satisfied with the services provided by government hospitals in the Madurai district, this study has been done. The entire nation is undergoing a demographic and environmental shift that is increasing the burden of disease. The medical equipment and services offered by government hospitals are essential. Patients who have visited government hospitals in the Madurai district provided the data that was used. A study was conducted to gauge patient happiness, and the results show that there is still much room for improvement in the service quality. The study found that responsiveness, along with empathy and reliability, is the most crucial quality component.
A STUDY ON IMPACT OF PATIENT’S PREFERENCES ON SERVICE QUALITY OF THE HOSPITAL...IAEME Publication
Patient Preferences and Satisfaction regarding health care is a multidimensional concept that now becomes a very crucial health care outcome. An analysis of this Preferences and Satisfaction with the health care received revealed the following aspects for patient Preferences and Satisfaction and overall performance of an organization encompassing the total quality, trust, reputation, continuity, competence, information, organization, facilities, attention to psychosocial problems, humaneness and outcome of care. All of these factors have high influence on service quality of health care organizations and at the same time. While many current health care improvement efforts are taken by the government of India such as provision of health infrastructure, equipment, introduction of the health insurance scheme and the adjustments of the salaries of health workers, they seem to have overshadowed the need for constant monitoring to examine the quality of service being provided. Hence empirical research on service quality in hospital in is the need of the hour that signals an alarm to the hospital.
Service Marketing Mix 7Ps and Patient Satisfaction in Clinics A Review ArticleYogeshIJTSRD
This study aims to review the healthcare marketing mix and patient satisfaction in clinics. The findings indicate that the healthcare marketing mix 7Ps in clinics7Ps comprises people, product services , process, physical evidence, price, place, and process. The proposed theoretical framework is shown the relationship between the service marketing mix in clinics and patient satisfaction. Managers may adopt the 7Ps of this review article to achieve patient satisfaction and intended performance levels. The researcher recommended further study to clarify the relationship in this sector. Supaprawat Siripipatthanakul | Pattanapong Chana "Service Marketing Mix (7Ps) and Patient Satisfaction in Clinics: A Review Article" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd43944.pdf Paper URL: https://www.ijtsrd.com/management/marketing/43944/service-marketing-mix-7ps-and-patient-satisfaction-in-clinics-a-review-article/supaprawat-siripipatthanakul
Health is a basic need for everyone because every aspect of life is related to health. The number of
hospitals will provide an opportunity for the community to choose the best from the available choices, so
hospitals must always innovate to be able to provide the best quality of service.
An Overview of Patient Satisfaction and Perceived Care of Qualityijtsrd
This paper aims to audit the patient satisfaction literature, precisely survey methods used, which fundamentally analyses its hypothesis and use at that point to introduce proof for perceived service quality as a discrete and further advanced construct. Findings Patient satisfaction has been widely reviewed and significant efforts have gone into creating survey instruments to estimate it. Although, most surveys have been critical of its utilization, since there is seldomly any hypothetical or calculated development of the patient satisfaction theory. The construct has little normalization, low accuracy and undetermined validity. It keeps on being utilized interchangeably with, and as an intermediary for, perceived health service quality, which is a conceptually extraordinary and predominant construct. Practical Implications The persistent utilization of patient satisfaction to assess the patients perception of the quality of a healthcare service is truly flawed. The way to settling this dilemma might be for the healthcare division to concentrate on perceived healthcare service quality by considering the particular theories and models that can be found in the administrations advertising literature. This literature offers further developed consumer theories which are preferred differentiated and tried over existing healthcare satisfaction models. Conclusion This paper brings up that there is a critical requirement for differentiation and normalization of patient satisfaction and healthcare service quality definitions and constructs, and argues for examination to concentrate on estimating perceived healthcare service quality. Shubham Chaurasia | Shivani Dadwal Salaria | Rakhi Ahuja | Amit Sharma "An Overview of Patient Satisfaction and Perceived Care of Quality" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd31548.pdf Paper Url :https://www.ijtsrd.com/management/public-sector-management/31548/an-overview-of-patient-satisfaction-and-perceived-care-of-quality/shubham-chaurasia
The Impact of Quality on Satisfaction: Case Study of Mongolia Private Hospitalsijtsrd
Quality of service is the most important indicator of patient satisfaction. The purpose of this study was to examine the impact of service quality on overall patient satisfaction in private hospitals in Ulaanbaatar, Mongolia. The study sample consisted of 69 patients who were selected from eight private general hospitals in Ulaanbaatar, Mongolia, using a sequential sample. Data analysis was performed using a t test, ANOVA and multivariate regression. This study found a close relationship between quality of service and patient satisfaction. About 45 of the differences in overall satisfaction are due to four aspects of quality of service. In terms of process quality, the waiting time for visits, receptions and operations should be reduced, and services should be provided as soon as possible. The need to strengthen the interpersonal aspects of care and communication skills of service providers should be emphasized. Uugantsetseg Davaadorj | Otgontsetseg Galindev "The Impact of Quality on Satisfaction: Case Study of Mongolia Private Hospitals" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-1 , December 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29711.pdf Paper URL: https://www.ijtsrd.com/management/research-method/29711/the-impact-of-quality-on-satisfaction-case-study-of-mongolia-private-hospitals/uugantsetseg-davaadorj
Behavioral Intention In Revisiting Hospital Under The Effect Of Expertise, Reputation And Service Quality. Trust comes from the belief of a party’s promise or sentence is reliable and the obligation that party need to be fulfilled in vice versa for relationship purpose (Schurr and Ozanne, 1985). Based on the trust, the interaction of a buyer’s perception future and service provider (seller) is anticipated (Doney and Cannon, 1997). It creates a long-term orientation of a relationship B2C in positive ways (Ganesan, 1994). The trust’s advantages which create strong relationship in business has been researched in the literature review of Morgan and Hunt in 1994. The individual experience is considered as the trustworthy source rather than the referral from relatives or friends which is explained as the second-hand trust referral or the popular.
TitlePATIENTS SAISFACTION ABOUT PATIENTS REFER.docxjuliennehar
Title
PATIENTS SAISFACTION ABOUT PATIENTS REFERRAL PROCESS TO RIYADH SPECIALIZED DENTAL CENTER
My friend, I wrote all my notices need to be corrected inside this file for each part ,,, I need you to using same layout here include 12 font size (time new roman) ,,,space 1.5 between lines,,,,thank you
Data Collection
I wrote the result of data after I collected from questioner so I put the answer for each question beside the choices as number,,,,also my friend I needed a spelling and grammar check for this questionnaire in this part ,,,thank you
The result beside every question
All sample was 400 participants
Please Select Gender:
· MALE 220
· FEMALE 180
Please Select Correct Age Range of Yours:
· >18 years old 343
· 12-18 years old 29
· <12 years old 28
Please Select Applicable Educational Attainment At the Moment:
· More than University/College edition (MS) 63
· University/College Graduate 201
· High School or less 136
Part Two:
Was the referral done by paper forms or automation?
· Paper (paper referral forum) 103
· Automatic forum) 239
· Not Sure 58
Was the referral out of own choice or choice by doctor?
· Doctor’s suggestion . 299
· My suggestion . 101
In the case a doctor explains about your sickness, do you have any idea what the referral is for:
· YES 338
· NO 62
Did the dentist in te primary healthcare center provide any dental treatment before referral?
❏ YES 203
❏ NOT 176
❏ NOT SURE 21
Staff that responsible about referral did he give you any communication methods in case issues arise?
❏ YES 141
❏ NO 202
❏ NOT SURE 57
Did you feel any uncomfortable feeling when conducting the experiment how does to fell thick?
❏ Easy procedures. 172
❏ Acceptable procedures 168
❏ Difficult, hard to follow 68
My friend, you need to read the introduction, literature review , objectives, material and methods before start doing the results to understand the topics and the date and information be Consistent, thank you
INTRODUCTION
In evaluating the performance of healthcare services, customer satisfaction is an important measure. Nevertheless, it is influenced not only by performance of the healthcare ...
