Organizational commitment, patient satisfaction and loyalty in the first-level health facilities

Febri Endra Budi Setyawan, Stefanus Supriyanto, Ernawaty Ernawaty, Retno Lestari

Abstract


Patient satisfaction and loyalty are widely cited as markers of healthcare quality. Organizational commitment assists first-level health facilities in achieving the goals by incorporating physicians in the implementation of holistic and comprehensive care. This study aims to analyze a structural model of physician organizational commitment, patient satisfaction, and loyalty in first-level health facilities. This study used an explanatory research design with a total sample of 199 physicians and 980 patients in 30 public and private first-level health facilities within the collaboration of national healthcare and social security, chosen by systematic random sampling. Analysis was performed by using Partial Least Squares–Structural Equation Modeling (PLS-SEM). Physician factors, organizational factors, and non-organizational factors have the strongest influence on physician organizational commitment (80.2%). To sum up, major efforts should be made to improve organizational commitment among physicians in providing holistic and comprehensive care in first-level health facilities to boost patient satisfaction and loyalty.

References


T. Fatima, S. A. Malik, and A. Shabbir, “Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems,” International Journal of Quality & Reliability Management, vol. 35, no. 6, pp. 1195–1214, Jan. 2018, doi: 10.1108/IJQRM-02-2017-0031.

C. E. Kim et al., “Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals,” BMC Complementary and Alternative Medicine, vol. 17, no. 1, p. 174, Mar. 2017, doi: 10.1186/s12906-017-1691-6.

F. E. B. Setyawan, S. Supriyanto, F. Tunjungsari, W. O. N. Hanifaty, and R. Lestari, “Medical staff services quality to patients satisfaction based on SERVQUAL dimensions,” International Journal of Public Health Science (IJPHS), vol. 8, no. 1, Art. no. 1, Mar. 2019, doi: 10.11591/ijphs.v8i1.17066.

N. Bam, M. S. Badal, and R. Bhattarai, “Factors affecting organizational commitment among university faculties of Nepal: A structural equation modeling approach.” https://ideas.repec.org/a/cub/journl/v21y2018i1p90-101.html (accessed Aug. 28, 2021).

G. Abid, F. Contreras, S. Ahmed, and T. Qazi, “Contextual Factors and Organizational Commitment: Examining the Mediating Role of Thriving at Work,” Sustainability, vol. 11, no. 17, Art. no. 17, Jan. 2019, doi: 10.3390/su11174686.

V. Murale, S. Juhi, and R. Preetha, “Employee Commitment and Patient Satisfaction: An Initial Reflection From Indian Healthcare,” 2015. doi: 10.21863/IJCR/2015.3.1.004.

D. P. Kessler and D. Mylod, “Does patient satisfaction affect patient loyalty?,” International J Health Care QA, vol. 24, no. 4, pp. 266–273, May 2011, doi: 10.1108/09526861111125570.

F. E. B. Setyawan and R. Lestari, “Holistic-comprehensive approaches to improve nutritional status of children under five years,” J Public Health Res, vol. 10, no. 2, Apr. 2021, doi: 10.4081/jphr.2021.2183.

J. F. Hair, M. C. Howard, and C. Nitzl, “Assessing measurement model quality in PLS-SEM using confirmatory composite analysis,” Journal of Business Research, vol. 109, pp. 101–110, Mar. 2020, doi: 10.1016/j.jbusres.2019.11.069.

M. Sarstedt, J. F. Hair, C. M. Ringle, K. O. Thiele, and S. P. Gudergan, “Estimation issues with PLS and CBSEM: Where the bias lies!,” Journal of Business Research, vol. 69, no. 10, pp. 3998–4010, Oct. 2016, doi: 10.1016/j.jbusres.2016.06.007.

K. A. Pituch and J. P. Stevens, Applied Multivariate Statistics for the Social Sciences: Analyses with SAS and IBM’s SPSS, Sixth Edition. Routledge, 2015.

P. Maryarini, “Healthcare Resource Guide: Indonesia,” 2019. https://2016.export.gov/industry/health/healthcareresourceguide/eg_main_108589.asp (accessed Aug. 20, 2021).

I. Yücel, “Examining the Relationships among Job Satisfaction, Organizational Commitment, and Turnover Intention: An Empirical Study,” IJBM, vol. 7, no. 20, p. p44, Oct. 2012, doi: 10.5539/ijbm.v7n20p44.

Z. Radosavljevic, V. Cilerdzic, and M. Dragic, “Employee organizational commitment,” Int Rev, no. 1–2, pp. 18–26, 2017, doi: 10.5937/intrev1702018R.

S. E. Jafari Kelarijani, A. R. Heidarian, R. Jamshidi, and M. Khorshidi, “Length of service and commitment of nurses in hospitalsof Social Security Organization (SSO) in Tehran,” Caspian J Intern Med, vol. 5, no. 2, pp. 94–98, 2014. PMID: 24778784; PMCID: PMC3992235.

F. M. Pranita, “Influence of Motivation and Organizational Commitment on Work Satisfaction and Employee Performance,” Proceedings of the ICECRS, vol. 1, no. 2, Art. no. 2, Apr. 2018, doi: 10.21070/picecrs.v1i2.1431.

