Volume 12, Issue 1 (January 2025), Pages: 52-68
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Original Research Paper
Managing healthcare systems: Assessing employee and patient satisfaction in private and public institutions
Author(s):
Marko Šostar 1, *, Ines Škoko 1, Erdogan Ekiz 2
Affiliation(s):
1Faculty of Tourism and Rural Development in Pozega, J. J. Strossmayer University of Osijek, Pozega, Croatia
2HMT School, Central Asian University, Tashkent, Uzbekistan
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* Corresponding Author.
Corresponding author's ORCID profile: https://orcid.org/0009-0008-7580-7657
Digital Object Identifier (DOI)
https://doi.org/10.21833/ijaas.2025.01.005
Abstract
A successful healthcare organization is indispensable in achieving both the quality of care for the patients and individual well-being. In Croatia, patients can access health care from either public or private providers. This study assessed satisfaction levels from 423 patients who accessed services from both public and private healthcare institutions through questionnaires. Furthermore, 71 workers from public and private healthcare institutions answered a comprehensive questionnaire regarding job satisfaction. The results demonstrate that patients are more satisfied with private healthcare services, though the treatment is usually sought from a public healthcare facility due to the affordability of services provided. On the other hand, employees in private health facilities have expressed a high level of job satisfaction that has a positive effect on their motivation and the care provided.
© 2024 The Authors. Published by IASE.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords
Healthcare satisfaction, Public healthcare, Private healthcare, Job satisfaction, Quality of care
Article history
Received 12 July 2024, Received in revised form 15 November 2024, Accepted 15 December 2024
Acknowledgment
No Acknowledgment.
Compliance with ethical standards
Ethical considerations
This study adhered to ethical guidelines by obtaining informed consent from all participants, ensuring their confidentiality and anonymity, and minimizing any potential risks. The research was conducted transparently and responsibly, respecting the rights and well-being of all participants.
Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Citation:
Šostar M, Škoko I, and Ekiz E (2025). Managing healthcare systems: Assessing employee and patient satisfaction in private and public institutions. International Journal of Advanced and Applied Sciences, 12(1): 52-68
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Figures
Fig. 1
Tables
Table 1 Table 2 Table 3 Table 4
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References (70)
- Adamopoulos IP (2022). Job satisfaction in public health care sector, measures scales and theoretical background. European Journal of Environment and Public Health, 6(2): em0116. https://doi.org/10.21601/ejeph/12187 [Google Scholar]
- Adombor E (2020). Factors influencing clients' satisfaction with healthcare delivery in Ghana (a case study of the tamale teaching hospital). https://doi.org/10.2139/ssrn.3677107 [Google Scholar]
- Afulani PA, Nutor JJ, Agbadi P, Gyamerah AO, Musana J, Aborigo RA, Odiase O, Getahun M, Ongeri L, Malechi H, and Madadi MO et al. (2021). Job satisfaction among healthcare workers in Ghana and Kenya during the COVID-19 pandemic: Role of perceived preparedness, stress, and burnout. PLOS Global Public Health, 1(10): e0000022. https://doi.org/10.1371/journal.pgph.0000022 [Google Scholar] PMid:36962085 PMCid:PMC10021773
