Abdulvahap BAYDAŞ, Semra ÇAMUKA, Mehmet Emin YAŞAR, Fuat YALMAN

The Effect of Personality Characteristic of Outpatients on Hospital PrefePoliklinik Hastalarının Kişilik Özelliklerinin Hastane Tercihi Üzerindeki Etkisi

Bu çalışmanın amacı, poliklinik hastalarının kişilik özellikleri ile hastane tercihi arasındaki ilişkileri belirlemek ve doğrulayıcı karakterli modeller geliştirmektir. Araştırmanın evrenini; Van Yüzüncü Yıl Üniversitesi Dursun Odabaşı Tıp Merkezi Hastanesinden poliklinik hizmeti alan hastalar oluşturmaktadır. Çalışmada nicel araştırma teknikleri kullanılarak kolayda örneklem yöntemi ile 400 kişiden elde edilen veriler yüz yüze anket yöntemi ile toplanmıştır. Araştırmada; betimleyici istatistikler, doğrulayıcı faktör analizi ve dışsal değişkenlerin (hasta sadakati) içsel değişkenler (beş faktör kişilik modeli) üzerindeki etkileri yol (path) analizi ile belirlenmiştir. SPSS ve AMOS paket programlarından faydalanılarak veriler analiz edilmiştir. Araştırma sonuçlarına göre; hastaların kişilik özelliklerini en iyi şekilde temsil eden kişilik özelliği, nevrotikliktir. Hastalara göre sadakati etkileyen en önemli boyut ise ulaşımdır. Ayrıca hastaların kişilik özelliklerinden olan açıklık ifadesinin, hasta sadakatine birçok boyutuyla (bürokrasi-nitelikli personel-fiziksel özellikler-ulaşım-bilgilendirme-ücret-vaat) olumlu ve anlamlı olarak güçlü bir etki ettiği görülmüştür. Hastanenin bürokrasi düzeyini ise, hastaların kişilik özelliklerinden olan sorumluluk, açıklık ve dışa dönüklük ifadelerinin, hastanenin nitelikli personel düzeyini, hastaların kişilik özelliklerinden olan sorumluluk, açıklık ve dışa dönüklük durumlarının olumlu ve anlamlı bir şekilde etkilediği ortaya çıkmıştır.

The Effect of Personality Characteristic of Outpatients on Hospital Preferences

The purpose of this study is to determine the direct and indirect interactions between personality characteristic and hospital preference of polyclinic patients and to develop confirmatory character models. The universe of the research is the patients who have outpatient treatments from Dursun Odabaşı Medical Center Hospital, Van Yüzüncü Yıl University. In this study, quantitative research method was used and the data were collected from 400 patients through face to face questionnaire technique. In the study, descriptive statistics, confirmatory factor analysis and path analysis techniques were used. SPSS and AMOS software were utilised for data analysis. According to the confirmatory character analysis results; the personality trait that best represents the personality profiles of patients is neuroticism. According to patients, transportation is the most important dimension affecting hospital preference. Within the framework of direct relations (variables) related to variables in the research model; it was determined that the expressions of openness, which is one of the personality traits of the participants, positively and significantly influenced the hospital preference with many dimensions (bureaucracy-qualified personnelphysical characteristics-transportation-information-fee-promise). It has been determined that the bureaucracy level of the hospital has a statistically significant and positive effect on the expressions of conscientiousness, openness and extraversion, which are the personality traits of the patients. It was found out that the conscientiousness, openness and extraversion status of the patients, which are the personality traits of the patients, had a statistically significant and positive effect on the qualified personnel level of the hospital.

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Al-Balushi, S M.A, and Khan, M.F.R. (2017). Factors influencing the preference of private hospitals to public hospitals in Oman. International Journal of Management, Innovation and Entrepreneurial Research, 3(2), 67-78.
Anbori, A., Ghani, S. N., Yadav, H., Daher, A. M. and Su, T. T. (2010). Patient satisfaction and loyalty to the private hospitals in Sana’a, Yemen. International Journal for Quality in Health Care, 22(4), 310-315.
