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Sağlık Hizmetlerinde Beklemeye İlişkin Alıcıların Duygusal Tepkileri

Yıl 2019, Cilt: 21 Sayı: 3, 548 - 573, 16.12.2019

Öz

Ülke
ekonomisi için önemli olan hizmetler kendilerine has özellikleriyle ayrı bir
pazarlama alanı oluşturmaktadırlar. Soyutluk, ayrılmazlık/ üretim ve tüketimin
eş zamanlı gerçekleşmesi, depolanamama ve değişkenlik, hizmetleri fiziksel
mallardan ayıran özellikler arasında yer almaktadır. Soyutluk, hizmetlerin
başka ek unsurlardan yola çıkılarak değerlendirilmesine yol açmaktadır. Bu
kapsamda hizmet alım süreçlerinde yaşanan beklemeler, alıcılar tarafından
çoğunlukla olumsuz değerlendirilmektedir. Konu sağlık hizmetleri açısından ele
alındığında beklemenin alıcı tepkilerini ve hizmet değerlendirmelerini etkileyeceği
ileri sürülmektedir. Bu çalışmada beklemenin muayene süreçleri içerisinde
yaşandığı aşamaya göre alıcıların duygusal tepkilerinin farklılaşıp
farklılaşmadığı ölçülmeye çalışılmaktadır. Üniversite öğrencileri üzerinde
uygulanan bu çalışmada veri toplama yöntemi olarak anket kullanılmış ve 403
kişi ile yüz yüze görüşme yapılmıştır. Bu araştırmada birbiriyle ilişkili çok
sayıdaki değişkeni az sayıda, anlamlı ve birbirinden bağımsız faktörler haline
getirmek amacıyla çok değişkenli istatistik tekniklerinden olan “keşfedici faktör
analizi”nden yararlanılmıştır. Bunun yanı sıra fark testlerinden “bağımsız gruplar
t- testi” ve “bağımlı gruplar t testi” kullanılmıştır.

Kaynakça

  • Almomani, I. ve AlSarheed, A. (2016). Enhancing outpatient clinics management software by reducing patients’ waiting time. Journal of Infection and Public Health, 9, 734- 743.
  • Anderson, R.T., Camacho, F.T. ve Balkrishnan, R. (2007). Willing to wait?: the influence of patient wait time on satisfaction with primary care. BMC Health Services Research, 7(31), 1- 5.
  • Antonides, G., Verhoef, P.C. ve Aalst, M.V. (2002). Consumer perception and evaluation of waiting time: a field experiment. Journal of Consumer Psychology, 12(3), 193- 202.
  • Bar-dayan, Y., Leiba, A., Weiss, Y., Carroll, J.S. ve Benedek, P. (2002, October). Waiting time is a major predictor of patient satisfaction in a primary military clinic. Military Medicine, 167, 842- 845.
  • Bielen, F. ve Demoulin, N. (2007). Waiting time influence on the satisfaction‐loyalty relationship in services. Managing Service Quality: An International Journal, 17(2), 174-193.
  • Camacho, F., Anderson, R., Safrit, A., Jones, A.S. ve Hoffmann, P. (2006, November/ December). The relationship between patient’s perceived waiting time and office-based practice satisfaction. NC Med J, 67(6), 409- 413.
  • Chebat, J.C., Chebat, C.G., Vaninski, A. ve Filiatrault, P. (1995). The impact of mood on time perception, memorization, and acceptance of waiting. Genetic, Social and General Psychology Monographs, 121(4), 411- 424.
  • Clemmer, E.C. ve Scheider, B. (1989). Toward understanding and controlling customer dissatisfaction with waiting. Marketing Science Institute Reports, Cambridge: Mass, 89-115.
  • Davis, M. M. ve Heineke, J. (1998). How disconfirmation, perception and actual waiting times impact customer satisfaction. International Journal of Service Industry Management, 9(1), 64- 73.
  • Dube- Rioux, L., Schmitt, B.H. ve Leclerc, F. (1989). Consumers' reactions to waiting: when delays affect the perception of service quality. Advances in Consumer Research, 16, 59- 63.
