SATISFACTION TOWARDS PUBLIC HEALTHCARE SERVICES IN MALAYSIA
-
Upload
farhan-ab-rahman -
Category
Education
-
view
373 -
download
0
Transcript of SATISFACTION TOWARDS PUBLIC HEALTHCARE SERVICES IN MALAYSIA
TAO LIBIN EGE130011
PUSHPAVINDRAR A/L YELLAMARAN EGE150012
WAN MOHAMAD FARHAN BIN AB RAHMAN EGE150020
MUHAMMAD RIDZUAN HAKIM B. MOHD MUSLEH EGE150021
Literature Review Factor analysis (FA) is one of the most important statistical techniques in
multivariate study. FA is used mainly for two purposes which are exploratory
factor analysis (EFA) and confirmatory factor analysis (CFA). EFA is the
exploration and combine large number of variables into few factors (Stalec et al,
2012)
Conjoint analysis was firstly be conducted by Luce and Tukey in 1964. Later the
technique was introduced into marketing literature by Green and Rao in 1971, as
well as by Johnson in 1974, conjoint analysis has developed into a method
preference studies that receives much attention from both theoreticians and those
who carry out filed studies (Gustafsson et al, 2001)
Conjoint analysis is used by many researchers and marketing firms as a market
data gathering analytical tool. Conducting a conjoint analysis is an effective
method to see consumers’ needs. It also gives insights that how consumers feel
about product attributes. As products are brought into the market, firms gather
market data to support the strategic product development direction (Gross, 2014)
Samah (2012) studied the performance of facility in health
organization in Malaysia outpatient department which rated by users
and concluded that no facility was assessed as good quality and
advised to improve facility.
Hassali et al (2014) conducted a research on patient satisfaction and
concluded that waiting time was the primary factor to affect patients’
satisfaction level. The authors suggested to decrease waiting time.
According to the study of Direkvand-Moghadam, Hashemian,
Delpisheh, Sohili and Sayehmiri (2014), the authors tried to find
salient variable affect patients’ satisfaction level and concluded that
doctors and nurses’ decision making are the main element on patients’
satisfaction. It was recommend to enhance the quality of doctors and
nurses in order to enhance the service quality for patients.
Problem Definition
1. Marketing Research Problem: To determine on the
various needs of the customers and to the extent of
which current services satisfy those needs to influence
the level of satisfaction on public healthcare in Malaysia
2. Management Decision Problem: To focus on possible
factors that would eventually influence overall level of
satisfaction of the customers using public healthcare in
Malaysia
Research Questions
1. Do increasing number of trained nurses influence
customer satisfaction on public healthcare
services in Malaysia?
2. Do improving advanced facility influence
customer satisfaction on public healthcare
services in Malaysia?
Research Hypotheses
Ho : Customer satisfaction are not influenced with the
additional number of trained nurses
H1 : Increasing number of trained nurses help to
influence customer satisfaction in public healthcare
services in Malaysia
Ho : Advanced facility do not influence on customer
satisfaction on public healthcare services in Malaysia
H1 : Customer satisfaction are influenced with advanced
facility in public healthcare services in Malaysia
Research Design
Duration of study
November 2015 - December 2015
(within three weeks time)
Data Collection
Online and manual survey collection
Online survey was done by using Google docs application where
we host the questionnaire on the app
We distributed the questionnaires to the target respondents and
were collected after certain time period to allow ample time for
answering the questionnaires.
Sampling
Sampling
5 groups were divided and each group has to gain at least 80
respondents
Target sample = 400
Convenience sampling is used in the study.
Discussion
Preliminary step
In data exploration, out of 400 respondents, we have removed
66 respondents due to missing values and wrong entry of
categories in particular variables
Discussion
6.2 Socio-demographic variables
The total respondent for this study is 334, where 38% of them were male and 62% were female. Majority of the respondents age are between 18 to 24 years old
The percentage of ethnicity are 57.2% Malay, 33.5% Chinese, 7.5% Indian, and 1.8% others.
About 145 respondents monthly personal income was less than RM1500 (Highest Frequency)
Respondent in this category are students, unemployed respondent, retiree/pensioner, and others that make up 40.4% of the total sample.
291 of the respondents stated that the hospital they went were in the urban area
Most of the public hospital in Malaysia are located in urban area rather than in rural area.