- Akthar N, Nayak S, and Pai Y (2023). Determinants of patient satisfaction in Asia: Evidence from systematic review of literature. Clinical Epidemiology and Global Health, 23: 101393. https://doi.org/10.1016/j.cegh.2023.101393 [Google Scholar]
- Alibrandi A, Gitto L, Limosani M, and Mustica PF (2023). Patient satisfaction and quality of hospital care. Evaluation and Program Planning, 97: 102251. https://doi.org/10.1016/j.evalprogplan.2023.102251 [Google Scholar] PMid:36806007
- Aljarallah NA, Almuqbil M, Alshehri S, Khormi AM, AlReshaidan RM, Alomran FH, Fawzan Alomar N, Alshahrani FF, Alshammari MS, Alsanie WF, and Alhomrani M et al. (2023). Satisfaction of patients with health care services in tertiary care facilities of Riyadh, Saudi Arabia: A cross-sectional approach. Frontiers in Public Health, 10: 1077147. https://doi.org/10.3389/fpubh.2022.1077147 [Google Scholar] PMid:36711344 PMCid:PMC9880422
- Alolayyan MN and AlFaraj HM (2024). Evaluation of impact of COVID-19 precautionary measures and quality of services on the patient satisfaction in outpatient private clinics. Cogent Business and Management, 11(1): 2336642. https://doi.org/10.1080/23311975.2024.2336642 [Google Scholar]
- Al-Surimi K, Almuhayshir A, Ghailan KY, and Shaheen NA (2022). Impact of patient safety culture on job satisfaction and intention to leave among healthcare workers: Evidence from Middle East context. Risk Management and Healthcare Policy, 15: 2435-2451. https://doi.org/10.2147/RMHP.S390021 [Google Scholar] PMid:36620517 PMCid:PMC9811957
- Alumran A, Almutawa H, Alzain Z, Althumairi A, and Khalid N (2021). Comparing public and private hospitals' service quality. Journal of Public Health, 29: 839-845. https://doi.org/10.1007/s10389-019-01188-9 [Google Scholar]
- Arasli H, Haktan Ekiz E, and Turan Katircioglu S (2008). Gearing service quality into public and private hospitals in small islands: Empirical evidence from Cyprus. International Journal of Health Care Quality Assurance, 21(1): 8-23. https://doi.org/10.1108/09526860810841129 [Google Scholar] PMid:18437935
- Asnawi A, Awang Z, Afthanorhan A, Mohamad M, and Karim FJS (2019). The influence of hospital image and service quality on patients' satisfaction and loyalty. Management Science Letters, 9(6): 911-920. https://doi.org/10.5267/j.msl.2019.2.011 [Google Scholar]
- Begun JW and Kaissi AA (2004). Uncertainty in health care environments: myth or reality? Health Care Management Review, 29(1): 31-39. https://doi.org/10.1097/00004010-200401000-00005 [Google Scholar] PMid:14992482
- Berlin G, Lapointe M, Murphy M, and Wexler J (2022). Assessing the lingering impact of COVID-19 on the nursing workforce. McKinsey and Company, New York, USA. [Google Scholar]
- Bulatnikov V and Constantin CP (2023). Assessing customer satisfaction to support future improvement strategies of healthcare systems: Evidences from Russia and Romania. Sustainability, 15(19): 14534. https://doi.org/10.3390/su151914534 [Google Scholar]
- Cantarelli P, Vainieri M, and Seghieri C (2023). The management of healthcare employees' job satisfaction: Optimization analyses from a series of large-scale surveys. BMC Health Services Research, 23: 428. https://doi.org/10.1186/s12913-023-09426-3 [Google Scholar] PMid:37138347 PMCid:PMC10155170
- Capone V, Borrelli R, Marino L, and Schettino G (2022). Mental well-being and job satisfaction of hospital physicians during COVID-19: Relationships with efficacy beliefs, organizational support, and organizational non-technical skills. International Journal of Environmental Research and Public Health, 19(6): 3734. https://doi.org/10.3390/ijerph19063734 [Google Scholar] PMid:35329420 PMCid:PMC8948767