A Qualitative Research Factors Affecting Patient Satisfaction and Loyalty A C...YogeshIJTSRD
This study aims to identify factors affecting patient satisfaction and loyalty in private dental practice using Smile Family Dental Clinic as a case study Convenience Sampling . The researcher identified the factors dental practice related factors which affect patient satisfaction and loyalty regarding their efforts to increase dental practice quality to respond to patients demands and needs, influencing patient satisfaction and loyalty. The literature review indicated that previous studies in the healthcare sector confirmed the relationship mainly are from the quantitative design. Still, few support the dental care services private dental practice sector in the qualitative approach. The researcher developed the theoretical framework from high valid sources of previous research and the consumer behavior model of Kotler and Keller 2016 . The elements of dental practice related factors include Prices, Facilities, Dentist Services, and Staff Services, whic based on Kim et al. 2012 , patient satisfaction and patient loyalty were based on previous research. Purposive Sampling in a total of 10 respondents from 3,689 cases of the clinics population was in a data collection process through online Semi structured interviews and content analysis adopting NVivo software. The results showed that patients perceptions of dentist services are essentially the most, followed by staff services, prices, and facilities. Satisfaction on factors effect on patient loyalty Revisit and Recommendation Intention . Recommendation from peers or relatives influencing them to choose a clinic. A dentists reputation is the most recommendation. Patients are satisfied with dentist and staff services responding to their needs and expectations. The reasonable price and the costs are not high, influencing their satisfaction. Facilities are the least important factor. Further research may help the decision manager develop a marketing plan and strategies in the private dental healthcare sector. The results could be applied to improve quality management and increasing customer satisfaction and loyalty in any company services sector. Supaprawat Siripipatthanakul | Dr. Mamata Bhandar "A Qualitative Research Factors Affecting Patient Satisfaction and Loyalty: A Case Study of Smile Family Dental Clinic" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd44975.pdf Paper URL: https://www.ijtsrd.com/management/marketing/44975/a-qualitative-research-factors-affecting-patient-satisfaction-and-loyalty-a-case-study-of-smile-family-dental-clinic/supaprawat-siripipatthanakul
A dissertation report on analysis of patient satisfaction max polyclinic by ...Mohammed Yaser Hussain
Hospitals are increasingly becoming sensitive to the needs of the patients as will the community. It is no longer the sellers [providers] market. Except for the totally free service provided by the Government run hospitals and a few hospitals run by the civic hospitals.
According to Dona Bedian
“Patient satisfaction may be considered to be one of the desired outcomes of care, even on element of health status itself” and that “information about patient satisfaction should be as indispensable to assessment of quality as to the design and management of health care system.
During the recent years the use of patient satisfaction surveys has increased in health care industry due in part to the belief that perception of quality is an important factor in demand for services and that survey result may have significant effect on provider behaviour. According to Ware “patient satisfaction is a determinant of a healthcare provider or system. Use of services complaints and malpractice suits”.
Use of patient satisfaction survey as a tool for quality improvement has become extensive in almost all western countries. Most hospital have a system of obtaining routine feedback from all the discharge patients. The quality improvement task force of the joint commission of accreditation of the health care organization in USA is also encouraging hospitals to mandate surveys are conducted in private hospitals.
Service Quality, Patient Satisfaction, Word Of Mouth, and Revisit Intention i...YogeshIJTSRD
This study investigates the relationship between service quality, patient satisfaction, word of mouth WOM , and revisit intention among dental patients in a clinic, Thailand. The research employed a quantitative approach in data collection for statistical analysis. Quota sampling equally among four age groups was used, and 352 completed copies of self administered questionnaires were returned. The proposed theoretical framework was identified the model adopting PLS SEM. Findings reveal that patient satisfaction is a mediator between service quality and its outcomes of WOM and revisit intention. Referring to elements of service quality, empathy is the highest factor influencing patient satisfaction Beta=0.411, p 0.001 , followed by reliability Beta=0.183, p 0.05 , tangibles Beta=0.119, p 0.05 , assurance Beta=0.077, p 0.05 , and responsiveness, Beta=0.053, p 0.05 at R square 0.556. Revisit intention can be predicted by patient satisfaction by 53.4 percent Beta=0.731, p 0.001,R2=0.534 , and WOM can be explained by patient satisfaction by about 42.9 percent Beta=0.655, p 0.001, R2=0.429 . The study was limited to private dental practice a dental clinic . Thus, the extension to clinics around this area should be considered. Moreover, the researcher suggested comprehensive coverage of other predictors in further research. The implications are managers would emphasize healthcare service quality management to satisfy their patients because it creates positive word of mouth and a revisit intention among dental clinic’s patients. Supaprawat Siripipatthanakul "Service Quality, Patient Satisfaction, Word-Of-Mouth, and Revisit Intention in A Dental Clinic, Thailand" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd43943.pdf Paper URL: https://www.ijtsrd.com/management/marketing/43943/service-quality-patient-satisfaction-wordofmouth-and-revisit-intention-in-a-dental-clinic-thailand/supaprawat-siripipatthanakul
ASSOCIATION BETWEEN SERVICE HEALTH QUALITY AND PATIENT SATISFACTION – A CASE ...IAEME Publication
Satisfaction is a comparison between the perceptions of services received with expectations, while the quality of health services is act or services provided by one party to another in form of care or provision of health facilities. Health resources are one contributing factor in provision of qualified health care, which is expected to improve public health. Aspects of provided services quality will affect patient satisfaction. If their expectations are met, it means that service has provided good quality and will also lead to high satisfaction. This study aims to determine the relationship of health services quality and satisfaction level in people of North Mamuju. Analytic observational research with cross-sectional study design, population of the entire community of North Mamuju regency and research subjects were aged >18 years. The results showed significant value in registration 0.010 and physicians 0.007, implying registration and physicians have significant effect on customer satisfaction. The conclusions of this study indicate that the registration, doctors, nurses, pharmaceutical, environmental and hospital / clinic variables collectively have positive effect on customer satisfaction
Analysis of the Influence of Service Quality Dimensions on Patient Satisfacti...AJHSSR Journal
ABSTRACT : The main purpose of this research is to know the impact dimensions of service quality
(tangibles, reliability, responsiveness, assurance, and empathy) against patient's satisfaction. This research uses
224 respondents who were chosen according to some specified criteria in the patient room of Bhayangkara
Bondowoso Hospital. This is descriptive, comparative, and associative research. Data collection method use
questionnaire. The result by t test with the help of SPSS 26 software shows that the score is sig. 2 tailed variable
tangibles 0.000 <0.05, variable reliability 0.000 <0.05, variable responsiveness 0.000 <0.05, variable assurance
0.000 > 0.05, variable empathy 0.000 <0.05. This t test shows that each variable tangibles, reliability,
responsiveness, assurance, and empathy make an impact against patient's satisfaction. The result of the F test
with the help of SPSS 26 software shows a significant score of 0.000 <0.05. This F test shows that all of the
variable tangibles, reliability, responsiveness, assurance, and empathy make an impact simultaneously against
elderly patient satisfaction.
KEYWORDS: Service, Satisfaction, Elderly
Health Care Quality: The impact of hospital quality system in private and pub...AI Publications
This research focuses on the development of the healthcare system in Kurdistan region in northern Iraq, with particular attention given to the linkage between the quality system introduction by the healthcare providers and patient’s satisfaction. The researcher developed three research hypotheses to measure the impact of hospital quality system in private and public sector on patients’ satisfaction in Kurdistan region of Iraq. A quantitative method used in order to analyze the current study. The random sampling was carried out in locations in Erbil, Sulayimaniah and Duhok. A total of 1400 questionnaires were distributed, however 993 questionnaires were received and being completed properly. The findings revealed that the result of first hypothesis, developed a system of quality management has significantly predicted patient satisfaction (Beta is weight 0.875, p<.001) this indicates that developed a system of quality management will have a direct positive association with patient satisfaction based on this result the first hypotheses supported. As for second research hypothesis, complex systems of quality managementhas significantly predicted patient satisfaction (Beta is weight 0.571, p<.001) this indicates that complex systems of quality managementwill have a positive association with patient satisfaction based on this results the second research hypotheses supported, and finally as for third research hypothesis, focus strategy has significantly predicted patient satisfaction (Beta is weight 0.529, p<.001) this indicates that the introduction of the system of the quality management will have a positive association with patient satisfaction based on this results the third research hypotheses supported.
