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Service Quality and Customers’ Patronage Decision of Healthcare Insurance Products: ?In-Depth Interview Approach

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The purpose of this qualitative research is to explore the role of service quality on customers’ patronage decision of Malaysian health insurance products. Through a critical review of the literature about service quality and customers’ patronage intention this research proposed a relationship of service quality, customer’s satisfaction, perceived value and corporate image on customer’s patronage intention. This research applied qualitative approach (in-depth interview) from 20 participants. This research is also the starting point for better understanding, in a dynamic way to discover the role of service quality on customers’ patronage decision of Malaysian healthcare insurance products. The outcome of this study allows researchers and policy makers to specify the antecedents of the service quality, customer satisfaction, perceived value and corporate image towards the clients’ patronage purpose in health insurance products in Malaysia, which has not previously explored yet.

1. Aaker, D. A., Kumar, V., Day, G. S., & Leone, R. (2009). Marketing Research (7th edn., p. 816). NY: John Wiley and Sons.
2. Ahmad Z, Ahmed I, Nawaz MM, Usman A, Shaukat MZ, A. N. (2010). Impact of Service Quality of Short Messaging Service on Customers Retention; An Empirical Study of Cellular Companies of Pakistan. International Journal of Business and Management, 5(6), 154. doi:10.5539/ijbm.v5n6P154
3. Ahmad, A., & Sungip, Z. (2008). An Assessment On Service Quality In Malaysia Insurance Industry. Communication of the IBIMA, 1, 13–26.
4. Ahmed, I., Nawaz, M. M., Usman, A., Shaukat, M. Z., Ahmed, N., & Rehman, U. W. (2010). A Mediation of Customer Satisfaction Relationship Between Service Quality and Repurchase Intentions For The Telecom Sector In Pakistan: A Case Study Of University. African Journal of Business Management, 4(16), 3457–3462.
5. Akbaba, A. (2006). Measuring Service Quality In The Hotel Industry: A Study In A Business Hotel In Turkey. International Journal of Hospitality Management, 25(2), 170–192.
6. Al-Enezi, O. (2002). Measuring the Quality of Services Provided by STC. Yarmouk University.
7. Al-Naser. (2012). The Role of Service Quality in Jordanian Hospital. Jordan University.
8. Anderson, E.W., Fornell, C., and Lehmann, D. R. (1994). Customer Satisfaction, Market Share and Profitability: Findings From Sweden. Journal of Marketing, 58(3), 53–66.
9. Andreassen, T. W., & Lindestad, B. (1998). Customer Loyalty and Complex Services: The Impact of Corporate Image On Quality, Customer Satisfaction and Loyalty For Customers With Varying Degrees Of Service Expertise. International Journal of Service Industry Management, 9(1), 7–23. doi:10.1108/09564239810199923
10. Bala, N., Sandhu, H. ., & Nagpal, N. (2011). Measuring Life Insurance Service Quality: An Empirical Assessment of SERVQUAL Instrument. International Business Research, 4(4), 176–190. doi:10.5539/ibr.v4n4p176
11. Bell, S. J., Auh, S. and Smalley, K. (2005). Customer Relationship Dynamics: Service Quality and Customer Loyalty in the Context of Varying Levels of Customer Expertise and Switching Costs. Journal of the Academy of Marketing Science, 33(2), 169–183. doi:10.1177/0092070304269111
12. Bitner, M. J., Brown, S. W., & Meuter, M. L. (2000). Technology Infusion in Service Encounters. Journal of the Academy of Marketing Science, 28(1), 138–149.
13. Blumberg, B., Cooper, D. and Schindler, S., & Bryman, A. and Bell, E. (2011). Business research methods. Oxford: Oxford University.
14. BNM. (2012). Bank Negara Malaysia Annual Report.
15. Bolton R N, & Lemon, K. N. (1999). A Dynamic Model of Customers’ Usage of Services: Usage as an Antecedent and Consequence of Satisfaction. Journal of Marketing Research (JMR), 36(2), 171–79.
16. Bolton, Ruth N. and James H. Drew. (1991). A Multi-Stage Model of Customers’ Assessments of Service Quality and Value. Journal of Consumer Research, 17(4), 375–384.
17. Caruana, A. (2002). Service Loyalty: the Effects Of Service Quality and the Mediating Role of Customer Satisfaction. European Journal of Marketing, 36(7/8), 811–828. doi:10.1108/03090560210430818
18. Cavana, R. Y., Corbett, L. M., & Lo, Y. L. (Glenda). (2007). Developing Zones of Tolerance For Managing Passenger Rail Service Quality. International Journal of Quality & Reliability Management, 24(1), 7–31. doi:10.1108/02656710710720303
19. Chaston, I. (2000). Relationship Marketing and the Orientation Customers Require of Suppliers. The Service Industries Journal, 20(3), 147–166. doi:10.1080/02642060000000036
20. Chau, W. H. (2012). The Relationship Between Macroeconomic Factors Of Insurance Consumption and Economic Growth. Multimedia University (MMU).
