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Service Quality and Patient Satisfaction in Hospitals in North- Central Nigeria: The Mediating Role of Hospital Image

Fatima Torkwase Sende, Prof. Anayo D. Nkamnebe, Promise I. Ebizie

Abstract

This study examined the effect of service quality and patients’ satisfaction in hospitals in North-central Nigeria. The mediating role of hospital image specifically, the study x-rayed the individual effects of tangibility, assurance, reliability, responsiveness and empathy on the satisfaction of patients in hospitals in north-Central Nigeria. The study was anchored on Expectancy Disconfirmation Theory postulated by Oliver 1980. Cross-sectional survey research design was adopted for the study. A study population of three hundred and eighty- four (384) was used for the study. Structural Equation Modelling was used to analyze the collected data. Results obtained from the test of the formulated hypothesis revealed that a significant positive relationship exist between tangibility and patient satisfaction since (? = 0.19, CR = 3.56, p < 0.001); a significant positive relationship exist between assurance and patient satisfaction since (? = 0.12, t = 2.24, p = 0.03); a significant positive relationship exist between responsiveness and patient satisfaction since (? = 0.18, t = 3.64, p < 0.001); while reliability had no significant effect on patient satisfaction (? = 0.10, t = 1.80, p = 0.07); empathy also had no significant effect on patient satisfaction (? = 0.10, t = 1.68, p = 0.09), hospital image fully mediates the effect of empathy on patients satisfaction; partially mediated the effects of assurance and responsiveness on patient satisfaction . From the findings, the study concluded that tangibility, assurance and responsiveness directly predict patients; satisfaction. Thus, the study recommend that hospital prioritize modernizing physical facilities, medical equipment and the overall environment of care delivery and hospital should continuous professional development programs to ensure staff confidence, competence and courtesy in patients’ interactions.

Keywords

Service qualitytangibilityempathyresponsivenessconveniencehealthcarepatientimageassurance.