Similar to Private Hospitals’ Service Quality Dimensions: The impact of Service Quality Dimensions on patients’ satisfaction (20)
The Statutory Interpretation of Renewable Energy Based on Syllogism of Britis...AI Publications
The current production for energy consumption generates harmful impacts of carbon dioxide to the environment causing instability to sustainable development goals. The constitutional reforms of British Government serve to be an important means of resolving any encountered incompatibilities to political environment. This study aims to evaluate green economy using developed equation for renewable energy towards political polarization of corporate governance. The Kano Model Assessment is used to measure the equivalency of 1970 Patents Act to UK Intellectual Property tabulating the criteria for the fulfillment of sustainable development goals in respect to the environment, artificial intelligence, and dynamic dichotomy of administrative agencies and presidential restriction, as statutory interpretation development to renewable energy. The constitutional forms of British government satisfy the sustainable development goals needed to fight climate change, advocate healthy ecosystem, promote leadership of magnates, and delegate responsibilities towards green economy. The presidential partisanship must be observed to delineate parties of concerns and execute the government prescriptions in equivalence to the dichotomous relationship of technology and the environment in fulfilling the rights and privileges of all citizens. Hence, the political elites can execute corporate governance towards sustainable development of renewable energy promoting environmental parks and zero emission target of carbon dioxide discharges. The economic theory developed in statutory interpretation for renewable energy serves as a tool to reduce detrimental impacts of carbon dioxide to the environment, mitigate climate change, and produce artefacts of bioenergy and artificial intelligence promoting sustainable development. It is suggested to explore other vulnerabilities of artificial intelligence to prosper economic success.
Enhancement of Aqueous Solubility of Piroxicam Using Solvent Deposition SystemAI Publications
Piroxicam is a non-steroidal anti-inflammatory drug that is characterized by low solubility-high permeability. The present study was designed to improve the dissolution rate of piroxicam at the physiological pH's through its increased solubility by using solvent deposition system.
Analysis of Value Chain of Cow Milk: The Case of Itang Special Woreda, Gambel...AI Publications
Ethiopia has a long and rich history of dairy farming, which was mostly carried out by small and marginal farmers who raised cattle, camels, goats, and sheep, among other species, for milk. Finding the Itang Special Woreda cow milk value chain is the study's main goal. In order to gather primary data, 204 smallholder dairy farmer households were randomly selected, and the market concentration ratio was calculated using 20 traders. Descriptive statistics, econometric models, and rank analysis were used to achieve the above specified goals. Out of all the participants in the milk value chain, producers, cafés, hotels, and dairy cooperatives had the largest gross marketing margins, accounting for 100% of the consumer price in channels I and II, 55% in channels III and V, and 25.5% in channels V. The number of children under five, the number of milking cows owned, the amount of money from non-dairy sources, the frequency of extension service contacts, the amount of milk produced each day, and the availability of market information were found to have an impact on smallholders' involvement in the milk market. Numerous obstacles also limited the amount of milk produced and marketed. The poll claims that general health issues, sickness, predators, and a lack of veterinary care are plaguing farmers. In order to address the issue of milk perishability, the researchers recommended the host community and organization to construct an agro milk processor, renovate the dairy cooperative in the study region, and restructure the current conventional marketing to lower the transaction and cost of milk marketing.
Minds and Machines: Impact of Emotional Intelligence on Investment Decisions ...AI Publications
In the evolving landscape of financial decision-making, this study delves into the intricate relationships among Emotional Intelligence (EI), Artificial Intelligence (AI), and Investment Decisions (ID). By scrutinizing the direct influence of human emotional intelligence on investment choices and elucidating the mediating role of AI in this process, our research seeks to unravel the complex interplay between minds and machines. Through empirical analysis, we reveal that EI not only directly impacts ID but also exerts its influence indirectly through AI-mediated pathways. The findings underscore the pivotal role of emotional awareness in investor decision-making, augmented by the technological capabilities of AI. It suggests that most investors are influenced by the identified emotional intelligence when making investment decisions. Furthermore, AI substantially impacts investors' decision-making process when it comes to investing; nevertheless, AI partially mediates the relationship between emotional intelligence and investment decisions. This nuanced understanding provides valuable insights for financial practitioners, policymakers, and researchers, emphasizing the need for holistic strategies that integrate emotional and technological dimensions in navigating the intricacies of modern investment landscapes. As the synergy between human intuition and artificial intelligence becomes increasingly integral to financial decision-making, this study contributes to the ongoing discourse on the symbiotic relationship between minds and machines in investments.0
Bronchopulmonary cancers are common cancers with a poor prognosis. It is the leading cause of death by cancer in Algeria and in the world. Behind this unfavorable prognosis hides numerous disparities according to age, sex, and exposure to risk factors, ranking 4th among incident cancers and developing countries including Algeria, all sexes combined. It ranks 2nd cancers in men and 3rd among women. Whatever the age observed, the incidence of this cancer is higher in men than in women, however the gap is narrowing to the detriment of the latter. The results of scientific research agree to relate trends in incidence and mortality rates to tobacco consumption, including passive smoking. Furthermore, other risk factors are mentioned such as exposure to asbestos in the workplace or to radon for the general population, or even genetic predisposition. However, the weight of these etiological and/or predisposing factors is in no way comparable to that of tobacco in the genesis of lung cancer and the resulting mortality. We provide a literature review in our article on the descriptive and analytical epidemiology of lung cancer.
Further analysis on Organic agriculture and organic farming in case of Thaila...AI Publications
The objective of this paper is to present Further analysis on Organic agriculture and organic farming in case of Thailand agriculture and enhancing farmer productivity. In view of the demand for organic fertilizers, efforts should also be made to enhance and to develop more effective of compost, bio-fertilizer, and bio-pesticides currently used by farmers. Likewise, emphasis should also be laid on the cultivation of legumes and other crops that can enhance the fertility of the soil, as practiced by farmers in many developing countries to fertilize their lands. On the other hand, most of the farmers who practice this farm system found that they are adopting a number of SLMs and interested in joining the meeting or training to gain more and more knowledge.
Current Changes in the Role of Agriculture and Agri-Farming Structures in Tha...AI Publications
The objective os this study is to present Current Changes in the Role of Agriculture and Agri-Farming Structures in Thailand and Vietnam with SLM practices. Farmer’s adoption and investment in SLM is a key for controlling land degradation, enhancing the well-being of society, and ensuring the optimal use of land resources for the benefit of present and future generations (World Bank, 2006; FAO, 2018). And agriculture remains an essential element of lives of many farmers in term of the strong cultural and symbolic values that attach current working generation to do and to spend time for it but not intern of income generating.
Growth, Yield and Economic Advantage of Onion (Allium cepa L.) Varieties in R...AI Publications
Haphazard and low soil fertility, low yielding verities and poor agronomic practices are among the major factors constraining onion production in the central rift valley of Ethiopia. Therefore, a field experiment was conducted in East Showa Zone of Adami Tulu Jido Combolcha district in central rift valley areas at ziway from October 2021 to April 2022 to identify appropriate rate of NPSB fertilizer and planting pattern of onion varieties. The experiment was laid out in split plot design of factorial arrangement in three replications. The main effect of NPSB blended fertilizer rates and varieties (red coach and red king) significantly (p<0.01) influenced plant height, leaf length, leaf diameter, leaf number and fresh leaf weight, shoot dry matter per plant, and harvest index. Total dry biomass, bulb diameter, neck diameter, average fresh bulb weight, bulb dry matter, marketable bulb yield, and total bulb yield were significantly (p<0.01) influenced only by the main effect of NPSB blended fertilizer rates. In addition, unmarketable bulb yield was statistically significantly affected (p≥0.05) by the blended fertilizer rates and planting pattern. Moreover, days to 90% maturity of onion was affected by the main factor of NPSB fertilizer rate, variety and planting pattern. The non-fertilized plants in the control treatment were inferior in all parameters except unmarketable bulb yield and harvest index. Significantly higher marketable bulb yield (41 t ha-1) and total bulb yield (41.33 t ha-1) was recorded from 300 kg ha-1 NPSB blended fertilizer rate applied. Double row planting method and hybrid red coach onion variety had also gave higher growth and yields. The study revealed that the highest net benefit of Birr, 878,894 with lest cost of Birr 148,006 by the combinations of 150 kg blended NPSB ha-1 with double row planting method (40cm*20cm*7cm) and red coach variety which can be recommendable for higher marketable bulb yield and economic return of hybrid onion for small scale farmers in the study area. Also, for resource full producers (investors), highest net benefit of Birr 1,205,372 with higher cost (159,628 Birr) by application of 300 kg NPSB ha-1 is recommended as a second option. However, the research should be replicated both in season and areas to more verify the recommendations.
