Impact of Value Creation on Revisit Intention of Patients in E-Health Services: A Moderating Effect of Demographics
DOI:
https://doi.org/10.52633/jemi.v5i5.345Keywords:
e-Health Services, Value Creation, Healthcare Strategy, Healthcare Management, Telemedicine, Healthcare OrganizationAbstract
E-health services have proven globally to be a vital means to the delivery of healthcare services in a cost-effective way, and without compromising the health of the care providers and patients, who are exposed to higher risk of infections in physical healthcare settings. It is, therefore, imperative to investigate perceived value creation in e-health services and its impact on the revisit intention of patients, with the moderating role of the demographic profile of patients. A study was conducted employing a quantitative, cross-sectional method using the structural equation modeling technique with the help of Smart PLS4 software. A sample of 260 e-health users was taken from both online and telephonic surveys, using purposive sampling. The findings revealed a significant impact of healthcare outcome value on the revisit intention of patients. However, the impact of process value on the revisit intention, as well as the moderation effect of selected demographics were proved insignificant, which is a major contradiction of earlier studies. This contradiction paves the way for future research, exploring different value-creation conceptualizations and models.
References
Akbari, A., & Mahmoudirad, G. (2023). Explaining Nursing Managers’ Understanding of Value Creation: A Qualitative Study. Nursing Forum, 2023, 1–9. https://doi.org/10.1155/2023/5591806
Akbarov, S. (2020). The Impact of Social Media Marketing on Consumer - Moderating Role of Gender and Income. Scholedge International Journal of Multidisciplinary & Allied Studies ISSN 2394-336X, 7(7), 147. https://doi.org/10.19085/sijmas070701
Anthony Jnr, B. (2021). Implications of telehealth and digital care solutions during COVID-19 pandemic: a qualitative literature review. In Informatics for Health and Social Care (Vol. 46, Issue 1, pp. 68–83). Taylor and Francis Ltd. https://doi.org/10.1080/17538157.2020.1839467
Asidiqhi, A., & Yasri, Y. (2022). View of The influence of percieved value and percieved quality on revisit intention with satisfaction as a mediating variable. Marketing Management Studies, 2(2), 191–203.
Bowman, C., & Ambrosini, V. (2000). Value creation versusvalue capture:towards a coherent definition of value in strategy. British Journal of Management, 11, 1–15.
Brandenburger, A. M., & Stuart, H. W. (1996). Value based strategy. Journal of Economics and Management Strategy, 5(1), 5–24.
Chahal, H., & Kumari, N. (2012). Consumer perceived value: The development of a multiple item scale in hospitals in the Indian context. International Journal of Pharmaceutical and Healthcare Marketing, 6(2), 167–190. https://doi.org/10.1108/17506121211243086
Chakraborty, D., & Paul, J. (2023). Healthcare apps’ purchase intention: A consumption values perspective. Technovation, 120. https://doi.org/10.1016/j.technovation.2022.102481
Chesbrough, H., Lettl, C., & Ritter, T. (2018). Value Creation and Value Capture in Open Innovation. Journal of Product Innovation Management, 35(6), 930–938. https://doi.org/10.1111/jpim.12471
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences. Routledge.
Fornell, C., & Larcker, D. F. (1981). Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. In Source: Journal of Marketing Research (Vol. 18, Issue 1).
Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013
Ganz, P. A. (1989). Patient education as a moderator of psychological distress. Journal of Psychosocial Oncology, 6(1–2), 181–197. https://doi.org/10.1300/j077v06n01_11
Grönroos, C., & Ravald, A. (2011). Service as business logic: Implications for value creation and marketing. Journal of Service Management, 22(1), 5–22. https://doi.org/10.1108/09564231111106893
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2017). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). 2nd Edition. Sage Publications Inc.
Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/EBR-11-2018-0203
Hair, Jr. F., Hult, G. T., Ringle, C. M., & Sarstedt, M. (2014). A PRIMER ON PARTIAL LEAST SQUARES STRUCTURAL EQUATION MODELING (PLS-SEM). SAGE Publications, Inc.
Hau, L. N., Tram Anh, P. N., & Thuy, P. N. (2017). The effects of interaction behaviors of service frontliners on customer participation in the value co-creation: a study of health care service. Service Business, 11(2), 253–277. https://doi.org/10.1007/s11628-016-0307-4
Hayes, A. F. (2018). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach (Methodology in the Social Sciences) (2nd ed.). Guilford Press.
Hernández, B., Jiménez, J., & Martín, M. J. (2011). Age, gender and income: Do they really moderate online shopping behaviour? Online Information Review, 35(1), 113–133. https://doi.org/10.1108/14684521111113614
Huang, I. C., Du, P. L., Lin, L. S., Liu, T. Y., Lin, T. F., & Huang, W. C. (2021). The Effect of Perceived Value, Trust, and Commitment on Patient Loyalty in Taiwan. Inquiry (United States), 58. https://doi.org/10.1177/00469580211007217
International Federation of Accountants. (2020, June 25). Understanding Value Creation. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/viewer.html?pdfurl=https%3A%2F%2Fwww.ifac.org%2Fsystem%2Ffiles%2Fpublications%2Ffiles%2FUnderstanding-Value-Creation_0.pdf&chunk=true
Kline, R. B. (2023). Principles and Practice of Structural Equation Modeling 5th Edition. Guilford Publications.