- Chamal S and Dilina H (2018). Employee satisfaction and related factors among public healthcare workers in Sri Lanka: A case study on regional directorate of Hambanthota. The Journal of Medical Research, 18(K5): 43–51. https://doi.org/10.23880/EIJ-16000108 [Google Scholar]
- Chemali S, Mari-Sáez A, El Bcheraoui C, and Weishaar H (2022). Health care workers' experiences during the COVID-19 pandemic: A scoping review. Human Resources for Health, 20: 27. https://doi.org/10.1186/s12960-022-00724-1 [Google Scholar] PMid:35331261 PMCid:PMC8943506
- Chen MT and Durr NJ (2020). Rapid tissue oxygenation mapping from snapshot structured-light images with adversarial deep learning. Journal of Biomedical Optics, 25(11): 112907. https://doi.org/10.1117/1.JBO.25.11.112907 [Google Scholar]
- Coman E, Diaconu A, Mesesan Schmitz L, Repanovici A, Baritz M, Coman C, and Fotea S (2021). Patient satisfaction with private recovery services and importance of physician behavior during COVID time. Healthcare, 9(8): 928. https://doi.org/10.3390/healthcare9080928 [Google Scholar] PMid:34442065 PMCid:PMC8394884
- Darzi MA, Islam SB, Khursheed SO, and Bhat SA (2023). Service quality in the healthcare sector: A systematic review and meta-analysis. LBS Journal of Management and Research, 21(1): 13-29. https://doi.org/10.1108/LBSJMR-06-2022-0025 [Google Scholar]
- Diakos GE, Koupidis S, and Dounias G (2022). Measurement of job satisfaction among healthcare workers during the COVID 19 pandemic: A cross sectional study. Medicine International, 3: 2. https://doi.org/10.3892/mi.2022.62 [Google Scholar] PMid:36699660 PMCid:PMC9829221
- Duc Thanh N, My Anh BT, Xiem CH, Quynh Anh P, Tien PH, Thi Phuong Thanh N, Huu Quang C, Ha VT, and Thanh Hung P (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 [Google Scholar] PMid:36439278 PMCid:PMC9684178
- Embrett M, Packer TL, Fitzgerald E, Jaswal SK, Lehman MJ, Brown M, and Leigh JP (2023). The impact of the COVID-19 pandemic on primary care physicians and nurses in Nova Scotia: A qualitative exploratory study. Canadian Medical Association Open Access Journal, 11(2): E274-E281. https://doi.org/10.9778/cmajo.20210315 [Google Scholar] PMid:36944428 PMCid:PMC10035666
- Endeshaw B (2021). Healthcare service quality-measurement models: A review. Journal of Health Research, 35(2): 106-117. https://doi.org/10.1108/JHR-07-2019-0152 [Google Scholar]
- Ferreira DC, Vieira I, Pedro MI, Caldas P, and Varela M (2023). Patient satisfaction with healthcare services and the techniques used for its assessment: A systematic literature review and a bibliometric analysis. Healthcare, 11(5): 639. https://doi.org/10.3390/healthcare11050639 [Google Scholar] PMid:36900644 PMCid:PMC10001171
- Galanis P, Moisoglou I, Katsiroumpa A, Vraka I, Siskou O, Konstantakopoulou O, Meimeti E, and Kaitelidou D (2023). Increased job burnout and reduced job satisfaction for nurses compared to other healthcare workers after the COVID-19 pandemic. Nursing Reports, 13(3): 1090-1100. https://doi.org/10.3390/nursrep13030095 [Google Scholar] PMid:37606463 PMCid:PMC10443294
- Gashaw DG, Alemu ZA, Constanzo F, Belay FT, Tadesse YW, Muñoz C, Rojas JP, and Alvarado-Livacic C (2024). COVID-19 patient satisfaction and associated factors in telemedicine and hybrid system. Frontiers in Public Health, 12: 1384078. https://doi.org/10.3389/fpubh.2024.1384078 [Google Scholar] PMid:38645451 PMCid:PMC11028400
- Gavurova B and Kubak M (2022). Satisfaction of inpatients with health care facilities and medical services in Slovak Republic. Economic Research-Ekonomska Istraživanja, 35(1): 7109-7127. https://doi.org/10.1080/1331677X.2022.2059691 [Google Scholar]