Evaluation of In-vitro neuroprotective effect of Ethanolic extract of Canariu...AI Publications
The ethanolic extract of canarium solomonense leaves (ecsl) was studied for its neuroprotective activity. The neuroprotective activity of ECSL was found to have a significant impact on neuronal cell death triggered by hydrogen peroxide (MTT assay) in human SH-SY5Y neuroblastoma cells. Scopolamine, a muscarinic receptor blocker, is frequently used to induce cognitive impairment in laboratory animals. Injections of scopolamine influence multiple cognitive functions, including motor function, short-term memory, and attention. Using the Morris water maze, the Y maze, and the passive avoidance paradigm, memory enhancing activity in scopolamine-induced amnesic rats was evaluated. Using the Morris water maze, the Y maze, and the passive avoidance paradigm, ECSL was found to have a substantial effect on the memory of scopolamine- induced amnesic rats. Our experimental data indicated that ECSL can reverse scopolamine induced amnesia and assist with memory issues.
The goal of neuroprotection is to shield neurons against damage, whether that damage is caused by environmental factors, pathogens, or neurodegenerative illnesses. Inhibiting protein-based deposit buildup, oxidative stress, and neuroinflammation, as well as rectifying abnormalities of neurotransmitters like dopamine and acetylcholine, are some of the ways in which medicinal herbs have neuroprotective effects [1-3]. This review will focus on the ways in which medicinal herbs may protect neurons.
A phytochemical and pharmacological review on canarium solomonenseAI Publications
The genus Canarium L. consists of 75 species of aromatic trees which are found in the rainforests of tropical Asia, Africa and the Pacific. The medicinal uses, botany, chemical constituents and pharmacological activities are now reviewed. Various compounds are tabulated according to their classes their structures are given. Traditionally canarium solomonense have been used to treat a broad array of illnesses. Pharmacological actions for canarium solomonense as discussed in this review include antibacterial, antimicrobial, antioxidant, anti-inflammatory, hepatoprotective and antitumor activity.
Influences of Digital Marketing in the Buying Decisions of College Students i...AI Publications
This research investigates the influence of digital marketing channels on purchasing decisions among college students in Ramanathapuram District. The study highlights that social media marketing, online advertising, and mobile marketing exhibit substantial positive effects on purchase decisions. However, email marketing's impact appears to be more complex. Moreover, the study explores how demographic variables like gender and academic level shape these effects. Notably, freshman students display varying susceptibility to specific digital marketing messages compared to their junior, senior, or graduate counterparts. These findings offer crucial insights for marketers aiming to tailor their strategies effectively to the preferences and behaviors of college students. By understanding the differential impacts of various digital marketing channels and considering demographic nuances, marketers can refine their approaches, optimize engagement, and ultimately enhance the effectiveness of their campaigns in targeting this demographic.
A Study on Performance of the Karnataka State Cooperative Agriculture & Rural...AI Publications
The Karnataka State Co-operative Agriculture and Rural Development Bank Limited is the apex bank of all the primary co-operative agriculture and rural development banks in the state. All the PCARD Banks in the state are affiliated to it. The KSCARD Bank provides financial accommodation to the PCARD Banks for their lending operations. In order to quick sanction and disbursement of loans and supervision over the PCARD Banks the KSCARD Bank has opened district level branches. Bank has established Women Development Cell to promote entrepreneurship among women in 2005. The Bank is identifying women borrowers in the rural areas by assigning suitable projects to motivate their self-confidence to lead independent life. Progress made in financing women entrepreneurs women.
Breast hamartoma is a rare, well-circumscribed, benign lesion made up of a variable quantity of glandular, adipose and fibrous tissue. This is a lesion that can affect women at any age from puberty. With the increasingly frequent use of imaging methods such as mammography and ultrasound as well as breast biopsy, cases of hamartoma diagnosed are increasing. The diagnosis of these lesions is made by mammography. The histological and radiological aspects are variable and depend on its adipose tissue content. The identification of these lesions is important in order to avoid surgical excisions. We report radio-clinical and pathological records of breast hamartoma.
A retrospective study on ovarian cancer with a median follow-up of 36 months ...AI Publications
Ovarian cancer is relatively common but serious and has a poor prognosis. The aim of this study is to highlight the epidemiological, diagnostic, therapeutic and evolutionary aspects of this malignant pathology managed at the Bejaia university hospital center. This is a retrospective and descriptive study over a period of 3 years (2019 - 2022) carried out on 20 patients who developed ovarian cancer. The average age of the patients was 50 years old, 53.23% of whom were over 45 years old. The CA-125 blood test was positive in 18 out of 20 patients. The tumors were discovered on ultrasound in 87.10% of cases and at laparotomy in 12.90%. Total hysterectomy with bilateral adnexectomy was the most performed procedure (64.52%). The early postoperative course was simple. 15 patients underwent second look surgery (16.13%) for locoregional recurrences. Epithelial tumors were the most frequent histological type (93.55%), including 79% in the advanced stage ( IIIc -IV) and 21% in the early stage (Ia- Ib ). Adjuvant chemotherapy was administered in 80% of patients. With a median follow-up of 36 months, 2 patients were lost to follow-up. The evolution was favorable in 27.42% and in 25.81% deaths occurred late postoperatively. Ovarian cancer is not common but serious given the advanced stages and the high rate of late postoperative deaths which were largely observed in patients deprived of adequate neoadjuvant or adjuvant chemotherapy.
More analysis on environment protection and sustainable agriculture - A case ...AI Publications
This study presents a case of tea and coffee crops , esp. environment protection and sustainable agriculture in Son La and Thai Nguyen of Vietnam. Research results show us that The process of having an agricultural product goes through many steps such as planting, planning, harvesting, packing, transporting, storing and distributing. - The State adopts policies to encourage innovation of agricultural production models and methods towards sustainability, adapting to climate change, saving water, and limiting the use of inorganic fertilizers and pesticides. chemicals and products for environmental treatment in agriculture; develop environmentally friendly agricultural models. Our research limitation is that we can expand for other crops, industries and markets as well.
Assessment of Growth and Yield Performance of Twelve Different Rice Varieties...AI Publications
The present investigation entitled “Assessment of growth and yield performance of twelve different rice varieties under north Konkan coastal zone of Maharashtra” was carried out during the kharif season of the year 2021 and 2022 on the field of ASPEE, Agricultural Research and Development Foundation, Tansa Farm, At Nare, Taluka Wada, District Palghar, Maharashtra, India. The experiment was laid out in Randomized Block Design (RBD). The twelve varieties namely Zini, Jaya, Dandi, Rahghudya, Govindbhog, Dangi, Gurjari, VNR-7, VNR-8, VNR-9, Karjat-3, and Karjat-5 were replicated thrice. The plant height (cm), number of tillers per plant, number of panicles per plant, number of panicles (m²), and length of panicle (cm) were noted to the maximum with cv. “VNR-7”. The highest number of seeds per panicle, test weight (gm), grain yield (q/ha), and straw yield (q/ha) were recorded with the cv. “VNR-7”. While the lowest number of days to 50% flowering was also recorded with cv. “VNR-7” during the year 2021 and 2022.
Cultivating Proactive Cybersecurity Culture among IT Professional to Combat E...AI Publications
In the current digital landscape, cybercriminals continually evolve their techniques to execute successful attacks on businesses, thus posing a great challenge to information technology (IT) professionals. While traditional cybersecurity approaches like layered defense and reactive security have helped IT professionals cope with traditional threats, they are ineffective in dealing with evolving cyberattacks. This paper focuses on the need for a proactive cybersecurity culture among IT professionals to enable them combat evolving threats. The paper emphasis that building a proactive security approach and culture can help among IT professionals anticipate, identify, and mitigate latent threats prior to them exploiting existing vulnerabilities. This paper also points out that as IT professionals use reactive security when dealing with traditional attacks, they can use it collaboratively with proactive security to effectively protect their networks, data, and systems and avoid heavy costs of dealing with cyberattack’s aftermaths and business recovery.