  • Feinberg, R.A. ve Smith, P. (1989). Misperceptions of time in the sales transaction. Advances in Consumer Research, 16, 56- 58.
  • Folkes, V.S., Koletsky, S. ve Graham, J.L. (1987, March). A field study of causal inferences and consumer reaction: the view from the airport. Journal of Consumer Research, 13, 534- 539.
  • Hirsh, I.J., Bilger, R.C. ve Deatherage, B.H. (1956, December). The effect of auditory and visual background on apparent duration. The American Journal of Psychology, 69(4), 561-574.
  • Hornik, J. (1984, June). Subjective vs. objective time measures: a note on the perception of time in consumer behavior. Journal of Consumer Research, 11, 615- 618.
  • https://istatistik.yok.gov.tr/ Erişim tarihi: 12.11.2018.
  • Hui, M.K., Dube, L. ve Chebat, J.C. (1997). The impact of music on consumers’ reactions to waiting for services. Journal of Retailing, 73(1), 87- 104.
  • Hui, M.K., Thakor, M.V. ve Gill, R. (1998, March). The effect of delay type and service stage on consumers’ reactions to waiting. Journal of Consumer Research, 24, 469- 479.
  • Katz, K.L., Larson, B.M. ve Larson, R.C. (1991). Prescription for the waiting in line blues: entertain, enlighten and engage. Sloan Management Review, 32(2), 44- 53.
  • Leddy, K.M., Kaldenberg, D.O. ve Becker, B.W. (2003). Timeliness in ambulatory care treatment an examination of patient satisfaction and wait times in medical practices and outpatient test and treatment facilities. Journal of Ambulatory Care Manage, 26(2), 138–149.
  • Lee, W. ve Lambert, C.U. (2005). The effect of waiting time and affective reactions on customers' evaluation of service quality in a cafeteria. Journal of Foodservice Business Research, 8(2), 19-37.
  • Maister, D.H. (1985). The psychology of waiting lines. J.A. Czepiel, M.R. Solomon ve C.F. Surprenant (Eds), The service encounter: managing employee/ customer interaction in service businesses (ss. 113- 123). Lexington, MA: Lexington Books.
  • McGuire, K.A., Kimes, S.E., Lynn, M., Pullman, M.E. ve Lloyd, R.C. (2010). A framework for evaluating the customer wait experience. Journal of Service Management, 21(3), 269-290.
  • Pruyn, A. ve Smidts, A.(1998). Effects of waiting on the satisfaction with the service: beyond objective time measures. International Journal of Research in Marketing, 15, 321–334.
  • Ramseook-Munhurrun, P. (2016). A critical incident technique investigation of customers’ waiting experiences in service encounters. Journal of Service Theory and Practice, 26(3), 246-272.
  • Ryan, G., Hernandez-Maskivker, G.M., Valverde, M. ve Pamies-Pallise, M. (2018). Challenging conventional wisdom: positive waiting. Tourism Management, 64, 64-72.
  • Tabachnick, B.G. ve Fidell, L.S. (2013). Using multivariate statistics. Boston: Pearson.
  • Taylor, S. (1994, April). Waiting for service: the relationship between delays and evaluations of service. Journal of Marketing, 58, 56-69.
  • Thompson, D.A ve Yarnold, P.R. (1995, December). Relating patient satisfaction to waiting time perceptions and expectations: the disconfirmation paradigm. Academic Emergency Medicine, 2(12), 1057- 1062.
  • Thompson, D.A., Yarnold P.R., Williams, D.R. ve Adams, S.L. (1996, December). Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Annals of Emergency Medicine, 28(6), 657- 665.
  • Tom, G. ve Lucey, S. (1995). Waiting time delays and customer satisfaction in supermarkets. Journal of Services Marketing, 9(5), 20- 29.