Variable
Less than 5
minutes
From 6 to
10 minutes
More than 10
minutes
Chi-Square Test Question B3:
How long do you usually have to wait
before being called to the treatment room
Area of the public hospital (2) =1.163
p-value=0.559 Urban 2.1% 16.2% 81.8%
Rural 4.7% 14.0% 81.4%
Variable
1-2 2-5 More than 5
times
Chi-Square Test Question B2:
How many times have you received treatment
at the hospital within this year
Gender (2) = 0.75
p-value=0.685
Male 75.6% 15.0% 9.4%
Female 72.9% 14.5% 12.6%
Table 5: KMO and Bartlett's Test
Kaiser-Meyer-Olkin Measure of Sampling Adequacy. .966
Bartlett's Test of Sphericity
Approx. Chi-Square 10601.787
df 435
Sig. .000
Component
Initial Eigenvalues
Total % of Variance Cumulative %
1 17.954 59.847 59.847 2 2.300 7.667 67.515 3 1.386 4.618 72.133 4 1.020 3.399 75.532 5 .714 2.379 77.911 6 .603 2.010 79.920 7 .570 1.899 81.819 8 .501 1.669 83.488 Extraction Method: Principal Component Analysis.
Non-redundant residuals with absolute values greater than 0.05 is 11% which indicate that the model fit is good
.
• Cronbach's alpha = 0.967 Staffs
services
• Cronbach's alpha = 0.941 Quality of
physical facilities
• Cronbach's alpha = 0.939
Time
management
• Cronbach's alpha = 0.939 Doctors services
In addition,
there would
be no
improvement
on deleting
any of the
item in each
factor
Factor Item Factor
Loading
Corrected item total
correlation(CITC)
Cronbach's alpha
if item deleted
Cronbach's alpha
Staffs services
C18 0.840 0.842 0.963
0.967
C19 0.787 0.854 0.963
C110 0.761 0.851 0.963
C17 0.758 0.861 0.963
C15 0.756 0.806 0.964
C16 0.736 0.766 0.965
C14 0.712 0.838 0.963
C112 0.696 0.844 0.963
C11 0.676 0.795 0.964
C111 0.659 0.773 0.965
C113 0.658 0.800 0.964
C2a9 0.640 0.816 0.964
C12 0.636 0.764 0.965
Quality of physical facilities
C38 .831 0.819 0.931
0.941
C37 .801 0.835 0.930
C34 .761 0.764 0.935
C39 .734 0.831 0.930
C35 .729 0.749 0.936
C310 .719 0.834 0.930
C36 .649 0.740 0.937
C33 .645 0.750 0.935
Time management
C2a4 .767 0.883 0.919
0.939
C2a2 .757 0.800 0.930
C2a5 .733 0.843 0.924
C2b2 .727 0.761 0.935
C2b4 .684 0.826 0.926
C2a7 .611 0.798 0.930
Doctors services
C2b7 .760 0.891 0.898
0.939 C2b8 .739 0.865 0.919
C2b6 .732 0.866 0.917
The dependent variable is the respondents’ perception on different aspects of services provided by the public hospital. The model estimated is shown as below: U = b0+ b1X1+ b2X2+ b3X3+ b4X4+ b5X5+ b6X6+ ξ where:
dummy variables
representing general
staff/nurses;
dummy variables
representing doctors; X
5, X
6 :
dummy variables
representing general
facilities
The R square indicates that the model is fairly good fit
Model R R Square Adjusted R Square
Std. Error of the Estimate
1 .695a .483 -1.066 .28678
Service profile and ratings
Data coded for dummy variable regression
The method of least squares has been used
for estimation of model coefficients :
𝑏0 6.981
𝑏1 0.250
𝑏2 0.160
𝑏3 -0.068
𝑏4 0.096
𝑏5 -0.068
𝑏6 -0.054
Level 3 for each attribute has been treated as the base
level. The coefficients that may related to the utility or part-
worths(αij) is shown in the table below
-0.1500
-0.1000
-0.0500
0.0000
0.0500
0.1000
0.1500
Prompt service (baselevel)
Capable of bearingwith annoyance
Empathy
-0.1000
-0.0800
-0.0600
-0.0400
-0.0200
0.0000
0.0200
0.0400
0.0600
0.0800
0.1000
Accurateprescription (base
level)
Professionlism Open to discussion
It is clearly seen that prompt
service, professionalism
and enough seats have the
highest utility as shown in
the figures
-0.0400
-0.0300
-0.0200
-0.0100
0.0000
0.0100
0.0200
0.0300
0.0400
0.0500
Technologicallyadvanced
equipment (baselevel)
Comfortable waitingarea
Enough seats
Part-worth functions of general staff/ nurses
Part-worth functions of doctors
Part-worth functions of general facilites