The Impacts of Viral Hepatitis on Liver Enzymes and BilrubinAI Publications
Viral hepatitis is an infection that causes liver inflammation and damage. Several different viruses cause hepatitis, including hepatitis A, B, C, D, and E. The hepatitis A and E viruses typically cause acute infections. The hepatitis B, C, and D viruses can cause acute and chronic infections. Hepatitis A causes only acute infection and typically gets better without treatment after a few weeks. The hepatitis A virus spreads through contact with an infected person’s stool. Protection by getting the hepatitis A vaccine. Hepatitis E is typically an acute infection that gets better without treatment after several weeks. Some types of hepatitis E virus are spread by drinking water contaminated by an infected person’s stool. Other types are spread by eating undercooked pork or wild game. Hepatitis B can cause acute or chronic infection. Recommendation for screening for hepatitis B in pregnant women or in those with a high chance of being infected. Protection from hepatitis B by getting the hepatitis B vaccine. Hepatitis C can cause acute or chronic infection. Doctors usually recommend one-time screening of all adults ages 18 to 79 for hepatitis C. Early diagnosis and treatment can prevent liver damage. The hepatitis D virus is unusual because it can only infect those who have a hepatitis B virus infection. A coinfection occurs when both hepatitis D and hepatitis B infections at the same time. A superinfection occurs already have chronic hepatitis B and then become infected with hepatitis D. The aim of this study is to find the effect of each type of viral hepatitis on the bilirubin (TB , DSB) , and liver enzymes; AST, ALT, ALP,GGT among viral hepatitis patients. 200 patients were selected from the viral hepatitis units in the central public health laboratory in Baghdad city, all the chosen cases were confirmed as a positive samples , they are classified into four equal group each with fifty individual and with a single serological viral hepatitis type either; anti-HAV( IgM ) , HBs Ag , anti-HCV ,or anti-HEV(IgM ). All patients were tested for; serum bilirubin ( TB ,D.SB ) , AST , ALT , ALP , GGT. Another fifty quite healthy and normal person was selected as a control group for comparison. . Liver enzymes and bilirubin changes are more pronounced in HAV, HEV than HCV and HBVAST and ALT lack some sensitivity in detecting HCV ,HBV and mild elevations of ALT or AST in asymptomatic patients can be evaluated efficiently by considering ,hepatitis B, hepatitis C. ALT is generally a more sensitive indicator of acute liver cell damage than AST, It is relatively specific for hepatocyte necrosis with a marked elevations in viral hepatitis. Liver enzymes and bilirubin changes are more pronounced in HAV, HEV than HCV and HBV.AST and ALT lack some sensitivity in detecting HCV ,HBV and mild elevations of ALT or AST in asymptomatic patients can be evaluated efficiently by considering ,hepatitis B, hepatitis C. ALT is generally a more sensitive indicator of acute liver
Determinants of Women Empowerment in Bishoftu Town; Oromia Regional State of ...AI Publications
The purpose of this study was to determine the status of women's empowerment and its determinants using women's asset endowment and decision-making potential as indicators. To determine representative sample size, this study used a two-stage sampling technique, and 122 sample respondents were selected at random. To analyze the data in this study, descriptive statistics and a probit model were used. The average women's empowerment index was 0.41, indicating a relatively lower status of women's empowerment in the study area. According to the study's findings, only 40.9% of women were empowered, while the remaining 59.1% were not. The probit model results show that women's access to the media, women's income, and their husbands' education status have a significant and positive impact on the status of women's empowerment, while the family size of households has a negative impact. As a result, it is important to enhance women's access to the media and income, promote family planning and contraception, and improve men's educational status in order to improve the status of women's empowerment.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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2 Case Reports of Gastric Ultrasound
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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Furthermore, the competitive market's key success is
dependent on providing high-quality service, which leads to
increased client pleasure (Andavar et al. 2020). As a result,
in the hospitals industry, clients' feedback on service quality
is critical to improving and expanding the business. To
please their students and establish guest loyalty, the
healthcare industry should give competitive services. The
benefits of guest satisfaction are numerous, including the
development of a strong relationship between hospitals
personnel and patients, which leads to the development and
retention of loyal patients (Anwar & Abd Zebari, 2015).
The goal of this study was to use service quality
characteristics as a factor in determining guest satisfaction
in Erbil hospitals. Empathy, assurance, reliability,
responsiveness, and tangibleness are the five characteristics
of service quality. These five dimensions have an important
impact in how clients perceive service quality. The five
elements of service quality in this study are independent
variables, while guest satisfaction is a dependent variable.
Statement of the Problem
Every day, and in almost every service they purchase,
patients are confronted with service quality issues: on public
transportation, when it is crowded and you don't feel
comfortable getting to your destination; while shopping,
you may be offended by the behavior of a salesperson; in a
cafe/restaurant, you may not like how a waiter served you,
and so on. We can continue to find unhappiness in a variety
of service-oriented settings (Anwar, 2017). Unfortunately,
the quality of service provided does not always fulfill the
patientss' demands, requirements, or expectations. The
problem of insufficient levels of service quality will be
studied based on the remarks of various hospitals patientss,
which is the major reason for the selected topic.
Conceptual Framework
Research model
Fig.1: Research Model
Research Hypotheses
H1: There is a positive and significant relationship between
tangible dimensions with patients’ satisfaction.
H2: There is a positive and significant relationship between
reliability dimensions with patients’ satisfaction.
H3: There is a positive and significant relationship between
responsiveness dimensions with patients’ satisfaction.
H4: There is a positive and significant relationship between
assurance dimensions with patients’ satisfaction.
H5: There is a positive and significant relationship between
empathy dimensions with patients’ satisfaction.
II. LITERATURE REVIEW
Patients Satisfaction
The term satisfaction, according to (Anwar & Abdullah,
2021), is “a person's experience of enjoyment as a result of
comparing certain services or products, or even transition
perceived outcome or performance in terms of the
expectation.” It has been proved that when the service
quality fulfills the expectations and needs of the patients,
the patients will be satisfied with the level of service
offered. However, in the healthcare industry, exceeding
visitors' expectations is a difficult challenge. Speed has
become the most valued and new competitive advantage in
many sectors. The product life cycle is being shortened from
years to weeks as a result of increased speed. Patients
demand quickness in the hospitals industry to satisfy their
expectations and wants. Those who can meet their
obligations will win, while those who cannot will be passed
over (Anwar, 2016). Many academics and researchers have
been debating the question of contentment recently. At this
time, the healthcare industry is paying close attention to the
happiness of its patientss. As a result of the visitors'
displeasure, the hospitals's image may suffer, resulting in a
lack of recommendations from previous and present
patients to others, and they may choose to stay somewhere
else. If clients leave the hospitals without being satisfied, all
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of the hospitals's efforts to improve service quality will be
for naught. Fulfilling patients' demands is still the most
difficult task nowadays (Abdullah et al. 2017).
Service Quality
One of the most important aspects of service quality is the
quality-control procedure. As a result, organizations that
supply services do not have products, but they do have
interactive processes. Because services are intangible,
evaluating and measuring them can be difficult for
organizations (Anwar & Balcioglu,2016). Various
academic experts have created a number of major service
quality definitions. Service quality, according to (Hameed
& Anwar, 2018), is the difference between patients'
expectations of the service provider and their judgment of
the services. Service quality, according to (Park, 2019), is
defined as a disparity between patients' expectations for
service execution before to the service encounter and their
observations of the rendered services. Service quality is
described by Anwar & Ghafoor, (2017) as a specific
assessment and consideration made by visitors between
expected service quality and actually given services.
Because of the numerous definitions developed by many
researchers, quality is a little more difficult to identify than
visitors' happiness and enjoyment. Because quality is
determined by the patients's observation and judgement,
quality is defined as anything the patients considers to be of
high quality (Aziz et al. 2021). Expectations and quality
standards, according to (Said et al. 2018), are two major
elements that influence patients' perceptions. The term
"expectations" refers to what the pupils should expect from
the service provider. Because providing services in the
healthcare industry frequently puts people at risk, it should
place a premium on administrative personnel, particularly
collaboration among administrators, visitors, and service
providers (Hameed & Anwar, 2018).
Service Quality Dimensions
Currently, practically all service providers consider service
quality to be an important factor to consider; through the
explanation of numerous definitions of service quality, it
can be seen that there is a positive and significant
relationship between service providers and visitor
satisfaction (Anwar & Balcioglu,2016). Many previous
studies have been conducted in order to uncover aspects of
service quality that are most essentially involved in
fundamental quality appraisals in the service environment.