- Gotthardt CJ, Haynes SC, Sharma S, Yellowlees PM, Luce MS, and Marcin JP (2023). Patient satisfaction with care providers during the COVID-19 pandemic: An analysis of consumer assessment of healthcare providers and systems survey scores for in-person and telehealth encounters at an academic medical center. Telemedicine and e-Health, 29(8): 1114-1126. https://doi.org/10.1089/tmj.2022.0460 [Google Scholar] PMid:36595515
- Gu X and Itoh K (2020). A comparative study on healthcare employee satisfaction between Japan and China. The International Journal of Health Planning and Management, 35(1): 171-184. https://doi.org/10.1002/hpm.2859 [Google Scholar] PMid:31332834
- Holzman SA, Davis-Dao CA, Khoury AE, Fortier MA, and Kain ZN (2023). Telemedicine and patient satisfaction during the COVID-19 pandemic: A case–control study of outpatient pediatric urology patients. Journal of Child Health Care, 27(3): 351-359. https://doi.org/10.1177/13674935211058272 [Google Scholar] PMid:34865548
- Hui L, Garnett A, Oleynikov C, and Boamah SA (2023). Compassion fatigue in healthcare providers during the COVID-19 pandemic: A scoping review protocol. BMJ Open, 13(5): e069843. https://doi.org/10.1136/bmjopen-2022-069843 [Google Scholar] PMid:37258070 PMCid:PMC10255032
- Hussein S and Wahidi I (2018). Leadership and Job satisfaction in the healthcare sector: An exploratory study in Lebanon. International Business Research, 11(7): 46-55. https://doi.org/10.5539/ibr.v11n7p46 [Google Scholar]
- Kalaja R and Krasniqi M (2022). Patient satisfaction with quality of care in public hospitals in Albania. Frontiers in Public Health, 10: 925681. https://doi.org/10.3389/fpubh.2022.925681 [Google Scholar] PMid:36620230 PMCid:PMC9815606
- Kang L, Zhang T, Xian B, Li C, and Khan MM (2023). Public satisfaction with health system after healthcare reform in China. Health Research Policy and Systems, 21: 128. https://doi.org/10.1186/s12961-023-01067-6 [Google Scholar] PMid:38049859 PMCid:PMC10694918
- Kaur KN, Niazi F, Thakur R, Saeed S, Rana S, and Singh H (2022). Patient satisfaction for telemedicine health services in the era of COVID-19 pandemic: A systematic review. Frontiers in Public Health, 10: 1031867. https://doi.org/10.3389/fpubh.2022.1031867 [Google Scholar] PMid:36589954 PMCid:PMC9800592
- Kitsios F and Kamariotou M (2021). Job satisfaction behind motivation: An empirical study in public health workers. Heliyon, 7(4): e06857. https://doi.org/10.1016/j.heliyon.2021.e06857 [Google Scholar] PMid:33981905 PMCid:PMC8085703
- Kruk ME, Kapoor NR, Lewis TP, Arsenault C, Boutsikari EC, Breda J, Carai S, Croke K, Dayalu R, Fink G, and Garcia PJ (2024). Population confidence in the health system in 15 countries: Results from the first round of the people's voice survey. The Lancet Global Health, 12(1): e100-e111. https://doi.org/10.1016/S2214-109X(23)00499-0 [Google Scholar] PMid:38096882
- Kuo KM, Liu CF, Talley PC, and Pan SY (2018). Strategic improvement for quality and satisfaction of hospital information systems. Journal of Healthcare Engineering, 2018: 3689618. https://doi.org/10.1155/2018/3689618 [Google Scholar] PMid:30298099 PMCid:PMC6157169
- Leskovic L, Erjavec K, Leskovar R, and Vukovic G (2020). Burnout and job satisfaction of healthcare workers in Slovenian nursing homes in rural areas during the COVID-19 pandemic. Annals of Agricultural and Environmental Medicine, 27(4): 664-671. https://doi.org/10.26444/aaem/128236 [Google Scholar] PMid:33356076
- Lucifora C (2023). Management practices in hospitals: A public-private comparison. PLOS ONE, 18(2): e0282313. https://doi.org/10.1371/journal.pone.0282313 [Google Scholar] PMid:36827426 PMCid:PMC9956577