Anderson, E.W., Fornell, C., and Lehmann, D.R. (1994). Customer satisfaction, market share, and profitablity: findings from Sweden. Journal of Marketing, 58, 53-66.
Aytekin, A. (2016). Ranking hospitals in city center of Eskişehir by MULTIMOORA. Journal of Business and Economics Studies, 4(4), 134-143.
Baydas, A. (2014). Customer satisfaction and private health organizations: an empirical study. Review of Applied SocioEconomic Research, Pro Global Science Association, 8(2), 43-56.
Baytekin, E.P. (2005). From customer satisfaction to total quality target. Journal of New Thoughts, 1(1), 41-52.
Berkowitz, E.N., and Flexner, W.A. (1981). The market for health care service: Is there a non-traditional consumer?. Journal of Health Care Marketing, 1(1), 25-34.
Brown, T.A. (2006). Confirmatory Factor Analysis For Applied Research. New York: Guilford Press.
Büber, R., and Başer, H. (2012). Customer satisfaction in health enterprises: An application in a foundation university hospital. Journal of Social and Humanities, 4(1), 265-274.
Byrne, B.M. (2001). Structural Equation Modeling With AMOS: Basic Concepts, Applications, And Programming. Lawrence Erlbaum Associates.
Carry-Hill, R.A. (1992). The measurement of patient satisfaction, Journal of Public Health Medicine, 14(3), 236-249.
Chahal, H., and Mehta, S. (2013). Modeling patient satisfaction construct in the Indian health care context. International Journal of Pharmaceutical and Healthcare Marketing, 7(1), 75-92.
Chang, C.W., Tseng, T.H., and Woodside, A.G. (2013). Configural algorithms of patient satisfaction, participation in diagnostics, and treatment decisions’ influences on hospital loyalty. Journal of Services Marketing, 27(2), 91-103.
Cromarty, I. (1996). What do patients think about during their consultation? A pualitative study. British Journal of General Practice, 46(410), 525-528.
Cyr, D., Hassanein, K., Head, M., and Ivanov, A. (2007). The role of social presence in establishing loyalty in e-service environments. Interacting with Computers, 19(1), 43-56.
Çatı, K., and Koçoğlu, C.M. (2008). A research to determine the relationship between customer loyalty and customer satisfaction. Selçuk Üniversity the Journal of Institute of Social Science, 19, 167-188.
Çetintürk, İ. (2016). The research of relationship between patient satisfaction, patient loyalty and demographic factors. International Journal of Social Science, 50, 203-215.
Derin, N., and Demirel, E.T. (2011). Examination of the relationship of hospital reputation created by patient opinions with patient attitudes and behaviors case study: Turgut Özal Medical Center. Fırat University Journal of Social Science, 21(2), 208-235.
Derin, N., and Demirel, E.T. (2013). Scale development study aimed at patient satisfaction which is the quality indicator in medical services. The Journal of Academic Social Science Studies JasssInternational Journal of Social Science. 6(2), 1111-1130.
Dinç, D., Ünalan, P.C., Topsever, P., and Özyavaş, S. (2009). Patient satisfaction and the management system: physician as a partner in solution. Turkish Journal of Family Practice, 13(2), 93- 98.
Doghaiter, A.H., Abdelrhman, B.M., Saeed A.A., and Magzoub M.E. (2003). Factors influencing patient choice of hospitals in Riyadh, Saudi Arabia. The Journal of The Royal Society for the Promotion of Health, 123(2), 105-109.
Dubey, P., and Sharma, S.K. (2013). Factors affecting choıce of hospital services in Bilaspur city. International Monthly Refereed Journal of Research in Management and Technology. 73(2), 98-104.
Elleuch, A. (2008). Patient satisfaction in Japan. International Journal of Health Care Quality Assurance, 21(7), 692-705.
Ercan, İ., Ediz, B., and Kan, İ. (2004). A scale developed in order to evaluate the non-technical side of service satisfaction in health ınstitutions, Journal of Uludağ University Medical Faculty, 30(3), 151-157.