Because it will help to analyze, monitor, and then enhance
the service quality of patients, service quality is essential
(Abdullah et al. 2017). According to Parasuraman et al.,
(1985), eight service quality dimensions were devised, all
of which were determined by). These dimensions
correspond to a service quality field from which these
SERVQUAL model components were obtained (Anwar,
2016). After further refinement, the above-mentioned
dimensions were revised, and five dimensions (three
original and two combined) were developed by
Parasuraman, et al., (1988) to evaluate service quality
(Anwar, 2017): (1) Tangibles, (2) Reliability, (3)
Responsiveness, (4) Assurance, and (5) Empathy:
Tangible dimension is defined “as the physical appearance,
equipment, personnel, and communication materials”
Physical appearance is the appearance of the personnel,
exterior of the equipment, the look of building and
renovation (Kangogo, et al., 2013). Tangibles dimensions
refer to physical version of image of the services that
students, will utilize to evaluate the quality.
Reliability dimension depicts whether education sectors
follow confirmed promises and how precious it is in the
implementation process. Reliability dimension reflects the
education sectors’ capability to execute service accurately
and dependably ”. It compromises “doing it right the first
time” and as for the students it is one of the most significant
dimension Berry and Parasuraman, (1991) as cited in (Top
& Ali, 2021). Furthermore, reliability demonstrates that the
education sectors convey on its guarantees regarding the
attendance, examinations, pricing policies, and provided
service. Students prefer to join a university that keep their
guarantees concerning the service outcomes (Anwar &
Shukur, 2015).
Responsiveness dimension –“being willing to help” -refers
to the university’s readiness of prompt service. It is
significant to respond to all patients needs and expectation,
otherwise the patients demand and needs will become a
complaint towards the university’s service quality.
University’s ability to confirm that they are providing with
a service on time is a basic part of service quality for major
students.
Assurance dimension is conveyed to students by the
duration of time they require to wait for the response of their
inquiries. Standards for promptness that indicates
requirements in the university’s internal policy might be
dissimilar to what the students require or expect. Assurance
refers “the knowledge and courtesy of employees and their
ability to inspire trust and confidence”. This dimension is
especially critical for services that patients see as high
hazard or for the services where the outcome seems
uncertain for the students. Assurance and empathy comprise
originally developed seven dimensions, which are
communication, security, credibility, competence,
understanding/knowing students, courtesy, and access (Lim
et al. 2018).
The healthcare industry faces with different difficulties than
organizations which produce products due to the dissimilar
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nature of service in comparison with a product. In service
industry there is a greater probability to fail, rather than in
product sales. For instance, if a guest purchases a
demolished mobile phone, it can be replaced, but if an
employee of the hospitals didn’t provide with a proper
service, the consequences might be definitive. Therefore,
services don’t have replaceable factor, in the same way as
the majority of the items that don't fulfill patientss’ needs.
According to (Sorguli et al. 2021), there are following key
characteristics of services “intangibility, inseparability,
variability or heterogeneity and perishability”.
Intangibility
Opposite to tangible goods, patients can’t actually see or test
the service before they consume it. The purchaser is not able
to see the features of the service product; he or she
consumes it (Anwar & Abd Zebari, 2015). This is one of the
biggest problems to the healthcare industry, in light of the
fact that they should prove that the service they are offering
is worth to be purchased. Accommodation in a hospitals
can’t assess ahead of time, but a guest already has some
programmed desires on which the gratification level is
actually based on (Talim, et al. 2021).
Inseparability
Inseparability occurs when production and consumption of
the service is happening at the same time, while tangible
products following already tasted road from manufacture,
through storage to the final purchase. For example in
hospitals, a buyer ought to be available during the actual
service, he should be in the room in order to get his or her
service; it is impossible to pack a room and other hospitals
facilities and send to the patients, in service industries, the
patients have to be present in the place, in order to receive a
service (Anwar & Surarchith, 2015).
Variability or heterogeneity
This means is that there cannot be two different hospitals,
providing similar services. The quality of service can be a
differently provided by the same employee, working in a
different company. It is obvious, that even identical
products can be different from each other. The variability is
very common among services (Anwar & Shukur, 2015).
Perishability
Perishability means that “services cannot be saved, stored,
resold or returned” (Anwar, 2017). It is a big disadvantage,
that when the demand is high, hospitals cannot sell more
rooms, than they have in their inventory. And same they
cannot keep rooms to sell them tomorrow, because
tomorrow is another day and another let’s say 200 rooms
according to the budget should be sold. Service quality has
been the point of impressive concern via specialists lately.
By taking a look at different meanings of service quality it
can be seen that it is an aftereffect of the correlation which
clients makes between their desires and what they really get
from the related service supplier (Anwar, 2016).
Various studies have been carried out in order to reveal
dimensions of service quality that most essentially
contribute to fundamental quality appraisals in the service
encirclement. Distinguishing proof of the determinants of
service quality is crucial in light of the fact that it will help
to measure, to control and afterward enhance client's
apparent service quality. There are ten service quality
dimensions, which were determined by Parasuraman et al.
(1985). These dimensions fit as a service quality field from
which these items were obtain for the SERVQUAL model
(Parasuraman, et al., 1985). The dimensions are as follow:
Reliability is a companies’ ability to perform
assured service and honor its promises. It signifies
that the service supplier provides service right the
first time;
Responsiveness refer to willingness of employees
to assist patients and provide prompt service;
Competence involve employees’ knowledge and
measure of required skills;
Access is a scope to which employees are
approachable;
Courtesy includes employees’ relation towards the
patients (notably, respect, politeness, friendliness);
Communication means proper delivery of the
information to the patients;
Credibility involves honesty and trust of the
service supplier;
Security means providing freedom from danger or
doubt;
Understanding/Knowledge means to apply an
effort to understand the guest’s needs (for example
to learn guest’s specific requirements);
Tangible includes physical appearance.
Later, after refinement, above mentioned
dimensions were revised and five dimensions (three original
and two combined) (Parasuraman, et al., 1988) were
developed in order to evaluate service quality:
o Tangibles
o Reliability
o Responsiveness
o Assurance
o Empathy
Tangibles are defined “as the appearance of physical
facilities, equipment, personnel, and communication
materials” (Sabir et al. 2021), Physical appearance is the
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appearance of the equipment, appearance of the personnel,
the look of building and renovation. Tangibility refers to the
cleanness of the rooms, restaurants and other areas, the
clean and proper uniform, used by the employees, usage of
disposable gloves and etc. (Parasuraman, et al., 1988).
Tangibles, amongst all other five dimensions, think over the
most significant element for the guest. It give physical
representation of pictures of the services that clients,
especially new clients, will use to assess the quality. In spite
of the fact that tangibles are frequently utilized by service
providers to reinforce their reputation, give congruity, and
sign quality to client, most organizations unite together
tangibles with other in order to establish a service quality
technique for the company (Abdullah et al. 2017).
Reliability depicts whether a service supplier follows
assured promises and how precious it is in the actions. The
significant importance lies in fulfilling promptly the
patients’s requests (Anwar & Balcioglu,2016). According
to (Parasuraman, et al., 1988) reliability “reflects the service
provider’s ability to perform service dependably and
accurately”. It includes “doing it right the first time” and as
for the patients it is one of the most significant dimension
(Berry and Parasuraman, 1991 as cited in (Hameed &
Anwar, 2018). In detail, reliability implies that the
organization conveys on its guarantees - guarantees about
conveyance, service supply, issue determination and pricing
policy.
Responsiveness – “being willing to help” - refers to the
organization's readiness to settle happened issues and
availability to provide fast service (Parasuraman, et al.,
1988). It is important to respond to all patients requests,
otherwise the request can turn into a complaint. Service
suppliers' capability to ensure that they are providing with a
service on time is a basic part of service quality for major
patientss. This dimension underscores mindfulness and
immediacy in managing patientss’ appeals, questions,
complaints and other issues (Anwar & Ghafoor, 2017).
Responsiveness is conveyed to clients by the length of time
they need to wait for the reply for inquiries. Responsiveness
likewise catches the idea of adaptability and capability to
redo the service to client needs. Standards for promptness
that indicates requirements in the internal policy of the
company might be dissimilar to what the patients require or
expect. Front-line staffs, in hospitals they are receptions,
waitress, hostess, guest relation, have to be very well trained
as well as should be responsive towards patients (Anwar &
Balcioglu,2016).
Assurance indicates “the knowledge and courtesy of
employees and their ability to inspire trust and confidence”
(Anwar, 2016). It is important for the hospitals to prove that
it’s trustable and worth the money, the patients is paying.