21. Chiu, C. M., Hsu, M. H., Lai, H. and Chang, C. M. (2012). Re-examining the Influence of Trust on Online Repeat Purchase Intention: The Moderating Role of Habit and its Antecedents. Decision Support Systems, 53(4), 835–845.
22. Cronin Jr, J. J., & Taylor, S. A. (1992). Measuring Service Quality: A Reexamination and Extension. Journal of Marketing, 55, 55–68.
23. Dagger, T. S., Sweeney, J. C., & Johnson, L. W. (2007). A Hierarchical Model of Health Service Quality: Scale Development and Investigation of an Integrated Model. Journal of Service Research, 10(2), 123–142. doi:10.1177/1094670507309594
24. Davidson, M. C. G. (2003). Does Organizational Climate add to Service Quality In Hotels. International Journal of Contemporary Hospitality Management, 15(4), 206–213. doi:10.1108/09596110310475658
25. De Ruyter, K., & Bloemer, J. (1999). Customer Loyalty In Extended Service Settings: The Interaction between Satisfaction, Value Attainment and Positive Mood. International Journal of Service Industry Management, 10(3), 320–336. doi:10.1108/09564239910276917
26. Denzin, N.K. and Lincoln, Y. S. (2002). Handbook of Qualitative Research (2nd ed.). Thousand Oaks, CA: Sage Publications.
27. Deshpande, R. (1983). “Paradigms Lost”: On Theory and Method in Research in Marketing. Journal of Marketing, 47(4), 101–110.
28. Dodds, W. B., Monroe, K. B., & Grewal, D. (1991). Effects of price, brand and store information on buyers’ product evaluations. Journal of Marketing Research (JMR), 28(3), 27–39.
29. Elmayar, A. (2011). Assessing the Perceived Service Quality Levels in the Libyan Private and Public Banking Sectors: A Customer Perspective. University of Northumbria at Newcastle Upon Tyne.
30. Engel J. F, Blackwell, R, D, &, Miniard, P, W. (1995). Consumer Behaviour (8th ed.). New York: Dryden Press.
31. Fishbein, M., & Ajzen, I. (1975). Belief, Attitude, Intention And Behavior: An Introduction To Theory And Research. MA: Addison-Wesley.
32. Fisk, R.P., Grove, S.J., & John, J. (2007). Interactive Services Marketing (3rd ed., p. 304). Boston, MA: Cengage Learning.
33. Fornell, C. (1992). A National Customer Satisfaction Barometer: The Swedish Experience. Journal of Marketing, 56(1), 6. doi:10.2307/1252129
34. Fornell, C., Johnson, M. D., Anderson, E. W., Cha, J., & Bryant, B. E. (1996). The American Customer Satisfaction Index: Nature, Purpose, and Findings. Journal of Marketing, 60(4), 7. doi:10.2307/1251898
35. Fournier, S., & Mick, D. G. (1999). Rediscovering Satisfaction. Journal of Marketing, 63(4), 5–23.
36. Gera, R. (2011). Modelling The Service Antecedents of Favourable and Unfavourable Behaviour Intentions in Life Insurance Services In India: An SEM Study. International Journal of Quality and Service Sciences, 3(2), 225–242. doi:10.1108/17566691111146113
37. Gill, D., Byslma, B., & Ouschan, R. (2007). Customer Perceived Value In A Cellar Door Visit: The Impact On Behavioural Intentions. International Journal of Wine Business Research, 19(4), 257–275. doi:10.1108/17511060710837418
38. Gonzalez, H. H. (2009). The Consumer Movement: the Implications for Psychiatric Care. Perspectives in Psychiatric Care, 14(4), 186–190. doi:10.1111/j.1744-6163.1979.tb01548.x
39. Gronroos, C. (2006). Adopting A Service Logic For Marketing. Marketing Theory, 6(3), 317–333. doi:10.1177/1470593106066794
40. Guo, X., Duff, A., & Hair, M. (2008). Service Quality Measurement In The Chinese Corporate Banking Market. International Journal of Bank Marketing, 26(5), 305–327. doi:10.1108/02652320810894389
41. Hellier, P. K., Geursen, G. M., Carr, R. A., & Rickard, J. A. (2003). Customer Repurchase Intention: A General Structural Equation Model. European Journal of Marketing, 37(11/12), 1762–1800. doi:10.1108/03090560310495456
42. Henkel D, Houchaime N, Locatelli N, Singh S, Zeithaml VA, B. (2006). The Impact of Emerging WLANs on Incumbent Cellular Service Providers in the U.S. M.J. Services marketing. Singapore: McGraw-Hill.