- Mallat A, Vrontis D, and Thrassou A (2021). Patient satisfaction in the context of public–private partnerships. International Journal of Organizational Analysis, 29(6): 1395-1422. https://doi.org/10.1108/IJOA-03-2020-2066 [Google Scholar]
- Manzoor F, Wei L, Hussain A, Asif M, and Shah SIA (2019). Patient satisfaction with health care services; An application of physician's behavior as a moderator. International Journal of Environmental Research and Public Health, 16(18): 3318. https://doi.org/10.3390/ijerph16183318 [Google Scholar] PMid:31505840 PMCid:PMC6765938
- Methammem F and Abdallah MAB (2022). Patients' satisfaction with the quality of care in the Tunisian private hospitals during the second wave of COVID-19 pandemic: Does human resource planning matter? Journal of Human Resource and Sustainability Studies, 10(2): 262-290. https://doi.org/10.4236/jhrss.2022.102017 [Google Scholar]
- Mrabet S, Benachenhou SM, and Khalil A (2022). Measuring the effect of healthcare service quality dimensions on patient's satisfaction in the Algerian private sector. Socio Economic Challenges, 6(1): 100-112. https://doi.org/10.21272/sec.6(1).100-112.2022 [Google Scholar]
- Munawarah S, Arifin S, and Febriana SKT (2023). Meta-analysis study: Examining the associations between service quality, educational level, occupational background, and patient satisfaction in healthcare facilities. River Studies, 1(2): 104-118. https://doi.org/10.61848/rst.v1i2.6 [Google Scholar]
- Nantabah ZK, Mubasyiroh R, Kristanto AY, Indrawati L, Paramita A, Tjandrarini DH, and Laksono AD (2023). Public satisfaction with the quality of first health facility services in Indonesia: Does sociodemographic matter? Asian Pacific Journal of Tropical Medicine, 16(9): 409-417. https://doi.org/10.4103/1995-7645.386257 [Google Scholar]
- Nguyen NX, Tran K, and Nguyen TA (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 [Google Scholar] PMid:34819722 PMCid:PMC8607125
- Nikodem K, Ćurković M, and Borovečki A (2022). Trust in the healthcare system and physicians in Croatia: A survey of the general population. International Journal of Environmental Research and Public Health, 19(2): 993. https://doi.org/10.3390/ijerph19020993 [Google Scholar] PMid:35055815 PMCid:PMC8796022
- Olaniyan JO, Adetunji KM, and Adetunji AA (2023). Factors affecting job satisfaction among nurses working in Ondo state. Future Business Journal, 9: 87. https://doi.org/10.1186/s43093-023-00267-4 [Google Scholar]
- Pogorzelska K, Marcinowicz L, and Chlabicz S (2023). Understanding satisfaction and dissatisfaction of patients with telemedicine during the COVID-19 pandemic: An exploratory qualitative study in primary care. PLOS ONE 18(10): e0293089. https://doi.org/10.1371/journal.pone.0293089 [Google Scholar] PMid:37847684 PMCid:PMC10581451
- Saeed S, Niazi F, Kaur KN, Rana S, Singhal M, and Singh H (2024). Assessing patient satisfaction among COVID-19 survivors in Northeast India: A cross-sectional study. Frontiers in Medicine, 11: 1308288. https://doi.org/10.3389/fmed.2024.1308288 [Google Scholar] PMid:38873210 PMCid:PMC11172152
- Sarkees AN and Ahmed BS (2022). Healthcare workers satisfaction in COVID-19 health institutions. Clinical Schizophrenia and Related Psychoses, 16: 4. [Google Scholar]
- Shaikh MI and Sarkar A (2023). A comparison of patients' satisfaction treated at public and private healthcare institutions under the health scheme using the HEALTHQUAL model. Journal of Integrative Medicine and Public Health, 2(2): 75-81. https://doi.org/10.4103/JIMPH.JIMPH_22_23 [Google Scholar]
- Škoko INES, Devcic A, and Sostar M (2011). Challenges of management in private health care institutions. International Journal of Management Cases, 13(3): 524-530. https://doi.org/10.5848/APBJ.2011.00087 [Google Scholar]