The guest should feel safe when he or she consumes
different services from a hospitals and would like to feel
secure during his stay (Anwar, 2017). Also based on the
study of (Anwar & Shukur, 2015), patients should feel safe
in all financial transactions, therefore employees should be
trustworthy. This dimension is especially critical for
services that patients see as high hazard or for the services
where the outcome seems uncertain for the patients.
Empathy depicts proper communication skills and job
knowledge while offering related services. It is ability to
good communication, patients understanding and
individualized attention given to a guest by the employee,
as has been discussed in the study of (Anwar & Surarchith,
2015). The entity of empathy is imparting through
customized service that shows that clients are unique and
uncommon and that their need are caught on. It is very
important to the hospitals’s guest to feel that their needs are
understood by the hospitals. They appreciate when a front-
line staff calls them by name, this in turn build up
relationship between patients and an employee.
Assurance and empathy comprise originally developed
seven dimensions, which are communication, security,
credibility, competence, understanding/knowing patientss,
courtesy, and access (Anwar & Abd Zebari, 2015).
Above mentioned dimensions depict how patientss sort out
data about service quality in their opinions. Sometimes
clients will utilize each of the five dimensions to focus on
service quality recognitions, but sometimes they will use
just part of them.
GAP Analysis
Service quality is the differences between expected and
perceived performance. It is easier to measure the quality of
goods, due to their tangibility, notably defects can be seen
on the product. But service quality is intangible and evasive;
hence it is difficult to measure it (Parasuraman, et al., 1985).
Ten service quality dimensions were developed by
Parasuraman (1985), and based on these discoveries they
have created a service quality model which eventually
focused around GAP dissection. The model is illustrated in
Figure-2- The GAP has been recognized in the quality
literature for some time. “GAP refers to the differences
between desired levels of performance and actual levels of
performance” (Anwar & Ghafoor, 2017). “In services this
is the difference between the expected and the actual level
of service provided” (Juan, et al., 2017). Gaps are
significant in the following aspects; once a gap is
distinguished, corrective actions and process improvement
should take place. The process in identifying and correcting
these gaps is called gap analysis.
GAP 1: The Knowledge of GAP is the dissimilarity
between guest’s expectation and perceptions of
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management of these expectations (Lack of knowledge of
patients’ expectations).
When this GAP is large, service providers are likely
producing excellent service that nobody wants (Hameed &
Anwar, 2018).
Management Patients
perception of patients
expectations
expectations
Fig.2: GAP 1- Adopted from (Parasuraman, et al., 1985).
In order to truly improve patients service the clear
understanding of patientss wants should be identified.
The SERVQUAL instrument can be used in order to
help in this understanding.
GAP 2: The Standards GAP is the dissimilarity among what
company’s management perceives and service quality
specifications (Improper standards of service quality)
(Anwar & Balcioglu,2016).
GAP model is one of the most useful contributions to
service literature. Gaps in communication and
understanding between workers and patients have an
earnest negative effect on the impression of service quality,
due to service being intangible (Hamza et al. 2021). All
above mentioned GAPs demonstrate dissimilarity between
perceptions that can have a harmful consequence on service
quality. GAP 1, GAP 2, GAP 3, GAP 4 operates as a path
in which service will be provided, while GAP 5 belongs to
the guest. Later, The GAP 5 is the GAP that the
SERVQUAL instrument influence.
SERVQUAL and SERVPERF Models
There have been several endeavors, which were made by
different researchers, to identify variables that measure
service quality, amid which the most used is SERVQUAL
and SERVPERF (Ismael et al. 2021). An important
SERVQUAL tool was developed by Zeithaml, Parasuraman
and Berry in the mid-1980s, in order to evaluate quality in
the service industry and developed from the GAP model.
These researchers developed this survey instrument for
accessing quality along the five service quality dimensions.
The SERVQUAL questionnaires have been used by
different companies and it is a ready-made approach that is
appropriate to be used in various service situations.
SERVQUAL signify service quality as dissimilarity
between the expected services by a patients and guest’s
perception of the received services (Abdullah et al. 2017).
This model evaluates the GAP between guest’s expectations
and what the patients got in the reality. The SERVQUAL
tool reside the most entire endeavor to hypothesize and
evaluate service quality. Anwar & Ghafoor, (2017) has
stated that this model is more applicable while it’s utilized
with other related services quality models.
The SERVQUAL scale is a primary tool in service
marketing literature for accessing quality. This tool has
been extensively utilized by researchers and industry
leaders in order to access guest appreciation of service
quality for a discrepancy of services (Anwar, 2017).
According to Parasuraman et al., (1988) firstly developed
SERVQUAL model included two parts that aimed to
evaluate:
o Patients’ expectations for different characteristics
of service quality;
o Patients’ perceptions of the rendered services
(Jamal et al. 2021). In brief, the SERVQUAL tool
is based on GAP theory which has been unfolded
by Parasuraman et al. (1985).
Talking about SERVPERF according to Anwar & Abd
Zebari, (2015), it is the performance element of the service
quality scale, which is measures in the same way as
SERVQUAL, using five service quality dimensions:
“Tangibles, Reliability, Responsiveness, Assurance and
Empathy” (Parasuraman, et al., 1988). They were among
the scientists who leveled maximum attack on SERVQUAL
model (Anwar & Surarchith, 2015). It has been mentioned
that to measure service quality the evaluation of perceived
performance was enough and no need to evaluate the
expectations. Cronin & Taylor (1992) assert that
SERVPERF has greater hypothesis power and it measures
exhibit convergent and distinct lawfulness. Questions that
make up the SERVPERF scale could cover most of the wide
domain of service quality (Anwar & Shukur, 2015).
Nowadays a competitive advantage can be earned by the
organization by enhancing the service quality. Conceptual
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models in service quality empower management to identify
problems related to quality. The prevention of occurred
problems empowers the probability of improving
company’s profit, efficiency and general performance
(Demir et al. 2020).
III. METHODOLOGY
The purpose of this research is to determine service
quality perceptions of patients and investigate the impact of
service quality on service patients’ satisfaction in hospitals
in Erbil. A quantitative method used in order to analyse data
gathered by the researcher. The survey has been distributed
to and collected from hospitals patients by the reception
Manager.
Design of the Study
The researcher used questionnaire in order to be
able to analyse the current study. The questionnaire was
divided into two sections, the first section consisted of
demographic questions; starting with respondent’s
gender, marital status, level of education, visit per year
and the travel purpose. The second part of questionnaire
was regarding five service quality dimensions as
independent factors and guest satisfaction as dependent
factor
Instrumentation
As it has been mentioned earlier that there are
several methods to measure service quality, but there are
two which are considered as a main and which were used
the most: SERVQUAL and SERVSERF. Both of the
models measure five dimensions, namely: tangibles,
reliability, responsiveness, empathy, and assurance.
However, the former model helps to measure patients’
expectation and service quality perception, whereas the
latter, measure service quality perception only. Different
researchers proposing various ideas regarding both
methods, as there are many uncertainty in using both
expectation and perception measurements, and a
continued support enhanced by Cronin & Taylor (1992),
SERVPERF method has been chosen for the present
study. The questionnaire structured in the form of
multiple choice questions were designed by the
researcher. The participants were asked to mark each
item on five point scales ranging from definitely agree to
do not agree at all. This research instruments were
validated by earlier researchers to be appropriate for
measuring perceived performance of the hospitals that
patients stayed in (Mey Pei, et al., 2006).
Sample Size
The sampling technique will be random sampling
method, where almost all patients in hospitals in Erbil
will have equal chances of being selected for the sample.
The researcher gathered 125 questionnaires but 14
questionnaires were invalid and 111 questionnaires were
properly completed.
IV. FINDINGS
Data were collected with a questionnaire and has
been analyzed. According to the respondents' profile,
descriptive statistics of frequencies and percentages were
calculated and analyzed. Besides that, mean and standard
deviation for each question has been calculated.
Additionally regression and correlation analysis were
carried out.