References

Abiodun, A. J. (2010). Patients’ satisfaction with quality attributes of primary health care services in Nigeria. Journal of Health Management, 12(1), 39–54. https://doi.org/10.1177/097206340901200104 Agyapong, A., Afi, J. D., & Kwateng, K. O. (2018). Examining the effect of perceived service quality of health care delivery in Ghana on behavioural intentions of patients: The mediating role of customer satisfaction. International Journal of Healthcare Management, 11(4), 276–288. https://doi.org/10.1080/20479700.2017.1326703 Al-Neyadi, H. S., Abdallah, S., & Malik, M. (2016). Measuring patients’ satisfaction of healthcare services in UAE hospitals using SERVQUAL. International Journal of Healthcare Management, 9(2), 110–123. https://doi.org/10.1080/20479700.2016.1266804 Amporfu, E., Apanya, S., & Amoako, P. (2022). Equity in the perceived quality of care received by malaria patients under National Health Insurance Scheme in Ghana. Health Services Insights, 15, 1–9. https://doi.org/10.1177/11786329221088693 Andaleeb, S. S. (2001). Service quality perceptions and patient satisfaction: A study of hospitals in a developing country. Social Science & Medicine, 52(9), 1359–1370. https://doi.org/10.1016/S0277-9536(00)00235-5 Ariffin, A. A. M., Aziz, N. A., Zain, N. M., & Menon, B. V. (2022). Antecedents and consequences of patient satisfaction in the context of private hospitalization services. WSEAS Transactions on Business and Economics, 19, 259–268. https://doi.org/10.37394/23207.2022.19.24 Asamrew, N., Endris, A. A., & Tadesse, M. (2020). Level of patient satisfaction with inpatient services and its determinants: A study of a specialized hospital in Ethiopia. Journal of Environmental and Public Health, 2020, 1–10. https://doi.org/10.1155/2020/2473469 Asawawibul, S., Na-Nan, K., Pinkajay, K., & Jaturat, N. (2025). The influence of cost on customer satisfaction in e-commerce logistics: Mediating roles of service quality, technology usage, transportation time, and production condition. Journal of Open Innovation: Technology, Market, and Complexity, 11(1), 100482. https://doi.org/10.1016/j.joitmc.2025.100482 Atsehe, P.A., Tachin, R., Iorlumun, F. Agbecha, B.B., Atsehe, J.I., & Kwaghgbah, A. T. (2024). Service quality and patient satisfaction as predictors of loyalty among patients in public hospitals in Markurdi metropolis. Journal of professional counseling and psychotherapy research, 5(1). https://journals.aphriapub.com/index .php/jpcpr/article/view/2552. Bandara, S.N.W.AM.K.W., De Mel, w.d.h & Fernando, W.W.D.P. (2024). Impact of hospital services on patient satisfaction: with reference to a government hospital in Sri Lanka. International journal of research and innovation in social science, 8(3). 2965-2976 Bentum-Micah, G., Cai, L., Atuahene, S. A., Ameyaw, M. A., Bondzie-Micah, V., & Adu- Yeboah, S. S. (2024). Health provider administration functions, patient satisfaction, and loyalty: Their mediation by patient healthcare service quality perceptions. Journal of Psychology in Africa, 34(1), 1–8. https://doi.org/10.1080/14330237.2024.2314365 Berry, L. L., & Bendapudi, N. (2007). Health care: A fertile field for service research. Journal of Service Research, 10(2), 111–122. https://doi.org/10.1177/1094670507306682 Brodie, R. J., Whittome, J. R. M., & Brush, G. J. (2009). Investigating the service brand: A customer value perspective. Journal of Business Research, 62(3), 345–355. https://doi.org/10.1016/j.jbusres.2008.06.008 Chang, C., Chen, S., & Lan, Y. (2013). Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC Health Services Research, 13(22), 1–11. https://doi.org/10.1186/1472-6963-13-22 Coutinho, E. D., Vieira, P. R. da C., Mattoso, C. L. de Q., Troccoli, I. R., & Renni, M. J. P. (2019). Influence of service quality and corporate image on the satisfaction of patients with Brazil’s National Cancer Institute. International Journal of Pharmaceutical and Healthcare Marketing, 13(4), 447–468. https://doi.org/10.1108/IJPHM-07-2018-0036 Danurdara, A. B., & Masatif, A. (2025). Assessing the customer experience quality and customer loyalty: The mediating role of customer satisfaction. Innovative Marketing, 21(2), 248–259. https://doi.org/10.21511/im.21(2).2025.20 Datt, M., Gupta, A., Misra, S. K., & Gupta, M. (2025). CIRMQUAL: A conceptual framework of healthcare service quality. The TQM Journal, 37(4), 1058–1095. https://doi.org/10.1108/TQM-08-2023-0260 Deniz, S., & Çimen, M. (2023). The mediating role of patient satisfaction in the effect of perceived corporate image on patient loyalty. Ac?badem Üniversitesi Sa?l?k Bilimleri Dergisi, 14(1), 76–81. https://doi.org/10.31067/acusaglik.1157374 Farooq, M. S., Salam, M., Fayolle, A., Jaafar, N., & Ayupp, K. (2018). Impact of service quality on customer satisfaction in Malaysia Airlines: A PLS-SEM approach. Journal of Air Transport Management, 67, 169–180. https://doi.org/10.1016/j.jairtraman.2017.12.008 Fatima, T., Malik, S. A., & Shabbir, A. (2017). Hospital healthcare service quality, patient satisfaction and patient loyalty: An investigation in the context of private healthcare systems of Pakistan. International Journal of Quality & Reliability Management, 34(6), 1–17. https://doi.org/10.1108/IJQRM-06-2015-0090 Hamidah, R., Rokhman, M. T. N., & Kartikasari, D. (2025). The role of hospital image and patient satisfaction as mediation in the impact of service quality on patient loyalty. Asian Journal of Healthcare Analytics, 4(1), 29–42. Irfan, S. M., & Ijaz, A. (2011). Comparison of service quality between private and public hospitals: Empirical evidences from Pakistan. Journal of Quality and Technology Management, 7(1), 1–22. Kumar, A., Tikoria, J., & Vyas, V. (2025). PRHEISEQUIN: An innovative tool to measure service quality of medical facilities in private HEIs. In 2025 IEEE International Conference on Interdisciplinary Approaches in Technology and Management for Social Innovation (pp. 1–5). IEEE. https://doi.org/10.1109/IATMSI64286.2025.10984991 Kwateng, K. O., Lumor, R., & Acheampong, F. O. (2017). Service quality in public and private hospitals: A comparative study on patient satisfaction. International Journal of Healthcare Management, 10(4), 252–258. https://doi.org/10.1080/20479700.2017.1390183 Lee, D. H. (2017). HEALTHQUAL: A multi-item scale for assessing healthcare service quality. Service Business, 11(3), 491–516. https://doi.org/10.1007/s11628-016-0317-2 Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261–269. https://doi.org/10.1016/j.jretconser.2016.10.011 Nguyen, N., & Leblanc, G. (2001). Corporate image and corporate reputation in customers’ retention decisions in services. Journal of Retailing and Consumer Services, 8(4), 227–236. https://doi.org/10.1016/S0969-6989(00)00029-1 Olorunniwo, F., Hsu, M. K., & Udo, G. J. (2006). Service quality, customer satisfaction, and behavioral intentions in the service factory. Journal of Services Marketing, 20(1), 59– 72. https://doi.org/10.1108/08876040610646581 Öz, B., & Saygili, M. (2025). Trust communication with dentists, perception of service quality, and patient satisfaction in dental health services. Journal of Dental Education, 89(1), 1–8. https://doi.org/10.1002/jdd.13955 Padamata, K., & Vangapandu, R. D. (2024). The assessment of quality of care in the Indian healthcare industry: The employees’ and patients’ perspectives. Benchmarking: An International Journal, 31(5), 1749–1770. https://doi.org/10.1108/BIJ-10-2022-0617 Pervaiz, S., Javed, U., Rajput, A., Shafique, S., & Tasneem, R. (2024). Examining how and why service quality fosters patients’ revisit intentions: Evidence from Pakistan. International Journal of Pharmaceutical and Healthcare Marketing, 18(2), 145–162. https://doi.org/10.1108/IJPHM-11-2021-0110 Racoare (Apetroi), C. F., Mihalache, I.-C., Tomaziu-Todosia, M., & P

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