- Šostar M (2011). Decidophobia as a limiting factor of management. Interdisciplinary Management Research, 7: 272-282. [Google Scholar]
- Šostar M and Ristanović V (2023a). Assessment of influencing factors on consumer behavior using the AHP model. Sustainability, 15(13): 10341. https://doi.org/10.3390/su151310341 [Google Scholar]
- Šostar M and Ristanović V (2023b). An Assessment of the impact of the COVID-19 pandemic on consumer behavior using the analytic hierarchy process model. Sustainability, 15(20): 15104. https://doi.org/10.3390/su152015104 [Google Scholar]
- Šostar M, Chandrasekharan Haripriya A, and Rakušić I (2022). Importance of nonverbal communication in sales. In the 8th International Conference Vallis Aurea: Focus on Tourism and Rural Development, Pozega, Croatia: 451-459. [Google Scholar]
- Šostar M, Hareesh NR, and Serzhanov V (2023). The impact of COVID 19 pandemic on consumer behavior. Telematique, 22(1): 617-622. [Google Scholar]
- Splinter MJ, Ikram MK, Helsper CW, Bindels PJ, de Schepper EI, and Licher S (2023). Patient perspectives on telemedicine during the COVID-19 pandemic: A mixed-methods community-based study. BMC Health Services Research, 23: 803. https://doi.org/10.1186/s12913-023-09794-w [Google Scholar] PMid:37501087 PMCid:PMC10375760
- Sultan N, Mahajan R, Kumari R, Langer B, Gupta RK, Mir MT, Chowdhary N, and Sultan A (2022). Patient satisfaction with hospital services in COVID-19 era: A cross-sectional study from outpatient department of a tertiary care hospital in Jammu, UT of J&K, India. Journal of Family Medicine and Primary Care, 11(10): 6380-6384. https://doi.org/10.4103/jfmpc.jfmpc_704_22 [Google Scholar] PMid:36618156 PMCid:PMC9810867
- Suryadana L (2017). Service quality, customer value and patient satisfaction on public hospital in Bandung district, Indonesia. International Review of Management and Marketing, 7(2): 187-192. [Google Scholar]
- Wlazło M, Łaskawiec-Żuławińska D, Grajek M, and Korzonek-Szlacheta I (2024). Job burnout among healthcare workers—The impact of the COVID-19 pandemic. Applied Psychology Research, 3(1): 359-359. https://doi.org/10.59400/apr.v3i1.359 [Google Scholar]
- Woo S and Choi M (2021). Medical service quality, patient satisfaction and intent to revisit: Case study of public hub hospitals in the Republic of Korea. PLOS ONE, 16(6): e0252241. https://doi.org/10.1371/journal.pone.0252241 [Google Scholar] PMid:34181662 PMCid:PMC8238216
- Wulandari R, Dobby IP, and Indaryani L (2024). Measuring the impact of healthcare service quality of hospitals on customer satisfaction. Corporate and Business Strategy Review, 5(1): 336-345. https://doi.org/10.22495/cbsrv5i1siart8 [Google Scholar]
- Yasin YM, Alomari A, Al-Hamad A, and Kehyayan V (2024). The impact of COVID-19 on nurses' job satisfaction: A systematic review and meta-analysis. Frontiers in Public Health, 11: 1285101. https://doi.org/10.3389/fpubh.2023.1285101 [Google Scholar] PMid:38274512 PMCid:PMC10808441
- Yilmaz FK and Karakuş S (2023). The relationship between healthcare workers' satisfaction level and patients' satisfaction: Results of a path analysis model. Journal of Healthcare Quality Research, 38(6): 338-345. https://doi.org/10.1016/j.jhqr.2023.08.003 [Google Scholar] PMid:37679259
- Zsarnoczky-Dulhazi F, Zsarnoczky M, Kopper B, Karpati J, Molnar C, Adol GFC, and David LD (2023). Promising European research results to improve hospitality in healthcare by eHealth. International Journal of Hospitality Management, 112: 103411. https://doi.org/10.1016/j.ijhm.2022.103411 [Google Scholar]
|