Table 1-Demographic Analysis
Items Scales Frequency Percent
Gender Male 71 64.0
Female 40 36.0
Age 20–25 2 1.8
26–30 3 2.7
31–35 6 5.4
36–40 24 21.6
41–45 42 37.8
46 and
above
34 30.6
Marital status Married 52 46.8
Single 47 42.3
Divorced 12 10.8
Educational
background
High
School
12 10.8
Diploma 2 1.8
Bachelor 18 16.2
Master 47 42.3
PhD 23 20.7
Other 15 13.5
Table 1 illustrates participants' gender in this
study. According to statistical results 71 participants were
male and 40 participants were female. This indicates that
majority of the responders from the hospitals patients
were male. As for participants' age which have been
involved in this study: 2 participants fall under group of
age 20-25 years old, 3 participants fall under group of 26-
30 years old, 6 participants fall under group of 31-35
years old, 24 participants fall under group of 36-40 years
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old, 42 participants fall under group of 41-45 years old
and 34 participants fall under group of 46 years old and
above. This indicates that majority of participants fall
under group of 41-45 years old which means that most of
participants were mature and reliable to fulfill the
questionnaire. As for participants' marital status: 52
participants were married, 47 participants were single and
12 participants were divorced. As for participants' level
of education: 2 participants had obtained high school, 18
participants had obtained diploma, 47 participants had
obtain bachelor degree, 23 participants had obtained
master degree, 15 participants had obtained PhD degree
and 6 participants responded as other level of education.
As for the rate of visitors to hospitals per year: 14
participants rated as 1-2 times per year, 16 participants
rated as 3-4 times per year, 40 participants rated as 5-6
times per year, 34 participants rated as 7-8 times per year
and 7 participants rated as more than 8 times per year.
This indicates that the hospitals has approximately 81
regular patients per year. As for the purpose of hospitals
patients: 95 participants' purpose were business travel
and 16 participants' purpose were leisure reason. This
means that the majority of participants (patients) purpose
was business travel.
Table 2-Reliability analysis
Variables Cronbach's
Alpha
N of items
Tangible .747 8
Reliability .839 7
Responsiveness .807 9
Assurance .730 8
Empathy .799 8
As seen in table 2, the reliability analysis for five
independent factors and a dependent factor; however it
was found that the value of Alpha for tangible as service
quality dimension = .747 which is more than .6, the result
revealed that tangible dimension is reliable to measure
guest satisfaction in Hospitals, the value of Alpha for
reliability as service quality dimension = .839 which is
more than .6, the result revealed that reliability dimension
is reliable to measure guest satisfaction in Hospitals, the
value of Alpha for responsiveness as service quality
dimension = .807 which is more than .6, the result revealed
that responsiveness dimension is reliable to measure guest
satisfaction in Hospitals, the value of Alpha for assurance
as service quality dimension = .730 which is more than .6,
the result revealed that assurance dimension is reliable to
measure guest satisfaction in Hospitals and the value of
Alpha for empathy as service quality dimension = .799
which is more than .6, the result revealed that empathy
dimension is reliable to measure guest satisfaction in
Hospitals.
Table 3-Correlations Analysis
Variables Pearson
correlation
Tangible Reliability Responsiveness Assurance Empathy satisfaction
Tangible Pearson
correlation
1
Sig. (2- tailed)
N 111
Reliability Pearson
correlation .662**
1
Sig. (2- tailed) .000
N 111 111
Responsiveness Pearson
correlation
.954**
.613**
1
Sig. (2- tailed) .000 .000
N 111 111 1111
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Assurance Pearson
correlation
.965**
.670**
.890**
1
Sig. (2- tailed) .000 .000 .000
N 111 111 111
Empathy Pearson
correlation
.563**
.918**
.590**
.527**
1
Sig. (2- tailed) .000 .000 .000 .000
N 111 111 111 111 111
Patients’
satisfaction
Pearson
correlation
.915**
.769**
.938**
.885**
.764**
1
Sig. (2- tailed) .000 .000 .000 .000 .000
N 111 111 111 111 111 111
**. Correlation is significant at the 0.01 level (2-tailed).
As it was found the correlation analysis between each
independent factor and dependent factor ( as seen in table
3). The results revealed that the Pearson correlation
between guest satisfaction and tangible dimension of
service quality = .915**
, as it can be concluded that there
is a positive and strong relationship between guest
satisfaction as dependent factor and tangible dimension as
independent factor, since the value = .915**
is higher than
0.01, the Pearson correlation between guest satisfaction
and reliability dimension of service quality = .769**
, as it
can be concluded that there is a positive and strong
relationship between guest satisfaction as dependent factor
and reliability dimension as independent factor, since the
value = .769**
is higher than 0.01, the Pearson correlation
between guest satisfaction and responsiveness dimension
of service quality = .938**
, as it can be concluded that there
is a positive and strong relationship between guest
satisfaction as dependent factor and responsiveness
dimension as independent factor, since the value = .938**
is
higher than 0.01, the Pearson correlation between guest
satisfaction and assurance dimension of service quality =
.885**
, as it can be concluded that there is a positive and
strong relationship between guest satisfaction as dependent
factor and assurance dimension as independent factor,
since the value = .885**
is higher than 0.01, and the Pearson
correlation between guest satisfaction and empathy
dimension of service quality = .764**
, as it can be
concluded that there is a positive and strong relationship
between guest satisfaction as dependent factor and
empathy dimension as independent factor, since the value
= .764**
is higher than 0.01.
Table 4-Multiple Regression Analysis
Coefficients
Model Unstandardized Standardized t Sig.
Coefficients Coefficients
B Std. Error Beta
1 (Constant) .380 .110 3.458 .000
Tangible .529 .056 .502 9.455 .000
Reliability .426 .052 .370 8.208 .000
Responsiveness .548 .034 .573 6.028 .000
Assurance .375 .029 .475 2.922 .000
Empathy .385 .023 .468 6.449 .000
R Square .964
F 2728.138
a. Dependent Variable: Guest Satisfaction
10. International Journal of Medical, Pharmacy and Drug Research (IJMPD)
[Vol-5, Issue-3, May-Jun, 2021]
ISSN: 2456-8015
https://dx.doi.org/10.22161/ijmpd.5.3.2
Peer-Reviewed Journal
Int. J. Med. Phar. Drug Re. 2021 16
Vol-5, Issue-3; Online Available at: https://www.aipublications.com/ijmpd/
The researcher implemented multiple regression analysis
to measure patients’ satisfaction based on each service
quality dimensions. According to the conceptual
framework and five research hypotheses which developed
by the author, the multiple regression analysis was applied
to measure each research hypothesis. The findings revealed
that; as for tangible dimension it was found that there is a
positive and significant relationship between tangible as
service quality dimension and patients’ satisfaction, as it
can be seen that the value of B for tangible dimension is
.529 which is higher than .005 with P-value =.000 this
indicates that the first research hypothesis is supported, as
for reliability dimension it was found that there is a positive
and significant relationship between reliability as service
quality dimension and patients’ satisfaction, as it can be
seen that the value of B for reliability dimension is .426
which is higher than .005 with P-value =.000 this indicates
that the second research hypothesis is supported, as for
responsiveness dimension it was found that there is a
positive and significant relationship between
responsiveness as service quality dimension and patients’
satisfaction, as it can be seen that the value of B for
responsiveness dimension is .548 which is higher than .005
with P-value =.000 this indicates that the third research
hypothesis is supported, as for assurance dimension it was
found that there is a positive and significant relationship
between assurance as service quality dimension and
patients’ satisfaction, as it can be seen that the value of B
for assurance dimension is .375 which is higher than .005
with P-value =.000 this indicates that the fourth research
hypothesis is supported and as for empathy dimension it
was found that there is a positive and significant
relationship between empathy as service quality dimension
and patients’ satisfaction, as it can be seen that the value of
B for empathy dimension is .385 which is higher than .005
with P-value =.000 this indicates that the fifth research
hypothesis is supported. The value of R square = .802 this
indicates that 80% of total variance has been explained,
moreover, the F value for independent variables =90.296,
since (90.296>1) this indicates there is a significant relation
with service quality dimensions and patients satisfaction.
V. CONCLUSION
In today’s competitive environment, service sectors have
been developing rapidly, at the same time as patients’ high
quality service demand service is increasing. In order to
hospitals be able to compete in such competitive business
environment, it requires to assess patients’ perception and
expectations towards provided service. The research
objective was to investigative the relationship between
service quality dimensions with patients satisfaction in
hospitals in Erbil. In this study, the researcher adopted the
SERVQUAL instrument (Parasuraman, 1985), to prepare
a survey by utilizing five service dimensions. The survey
designed to find out the level of patients’ perception and
expectation towards the hospitals’ service quality. The
findings showed that the responsive as service dimension
had the highest value; on the other hand assurance as
service dimension had the lowest value.
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