43. J. Paul Peter & Jerry C. Olson. (1983). Is Science Marketing? Journal of Marketing, 111–125.
44. Jabnoun, N., & Al-Tamimi, H. A. H. (2003). Measuring Perceived Service Quality at UAE Commercial Banks. International Journal of Quality & Reliability Management, 20(4), 458–472. doi:10.1108/02656710310468614
45. Johnston, R. (1987). A Framework for Developing a Quality Strategy in a Customer Processing Operation. International Journal of Quality & Reliability Management, 4(4), 37–46. doi:10.1108/eb002888
46. Julian, C. C., & Ramaseshan, B. (1994). The Role of Customer-contact Personnel in the Marketing of a Retail Bank’s Services. International Journal of Retail & Distribution Management, 22(5), 29–34. doi:10.1108/09590559410067316
47. Kandampully, J. (1998). Service Quality to Service Loyalty: A Relationship Which Goes beyond Customer Services. Total Quality Management, 9(6), 431– 443.
48. Kazoleas, D., Kim, Y., & Moffitt, M. A. (2001). Institutional Image: A Case Study. Corporate Communications: An International Journal, 6(4), 205–216. doi:10.1108/EUM0000000006148
49. Kotler, P. (2000). Marketing Management. The Millennium Edition. Upper Saddle River, NJ: Prentice-Hall, Inc.
50. Kumar, R. (2010). Customer Complaint Behavior and Triggers: A Qualitative Study. IIMS Journal of Management Science, 1(1), 38–45.
51. Kvale, S. (1996). Interviews: An Introduction To Qualitative Research Interviewing. Thousand Oaks, CA: Sage Publications.
52. LaBarbera, P., & Mazursky, D. (1983). A Longitudinal Assessment Of Consumer Satisfaction/Dissatisfaction: The Dynamic Aspect Of The Cognitive Process. Journal of Marketing Research, 20(4), 393–404.
53. Ladhari, R. (2009). Assessment of the Psychometric Properties of SERVQUAL in the Canadian Banking Industry. Journal of Financial Services Marketing, 14(1), 70–82. doi:10.1057/fsm.2009.2
54. Lee, C.-K., Yoon, Y.-S., & Lee, S.-K. (2007). Investigating the Relationships Among Perceived Value, Satisfaction, and Recommendations: The Case of the Korean DMZ. Tourism Management, 28(1), 204–214. doi:10.1016/j.tourman.2005.12.017
55. Lewis, B. R., & Mitchell, V. W. (1990). Defining and Measuring the Quality of Customer Service. Marketing Intelligence & Planning, 8(6), 11–17. doi:10.1108/EUM0000000001086
56. Loizides, A. (2005). Service Quality in Retail Banking in Cyprus. The University of Manchester.
57. Lotayif, M. S. M. A.-M. (2004). Factors that Affect the Selection of Defensive Marketing Strategies- Evidence from the Egyptian Banking Sector. The Journal of American Academy of Business, (March), 152–158.
58. Malhotra, N. (2007). Marketing Research: An Application Orientation (5th ed.). New Delhi: Pearson Prentice Hall.
59. Marshall, C. and Rossman, G. B. (1999). Designing Qualitiative Research (3rd ed.). Thousand Oaks, CA: SAGE.
60. Martín-Consuegra, D., Molina, A., & Esteban, Á. (2007). An integrated model of price, satisfaction and loyalty: an empirical analysis in the service sector. Journal of Product & Brand Management, 16(7), 459–468. doi:10.1108/10610420710834913
61. Mazursky, D., & Jacoby, J. (1986). Exploring the development of store images. Journal of Retailing, 1(62), 145–65.
62. Mittal, B., & Lassar, W. M. (1998). Why Do Customers Switch? The Dynamics Of Satisfaction Versus Loyalty. Journal of Services Marketing, 12(3), 177–194. doi:10.1108/08876049810219502
63. MOH Strategic Plan. (2013). Ministry of Health Malaysia Strategic Plan 2011 – 2015. Putrajaya.
64. Morton-Williams, J. (1985). Making Qualitative Research Work: Aspects of Administration. In R. Walker (2nd Ed.), Applied Qualitative Research. England: Gower, Aldershot.
65. Oliver, R. (1997). Satisfaction: A Behavioural Perspective On The Consumer. NY: McGraw-Hill.
66. Oliver, R. L. (1980). A Cognitive Model of the Antecedents and Consequences of Satisfaction Decisions. Journal of Marketing Research, 17, 460–469. doi:10.2307/3150499
67. Parasuraman, A., Zeithaml, V., & Berry, L. (1985). A Conceptual Model Of Service Quality And Its Implications For Future Research. The Journal of Marketing.