Patients’ Affective Reactions to Waiting in Health Care Services

Yıl 2019, Cilt: 21 Sayı: 3, 548 - 573, 16.12.2019

Öz

The services that are
important for the national economy have been creating a particular marketing
area with their unique characteristics. Intangibility, inseparability/ simultaneity
of production and consumption, perishability and variability are among the
features that distinguish services from physical goods. Intengibility
leads to the evaluation of services based on some other additional
elements. In this context, the waiting time in service purchase processes
are mostly evaluated negatively by the customers. When the issue is
considered from the point of view of health services, it is suggested that
waiting time will affect customer reactions and service evaluations. The aim of this study is to measure whether the
affective reactions of the customers differ or not, based on the stage when
waiting time occured within the examination process. In this study applied on
university students, a questionnaire was used as a data collection method and a
face-to-face interview was conducted with 403 people. In this research,
exploratory factor analysis, which is one of the multivariate statistical
techniques, has been used to make a large number of interrelated variables a
few, meaningful and independent factors. In addition, "independent sample
t-test" and "paired sample t-test" were used for the difference
tests.

Kaynakça

  • Almomani, I. ve AlSarheed, A. (2016). Enhancing outpatient clinics management software by reducing patients’ waiting time. Journal of Infection and Public Health, 9, 734- 743.
  • Anderson, R.T., Camacho, F.T. ve Balkrishnan, R. (2007). Willing to wait?: the influence of patient wait time on satisfaction with primary care. BMC Health Services Research, 7(31), 1- 5.
  • Antonides, G., Verhoef, P.C. ve Aalst, M.V. (2002). Consumer perception and evaluation of waiting time: a field experiment. Journal of Consumer Psychology, 12(3), 193- 202.
  • Bar-dayan, Y., Leiba, A., Weiss, Y., Carroll, J.S. ve Benedek, P. (2002, October). Waiting time is a major predictor of patient satisfaction in a primary military clinic. Military Medicine, 167, 842- 845.
  • Bielen, F. ve Demoulin, N. (2007). Waiting time influence on the satisfaction‐loyalty relationship in services. Managing Service Quality: An International Journal, 17(2), 174-193.
  • Camacho, F., Anderson, R., Safrit, A., Jones, A.S. ve Hoffmann, P. (2006, November/ December). The relationship between patient’s perceived waiting time and office-based practice satisfaction. NC Med J, 67(6), 409- 413.
  • Chebat, J.C., Chebat, C.G., Vaninski, A. ve Filiatrault, P. (1995). The impact of mood on time perception, memorization, and acceptance of waiting. Genetic, Social and General Psychology Monographs, 121(4), 411- 424.
  • Clemmer, E.C. ve Scheider, B. (1989). Toward understanding and controlling customer dissatisfaction with waiting. Marketing Science Institute Reports, Cambridge: Mass, 89-115.
  • Davis, M. M. ve Heineke, J. (1998). How disconfirmation, perception and actual waiting times impact customer satisfaction. International Journal of Service Industry Management, 9(1), 64- 73.
  • Dube- Rioux, L., Schmitt, B.H. ve Leclerc, F. (1989). Consumers' reactions to waiting: when delays affect the perception of service quality. Advances in Consumer Research, 16, 59- 63.
  • Feinberg, R.A. ve Smith, P. (1989). Misperceptions of time in the sales transaction. Advances in Consumer Research, 16, 56- 58.
  • Folkes, V.S., Koletsky, S. ve Graham, J.L. (1987, March). A field study of causal inferences and consumer reaction: the view from the airport. Journal of Consumer Research, 13, 534- 539.
  • Hirsh, I.J., Bilger, R.C. ve Deatherage, B.H. (1956, December). The effect of auditory and visual background on apparent duration. The American Journal of Psychology, 69(4), 561-574.
  • Hornik, J. (1984, June). Subjective vs. objective time measures: a note on the perception of time in consumer behavior. Journal of Consumer Research, 11, 615- 618.
  • https://istatistik.yok.gov.tr/ Erişim tarihi: 12.11.2018.
  • Hui, M.K., Dube, L. ve Chebat, J.C. (1997). The impact of music on consumers’ reactions to waiting for services. Journal of Retailing, 73(1), 87- 104.
  • Hui, M.K., Thakor, M.V. ve Gill, R. (1998, March). The effect of delay type and service stage on consumers’ reactions to waiting. Journal of Consumer Research, 24, 469- 479.
  • Katz, K.L., Larson, B.M. ve Larson, R.C. (1991). Prescription for the waiting in line blues: entertain, enlighten and engage. Sloan Management Review, 32(2), 44- 53.
  • Leddy, K.M., Kaldenberg, D.O. ve Becker, B.W. (2003). Timeliness in ambulatory care treatment an examination of patient satisfaction and wait times in medical practices and outpatient test and treatment facilities. Journal of Ambulatory Care Manage, 26(2), 138–149.
  • Lee, W. ve Lambert, C.U. (2005). The effect of waiting time and affective reactions on customers' evaluation of service quality in a cafeteria. Journal of Foodservice Business Research, 8(2), 19-37.
  • Maister, D.H. (1985). The psychology of waiting lines. J.A. Czepiel, M.R. Solomon ve C.F. Surprenant (Eds), The service encounter: managing employee/ customer interaction in service businesses (ss. 113- 123). Lexington, MA: Lexington Books.
  • McGuire, K.A., Kimes, S.E., Lynn, M., Pullman, M.E. ve Lloyd, R.C. (2010). A framework for evaluating the customer wait experience. Journal of Service Management, 21(3), 269-290.
  • Pruyn, A. ve Smidts, A.(1998). Effects of waiting on the satisfaction with the service: beyond objective time measures. International Journal of Research in Marketing, 15, 321–334.
  • Ramseook-Munhurrun, P. (2016). A critical incident technique investigation of customers’ waiting experiences in service encounters. Journal of Service Theory and Practice, 26(3), 246-272.
  • Ryan, G., Hernandez-Maskivker, G.M., Valverde, M. ve Pamies-Pallise, M. (2018). Challenging conventional wisdom: positive waiting. Tourism Management, 64, 64-72.
  • Tabachnick, B.G. ve Fidell, L.S. (2013). Using multivariate statistics. Boston: Pearson.
  • Taylor, S. (1994, April). Waiting for service: the relationship between delays and evaluations of service. Journal of Marketing, 58, 56-69.
  • Thompson, D.A ve Yarnold, P.R. (1995, December). Relating patient satisfaction to waiting time perceptions and expectations: the disconfirmation paradigm. Academic Emergency Medicine, 2(12), 1057- 1062.
  • Thompson, D.A., Yarnold P.R., Williams, D.R. ve Adams, S.L. (1996, December). Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Annals of Emergency Medicine, 28(6), 657- 665.
  • Tom, G. ve Lucey, S. (1995). Waiting time delays and customer satisfaction in supermarkets. Journal of Services Marketing, 9(5), 20- 29.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Ana Bölüm
Yazarlar

Eda Yılmaz Alarçin 0000-0002-6100-1272

Yayımlanma Tarihi 16 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 21 Sayı: 3

Kaynak Göster

APA Yılmaz Alarçin, E. (2019). Sağlık Hizmetlerinde Beklemeye İlişkin Alıcıların Duygusal Tepkileri. Ankara Hacı Bayram Veli Üniversitesi İktisadi Ve İdari Bilimler Fakültesi Dergisi, 21(3), 548-573.