Factors affecting the customers' intention to continue using prenatal care services at Tu Du Hospital, Ho Chi Minh City

Keywords

chất lượng dịch vụ y tế
sự hài lòng
hình ảnh thương hiệu
ý định tiếp tục sử dụng
khám thai
bệnh viện Từ Dũ healthcare service quality
satisfaction
intention to continue using services
brand image
antenatal care
Tu Du hospital

Abstract

This study analyzes the factors influencing the intention to continue using prenatal care services at Tu Du Hospital in Ho Chi Minh City through an integrated model based on three pillars: service quality, satisfaction, and brand image. Using a quantitative approach, data were collected from 232 pregnant patients in need of prenatal care and analyzed using PLS-SEM. The results indicate that all five dimensions of service quality positively impact satisfaction. Meanwhile, the direct effect of brand image on continuance intention is relatively modest. From a managerial perspective, the findings emphasize that obstetric and gynecological healthcare facilities should particularly prioritize building trust (through specialized obstetric expertise) and transparency (clear explanations regarding fetal condition, prescribed tests, and costs) in prenatal care services to enhance satisfaction, thereby increasing long-term patient loyalty.

https://doi.org/10.26459/hueunijed.v135i5B.8270

References

  1. Addo, A. A., Wang, W., Dankyi, A. B., Abban, O. J., & Bentum-Micah, G. (2020). Sustainability of health institutions: The impact of service quality and patient satisfaction on loyalty. European Journal of Business and Management Research, 5(4). https://doi.org/10.24018/ejbmr.2020.5.4.408
  2. Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  3. Ali, H., Narulita, E., & Nurmahdi, A. (2018). The influence of service quality, brand image and promotion on purchase decision at MCU Eka Hospital. Saudi Journal of Business and Management Studies, 3(1), 88–97. https://doi.org/10.21276/sjbms.2018.3.1.13
  4. Ascarza, E. (2018). Retention futility: Targeting high-risk customers might be ineffective. Journal of Marketing Research, 55(1), 80–98. https://doi.org/10.1509/jmr.16.0163
  5. Bộ Y tế. (2024). Quyết định số 56/QĐ-BYT ngày 08/01/2024 về việc hướng dẫn phương pháp đo lường sự hài lòng của người dân đối với dịch vụ y tế công giai đoạn 2024-2030.
  6. Chairunnisa, S. F., Darmawansyah, D., & Palutturi, S. (2022). Pengaruh brand image terhadap keputusan menggunakan pelayanan rawat jalan RSUD Haji Makassar [The influence of brand image on the decision to use outpatient services at Haji Hospital Makassar]. Hasanuddin Journal of Public Health, 3(2), 179–190. https://doi.org/10.30597/hjph.v3i2.22267
  7. Cronin, J. J., Jr., & Taylor, S. A. (1992). Measuring service quality: A reexamination and extension. Journal of Marketing, 56(3), 55–68. https://doi.org/10.1177/002224299205600304
  8. Duc Thanh, N., My Anh, B. T., Xiem, C. H., Quynh Anh, P., Tien, P. H., Thi Phuong Thanh, N., … & Minh, H. V. (2022). Patient satisfaction with healthcare service quality and its associated factors at one polyclinic in Hanoi, Vietnam. International Journal of Public Health, 67, 1605055. https://doi.org/10.3389/ijph.2022.1605055
  9. Hoşgör, H., & Cengiz, E. (2020). İlişkisel pazarlama stratejileri, ilişkisel kalite unsurları ve davranışsal niyetler arasındaki ilişkilerin incelenmesi [Examining the relationships between relational marketing strategies, relational quality factors and behavioral intentions]. Hacettepe Sağlık İdaresi Dergisi, 23(3), 465–484.
  10. Juanamasta, I. G., Wati, N. M. N., Hendrawati, E., Wahyuni, W., Pramudianti, M., Wisnujati, N. S., … & Umanailo, M. C. B. (2019). The role of customer service through customer relationship management (CRM) to increase customer loyalty and good image. International Journal of Scientific and Technology Research, 8(10), 2004–2007.
  11. Khan, R. U., Salamzadeh, Y., Iqbal, Q., & Yang, S. (2022). The impact of customer relationship management and company reputation on customer loyalty: The mediating role of customer satisfaction. Journal of Relationship Marketing, 21(1), 1–26. https://doi.org/10.1080/15332667.2020.1840904
  12. Kotler, P., & Keller, K. L. (2016). Marketing management (15th ed.). Pearson.
  13. Nguyễn, 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
  14. Oliver, R. L. (1980). A cognitive model of the antecedents and consequences of satisfaction decisions. Journal of Marketing Research, 17(4), 460–469. https://doi.org/10.1177/002224378001700405
  15. Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40.
  16. Park, S., Kim, H. K., Choi, M., & Lee, M. (2021). Factors affecting revisit intention for medical services at dental clinics. PLoS ONE, 16(5), e0250546. https://doi.org/10.1371/journal.pone.0250546
  17. Pighin, M., Alvarez-Risco, A., Del-Aguila-Arcentales, S., Rojas-Osorio, M., & Yáñez, J. A. (2022). Factors of the revisit intention of patients in the primary health care system in Argentina. Sustainability, 14(20), 13021. https://doi.org/10.3390/su142013021
  18. Sukawati, T. G. R. (2021). Hospital brand image, service quality, and patient satisfaction in pandemic situation. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 10(2), 103–118. https://doi.org/10.18196/jmmr.v10i2.11238
  19. Thach, P. N., Vu, H. P., Mac, D. T., Nguyen, T. H. T., & Ngo, T. T. (2021). Improving hospital's quality of service in Vietnam: The patient satisfaction evaluation in multiple health facilities. Hospital Topics, 101(2), 73–83. https://doi.org/10.1080/00185868.2021.1969874
  20. Trương, V. H., Lê, T. L., & Nguyễn, T. L. A. (2022). Thực trạng về sự hài lòng và các yếu tố liên quan ở người bệnh điều trị nội trú tại Bệnh viện Răng Hàm Mặt Trung ương Hà Nội - năm 2021. Tạp chí Y học Việt Nam, 517(1), 47–52.
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2026 Array