Erdem, R., Rahman, S., Avcı, L., Demirel, B., Köseoğlu, S., Fırat, G., Kesici, T., Kırmızıgül, Ş., Üzel, S., and Kubat, C. (2008). The effect of patient satisfaction on patient commitment, Erciyes University Journal of Faculty of Economics and Administrative Sciences, 31, 95-110.
Goldberg, L. R. (1992). The development of markers for the big-five factor structure. Psychological Assessment, 4(1), 26-42.
Gremler, D.D, and Brown, S.W. (1996). Service loyalty: Its nature, importance, and implications. Advancing Service Quality: A Global Perspective, 171-180.
Groot, J.B., Otten, W., Elsinga, J.D., Kievit, J., and Mheen, P.J. (2012). Choosing between hospitals: The ınfluence of the experiences of other patients. Medical Decision Making, 32(6), 764-778.
He, X. (2011). Factors Affecting Rural Kentucky Patients Hospital Choice and Bypass Behavior. University of Kentucky Master's Theses, http://uknowledge.uky.edu/gradschool_theses/115.
Howard, J. A., and Sheth, J. N. (1969). The Theory of Buyer Behavior. The Theory of Buyer Behavior. John Wiley and Sons: New York.
Işık O., Fidan, C., and Erişe, M. A. (2013). Tüketicilerin hastane seçiminde etki eden faktörlere ilişkin algılamaları. ss. 508-517, 7. Ulusal Sağlık ve Hastane İdaresi Kongresi Bildiri Kitabı, Konya.
İnanç, B. Y. and Yerlikaya, E. E. (2011). Personality Theories. Ankara: Pegem Academy Publishing.
Kandampully, J. (1998). Service quality to service loyalty: A relationship which goes beyond customer service. Total Quality Management, 9(6), 431-443.
Kandampully, J. and Suhartanto, D. (2000). Customer loyalty in the hotel industry: The role of customer satisfaction and image. International Journal of Contemporary Hospitality Management, 12(6), 346-351.
Karahan, M., Korkutan, M. and Yıldırımçakar, Ö. (2017). Branding in health services and determination of factors affecting brand loyalty. International Journal of Academic Value Studies, 3(13), 275-287.
Kessler, D.P., and Mylod, D. (2011). Does patient satisfaction affect patient loyalty?. International Journal of Health Care Quality Assurance. 24(4), 266-273.
Kim, H.S., and Yoon, C.H. (2004). Determinants of subscriber churn and customer loyalty in the Korean mobile telephony market. Telecommunications Policy, 28(9-10): 751-765.
Kotler, P., and Armstrong, G. (2009). Marketing: an Introduction. Upper Saddle River, Pearson Education: New York.
Leister, J., and Stausberg, J. (2007). Why do patients select a hospital?. Journal of Hospital Marketing and Public Relations, 17(2), 13-31.
Madjaroski, G. (2018). The Influence of Big Five Personality Traits on Dual-Process Cognitive Information Processing Styles in Medical Decision-Making, Lunds University Department of Psychology Master’s Thesis.
Malik, J., and Sharma, V.C. (2018). Determinants of patients’ choice of healthcareprovider-a study of selected private hospitals in Delhi- NCR. NICE. Journal of Business, 12(1), 46-59.
Marangoz, M., and Akyıldız, M. (2007). The effects of perceived company ımage and customer satisfaction on customer loyalty. Journal of Administrative Sciences, 5(1), 194-218.
Micceri, T. (1989). The unicorn, the normal curve and other improbable creatures. Psychological Bulletin, 105, 156-165.
Mittal, B. and Lassar, W. M. (1998). Why do customers switch? The dynamics of satisfaction versus loyalty. Journal of Services Marketing, 12(3), 177-194.
Morgan, N.A., and Rego, L.L. (2006). The value of different customer satisfaction and loyalty metrics in predicting business performance. Marketing Science, 25(5), 426-439.
Munro, B.H. (2005). Statistical Methods For Health Care Research. Philadelphia: Lippincott Williams and Wilkins, 351-376.