McColl-Kennedy, J. R., Vargo, S. L., Dagger, T. S., Sweeney, J. C., & van Kasteren, Y. (2012). Health Care Customer Value Cocreation Practice Styles. Journal of Service Research, 15(4), 370–389. https://doi.org/10.1177/1094670512442806
Memon, A. M., Ting, H., Cheah, J.-H., Thurasamy, R., Chuah, F., & Huei Cham, T. (2020). SAMPLE SIZE FOR SURVEY RESEARCH: REVIEW AND RECOMMENDATIONS. Journal of Applied Structural Equation Modeling, 4(2), 2590–4221.
Mohd Isa, S., Lim, G. S. S., & Chin, P. N. (2019). Patients’ intent to revisit with trust as the mediating role: lessons from Penang Malaysia. International Journal of Pharmaceutical and Healthcare Marketing, 13(2), 140–159. https://doi.org/10.1108/IJPHM-10-2017-0056
Moliner, M. A. (2009). Loyalty, perceived value and relationship quality in healthcare services. Journal of Service Management, 20(1), 76–97. https://doi.org/10.1108/09564230910936869
Molinillo, S., Aguilar-Illescas, R., Anaya-Sánchez, R., & Liébana-Cabanillas, F. (2021). Social commerce website design, perceived value and loyalty behavior intentions: The moderating roles of gender, age and frequency of use. Journal of Retailing and Consumer Services, 63. https://doi.org/10.1016/j.jretconser.2020.102404
Monroe, K. B. (1991). Pricing – Making Profitable Decisions. McGraw-Hill.
Nguyen, M., Waller, M., Pandya, A., & Portnoy, J. (2020). A Review of Patient and Provider Satisfaction with Telemedicine. In Current Allergy and Asthma Reports (Vol. 20, Issue 11). Springer. https://doi.org/10.1007/s11882-020-00969-7
Nguyen, N. X., Tran, K., & Nguyen, T. A. (2021). Impact of service quality on in-patients’ satisfaction, perceived value, and customer loyalty: A mixed-methods study from a developing country. Patient Preference and Adherence, 15, 2523–2538. https://doi.org/10.2147/PPA.S333586
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory (3rd ed.). McGraw-Hill.
Peter, J. P., & Olson, J. C. (1993). Consumer Behavior and Marketing Strategy (3rd ed.). Homewood, IL.
Pevec, T., & Pisnik, A. (2018). Empirical evaluation of a conceptual model for the perceived value of health services. Zdravstveno Varstvo, 57(4), 175–182. https://doi.org/10.2478/sjph-2018-0022
Porter, M. E. (2009). A Strategy for Health Care Reform — Toward a Value-Based System. www.nejm.org
Porter, M. E. (2010). What Is Value in Health Care? The New England Journal of Medicine, 363(26), 2477–2481. https://doi.org/10.1056/NEJMp1011024
Porter, M. E., & Lee, T. H. (2013). The Strategy That Will Fix Healthcare. October, 50–68.
Porter, M. E., & Lee, T. H. (2016). From Volume to Value in Health Care; The Work Begins. JAMA - Journal of the American Medical Association, 316(10), 1073–1082. https://doi.org/10.1001/jama.2016.10766
Ravald, A., & Grönroos, C. (1996). The value concept and relationship marketing. European Journal of Marketing, 30(2), 19–30. https://doi.org/10.1108/03090569610106626
Ringle, C. M., Sarstedt, M., Mitchell, R., & Gudergan, S. P. (2020). Partial least squares structural equation modeling in HRM research. International Journal of Human Resource Management, 31(12), 1617–1643. https://doi.org/10.1080/09585192.2017.1416655
Ryan, C. (2020). Refereeing articles including SEM – what should referees look for? Tourism Critiques: Practice and Theory, 1(1), 47–61. https://doi.org/10.1108/trc-03-2020-0002
Sekaran, U., & Bougie, R. (2016). Research Methods for Business; A Skill-Building Approach (17th ed.). John Wiley & Sons Ltd.
Sheikh, M. A., Abelsen, B., & Olsen, J. A. (2014). Role of respondents’ education as a mediator and moderator in the association between childhood socio-economic status and later health and wellbeing. BMC Public Health, 14(1). https://doi.org/10.1186/1471-2458-14-1172
Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare, 26(5), 309–313. https://doi.org/10.1177/1357633X20916567
Sweeney, J. C., & Soutar, G. N. (2001). Consumer perceived value: The development of a multiple item scale.
Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics (5th ed.). Pearson Education.
Tragl, L., Savage, C., Andreen-Sachs, M., & Brommels, M. (2022). Who counts when health counts? A case-study of multi-stakeholder initiative to promote value-creation in Swedish healthcare. Health Services Management Research. https://doi.org/10.1177/09514848221100751
Zeithaml, V. A., Walker, O. C., Lutz, R., Park, C. W., & Schmalensee, D. (1988). Consumer perceptions of price, quality and value: A means-end model and synthesis of evidence. Journal of Marketing, 52, 2–22.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Mirza Kashif Baig, Muhammad Asim, Nadeem Mahmood (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.