Analysis of the Multi-Item Dimensionality of Patients’ Perceived Value in Hospital Services

Abstract

The purpose of this research is to analyse the multi-item dimensionality of patients' perceived value in hospital service. A total of 564 patients administered to Gulhane Military Medical Academy were surveyed. Sample population was specified through convenience sampling procedure. A face to face survey was conducted by three interviewers in August 2008. Confirmatory Data Analysis was carried out to reach the final data analysis. A scale of overall perceived value in health service was developed, which was composed of three dimensions and represented by 21 items. These dimensions were: Functional value, emotional value, and social value. The results indicated that perceived value was a multidimensional construct that affects the whole process of service purchasing. If the hospitals managers give importance to the sub-dimensions of the patient value inclined to their own hospitals and they regularly examine the situation of these dimensions, they can move one step ahead in achieving patient satisfaction and loyalty.

An Application of Value Analysis for Lean Healthcare Management in an Emergency Department

“…Schultz et al 22 aimed to identify the patient perceived value of nonfinancial obstacles impeding patients with insurance coverage from receiving medication therapy management services. Some authors [23][24][25] studied to analyze the effects of patient perceived value in order to improve hospital services. Due to an increasing number of healthcare organizations, the chances of option are increasing for customer (patient).…”

Engagement, Empowerment and Patient Generated Health Data

“…Authors have documented functional value (Chahal & Kumari, 2012), transactional value (Lee & Lin, 2011), social value (Dodds et al, 2014a;Nambisan & Nambisan, 2009;Teke et al, 2012) and emotional value (Sweeney & Soutar, 2001;Zainuddin et al, 2011) One participant had "definitely not" taken images previously yet experienced full empowerment, suggesting disempowered people (in this context empowerment is unsolicited PGHD use) may experience empowerment through engagement and resource creation. This tacitly answers the research questions asked by Leung et al (2012), suggesting that resource generation and engagement can cause empowerment for the disempowered.…”

“…With universal healthcare subsidies, the benefits versus sacrifices conceptualisation of healthcare is potentially flawed and successive authors broadened their scope to include multi-dimensional measures (Teke et al, 2012) and other notions of sacrifices like time and effort (Chahal & Kumari, 2012). Further, value-in-use concepts suggest experiential values are "interactive relativistic benefits a consumer expects from a particular set of goods and services and a comparison between perceived quality and perceived cost (monetary and non-monetary), and further influences decision-making" (Chahal & Kumari, 2012, p. 723).…”

“…Attributes included quality facilities, attitude and courtesy of the staff, convenience to home, waiting time, administrative procedures and registration leading which influenced the higher order values of feeling at ease, satisfaction and convenience. Functional value was the primary theme under which the benefits versus sacrifices was explored being described as acquisition value or money's worth for a reasonable price (Chahal & Kumari, 2012) taking into account the quality of installation of the healthcare environment (Teke, et al, 2012). Many of the early conceptualisations of functional value included relationship attributes of service workers, however literature now suggests this is a distinct experiential category described as transactional value (Chahal & Kumari, 2012).…”

“…The term is not widely expressed as transactional value in the healthcare value literature, but has been described as professionalism (Teke, et al, 2012) and quality of care (Dodds, et al, 2014) including concepts like partnership, empowering knowledge and expertise, education and co-learning, support, empathy, caring and congruence. Transactional value is relevant to the proactive patient, because it supports the processes of the engaged patient and can explain the value they receive when working in partnership with providers.…”