Nakip, M., and Özçifçi, V. (2015). Relationship marketing and patient satisfaction in medical services: Implementation in family practice centers in Aksaray. Erciyes University Journal of Faculty of Economics and Administrative Sciences, (46), 1-20.
Newsome, P.R.H., and Wright, G.H. (1999). A review of patient satisfaction: Concepts of satisfaction. British Dental Journal, 186(4), 161-165.
Önsüz, M.F., Topuzoğlu, A., Cöbek, U.C., Ertürk, S., Yılmaz, F., and Birol, S. (2008). Satisfaction levels of hospitalized patients in a university hospital in Istanbul. Marmara Medical Journal, 21(1), 33-49.
Özcan, M., Özkaynak, V., and Toktaş, İ. (2008). The satisfaction levels of outpatients in Silvan state hospital puplic. Dicle Medical Journal, 35(2), 96-101.
Özdemir, E., Kılıç, S., and Aydın, Z. B. (2010). Sosyal güvenlik reformu sonrası tüketici olarak hastaların hastane seçimi: Pazarlama açısından bir alan araştırması. Uludağ Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 29(1), 1-27.
Özer, A. and Çakıl, E. (2007). Factors Affecting Patient Satisfaction in Health Services. Journal of Medical Research, 5 (3), 140-143.
Özkoç H. (2013). Hastaların sağlık kurumu tercihlerini etkileyen faktörlerin belirlenmesi: Uygunluk analizi ve nested logit model. Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 15(2), 267-280.
Parasuraman, A., Zeithaml, V.A., and Berry, L.L. (1985). A conceptual model of service quality and it simplications for future research. Journal of Marketing, 49(4), 41-50.
Peyrot, M., Cooper, P.D., and Carrol, G. (1993). Consumer satisfaction and perceived quality of outpatient health services. Journal of Health Care Marketing, 13(1), 24-33.
Pişgin, A., and Ateşoğlu, İ. (2015). The effects of customer satisfaction and switching costs on customer loyalty in health care. Journal of Business Research-Türk, 7(4), 251-271.
Roh, C-Y., (2007). Health care utilization by rural patients: What ıinfluences hospital choice?. Social Work in Public Health, 23(1), 75-94.
Roh, C-Y., and Moon, J.M. (2005). Nearby, but not wanted? The bypassing of rural hospitals and policy implications for rural health care system. Policy Studies Journal, 33(3), 379-396.
Savaş, E., and Bahar, A. (2011). Evaluation of the satisfaction levels of inpatients in the University of Gaziantep Medical Faculty Hospital. Gaziantep Medical Journal. 17(1), 24-28.
Somer, O., Korkmaz, M., and Tatar, A. (2002). Development of five factor personality inventory-I: Creating scale and sub-scales. Turkish Journal of Psychology, 17 (49), 21-33.
Tengilimoğlu, D. (2001). Factors Affecting Hospital Selection: A Field Application, Gazi Üniversitesi İİBF Dergisi, 3(1), 85-98.
Topal, F. E., Şenel, E., Topal, F., and Mansuroğlu, C. (2013). A patients’ satisfaction study: Satisfaction levels of the patients admitted to emergency clinic of a state hospital. Cumhuriyet Medical Journal, 35: 199-205.
Tükel, B., Acuner, A. M., Önder, Ö. R., and Üzgül, A. (2004). A study on inpatient satisfaction in İbn-i Sina Hospital of Ankara University (an example of department of general surgery). Journal of Ankara University Faculty of Medicine, 57(4), 205-214.
Wiggins, J.S., and Trapnell, P.D. (1997). Personality Structure: The Return of the Big Five A2 - Hogan, Robert. In J. Johnson and S. Briggs (Eds.), Handbook of Personality Psychology. San Diego: Academic Press, 737-765.
Yeung, M.C.H., and Ennew, C.T. (2000). From customer satisfaction to profitability. Journal of Strategic Marketing, 8(4), 313-326.
Zeithaml, V.A., Berry, L.L. and Parasuraman, A. (1996). The behavioural consequences of service quality. Journal of Marketing, 60, 31–46.
Zel, U. (2006). Personality and Leadership. 2nd Edition. Ankara: Nobel Publishing