D. Dobrinić and R. Fabac, “Familiarity with Mission and Vision: Impact on Organizational Commitment and Job Satisfaction | Business Systems Research : International journal of the Society for Advancing Innovation and Research in Economy.” https://hrcak.srce.hr/ojs/index.php/bsr/article/view/17341 (accessed Aug. 10, 2021).

ISSA, “Commitment-Based Capitation as Indonesia’s Model For Performance-Based Payment System for Primary Care Providers | Knowledge sharing platform.” https://iskm.issa.int/node/6057 (accessed Aug. 06, 2021).

F. Miedaner, L. Kuntz, C. Enke, B. Roth, and A. Nitzsche, “Exploring the differential impact of individual and organizational factors on organizational commitment of Physician and nurses,” BMC Health Serv Res, vol. 18, no. 1, p. 180, Dec. 2018, doi: 10.1186/s12913-018-2977-1.

M. Esmaeilpour and M. Ranjbar, “Investigating The Impact Of Commitment,Satisfaction, And Loyalty Of Employees On Providing Highquality Service To Customer,” Romanian Economic Business Review, 2017. https://ideas.repec.org/a/rau/journl/v12y2017i1p82-98.html (accessed Jun. 25, 2021).

Y. He, W. Li, and K. Keung Lai, “Service climate, employee commitment and customer satisfaction: Evidence from the hospitality industry in China,” International Journal of Contemporary Hospitality Management, vol. 23, no. 5, pp. 592–607, Jan. 2011, doi: 10.1108/09596111111143359.

R. Myrtle, D.-R. Chen, C. Liu, and D. Fahey, “Job and career influences on the career commitment of health care executives: The mediating effect of job satisfaction,” Journal of health organization and management, vol. 25, pp. 693–710, Jun. 2011, doi: 10.1108/14777261111178565.

F. E. B. Setyawan, S. Supriyanto, E. Ernawaty, and R. Lestari, “Understanding patient satisfaction and loyalty in public and private primary health care,” J Public Health Res, vol. 9, no. 2, p. 1823, Jul. 2020, doi: 10.4081/jphr.2020.1823.

S. Liu, G. Li, N. Liu, and W. Hongwei, “The Impact of Patient Satisfaction on Patient Loyalty with the Mediating Effect of Patient Trust,” INQUIRY, vol. 58, p. 00469580211007221, Jan. 2021, doi: 10.1177/00469580211007221.

J. Fang, L. Liu, and P. Fang, “What is the most important factor affecting patient satisfaction – a study based on gamma coefficient,” Patient Prefer Adherence, vol. 13, pp. 515–525, Apr. 2019, doi: 10.2147/PPA.S197015.

R. Saha, “FACTORS INFLUENCING ORGANIZATIONAL COMMITMENT – RESEARCH AND LESSONS,” Management Research and Practice, vol. 8, no. 3, pp. 36–48, 2016. https://econpapers.repec.org/article/rommrpase/v_3a8_3ay_3a2016_3ai_3a3_3ap_3a36-48.htm (accessed Aug. 06, 2021).

S. Chandra, P. Ward, and M. Mohammadnezhad, “Factors Associated With Patient Satisfaction in Outpatient Department of Suva Sub-divisional Health Center, Fiji, 2018: A Mixed Method Study,” Front. Public Health, vol. 7, p. 183, Jul. 2019, doi: 10.3389/fpubh.2019.00183.

H. R. H. Elkhdr and N. M. Aimer, “The Effect of Personal Factors on Organizational Commitment Among Teachers Working at Libyan Schools in Turkey,” European Journal of Business and Management Research, vol. 5, no. 1, Art. no. 1, Feb. 2020, doi: 10.24018/ejbmr.2020.5.1.222.

K. Matata, M. Elegwa, and S. Maurice, “Job-Related Factors and their Influence on Organizational Commitment of Part-Time Academic Staff in Institutions of Higher Education in Nairobi and Mombasa Cities in Kenya.” https://ijbssnet.com/journal/index/2684 (accessed Sep. 04, 2021).

T. N. Nguyen, K. N. Mai, and P. V. Nguyen, “Factors Affecting Employees’ Organizational Commitment–A Study of Banking Staff in Ho Chi Minh City, Vietnam,” JOAMS, vol. 2, no. 1, pp. 7–11, 2014, doi: 10.12720/joams.2.1.7-11.

M. H. K. Naghneh, M. Z. Tafreshi, M. Naderi, N. Shakeri, F. Bolourchifard, and N. S. Goyaghaj, “The relationship between organizational commitment and nursing care behavior,” Electron Physician, vol. 9, no. 7, pp. 4835–4840, Jul. 2017, doi: 10.19082/4835.

C. Luz, S. Luiz de Paula, and L. Barbosa de Oliviera, “Organizational commitment, job satisfaction and their possible influences on intent to turnover | Emerald Insight”, doi: 10.1108/REGE-12-2017-008.

L.-C. Hsu, “Investigating Effect of Service Encounter, Value, and Satisfaction on Word of Mouth: An Outpatient Service Context,” Int J Environ Res Public Health, vol. 15, no. 1, p. 132, Jan. 2018, doi: 10.3390/ijerph15010132.




DOI: http://doi.org/10.11591/ijphs.v11i3.21293

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