68. Parasuraman, A., Leonard L. Berry, and V. A. Z. (1991). Understanding Customer Expectations of Service. Sloan Management Review, 32(3), 39.
69. Parker, C., & Mathews, B. P. (2001). Customer Satisfaction: Contrasting Academic and Consumers. Marketing Intelligence & Planning, 19(1), 38–44.
70. Parnell, J. A. and Menefee, M. L. (2007). The View Changes at The Top: Resolving Differences In Managerial Perspectives On Strategy. SAM Advanced Management Journal, 72(2), 4–14.
71. Patterson, P. G., & Spreng, R. A. (1997a). Modelling The Relationship Between Perceived Value, Satisfaction And Repurchase Intentions In A Business-To-Business, Services Context: An Empirical Examination. International Journal of Service Industry Management, 8(5), 414–434. doi:10.1108/09564239710189835
72. Patterson, P. G., & Spreng, R. A. (1997b). Modelling the Relationship Between Perceived Value, Satisfaction and Repurchase Intentions In a Business-To-Business, Services Context: An Empirical Examination. International Journal of Service Industry Management, 8(5), 414–434. doi:10.1108/09564239710189835
73. Patton, M. Q. (2002). Qualitative Evaluation and Research Methods (2nd ed.). Newbury Park, CA: SAGE.
74. Pérez, M. S., Abad, J. C. G., Carrillo, G. M. M., & Fernández, R. S. (2007). Effects Of Service Quality Dimensions On Behavioural Purchase Intentions: A Study In Public-Sector Transport. Managing Service Quality, 17(2), 134–151. doi:10.1108/09604520710735164
75. Petridou, E., Spathis, C., Glaveli, N., & Liassides, C. (2007). Bank Service Quality: Empirical Evidence From Greek And Bulgarian Retail Customers. International Journal of Quality & Reliability Management, 24(6), 568–585. doi:10.1108/02656710710757772
76. Price, L.L., Arnould, E.J. and Tierney, P. (1995). Going to Extremes: Managing Service Encounters and Assessing Provider Performance. Journal of Marketing, 59(2), 83–97.
77. Qudah, K. A. Al, Al-beshtawi, S. H. S., Al-Tarawneh, K. A., Mohammad, A. A. S., & Abu-Laimon, A. A. (2013). The impact of service quality on Customer satisfaction of Jordan Insurance Companies. International Journal of Management and Information Technology, 5(2), 517–527.
78. Ramseook-munhurrun, P., Lukea-bhiwajee, S. D., & Naidoo, P. (2010). Service Quality In The Public Service. International Journal Of Management And Marketing Research, 3(1), 37–50.
79. Richards, L. (2005). Handling Qualitative Data: A Practical Guide. Thousand Oaks, CA: Sage Publications.
80. Roberts, J. H. (2005). Defensive Marketing. Harvard Business Review., 83(11), 150–157.
81. Ross-Wooldridge, B., Brown, M. P., & Minsky, B. D. (2004). The Role of Company Image As Brand Equity. Corporate Communications: An International Journal, 9(2), 159–167. doi:10.1108/13563280410534357
82. Ruyter, Ko de & Josee, B. (1999). Customer Loyalty in Extends: Service Settings. Iternational Journal of Service Industry Management, 10(3), 320–336.
83. Saunders, M., Thornhill, A., & Lewis, P. (2009). Research Methods for Business Students (3rd ed., p. 635). New York: Pearson Education.
84. Schiffman Leon, G., & Lazar, K. L. (2004). Consumer Behaviour (8th ed., pp. 14–15). Upper Saddle River, New Jersey: Prentice Hall.
85. Selnes, F. (1998). Antecedents and Consequences of Trust and Satisfaction in Buyer-Seller Relationships. European Journal of Marketing, 32(3/4), 305–322. doi:10.1108/03090569810204580
86. Sharma, N., & Patterson, P. G. (2000). Switching Costs, Alternative Attractiveness and Experience As Moderators of Relationship Commitment in Professional, Consumer Services. International Journal of Service Industry Management, 11(5), 470–490. doi:10.1108/09564230010360182
87. Shemwell, D.J., Cronin, J.J., & Bullard, W. R. (1994). Relational Exchange In Services: An Empirical Investigation Of Ongoing Customer-Service Provider Relationships. International Journal of Service Industry Management, 5, 57–68.
88. Siddiqi, K. (2011). Interrelations Between Service Quality Attributes, Customer Satisfaction and Customer Loyalty in The Retail Banking Sector in Bangladesh. International Journal of Business and Management, 6(3), 12–36.
89. Slater, S.F., Narver, J. C. (2000). Market Oriented is More Than Being Customer-Led. Strategic Management Journal, 20, 1165–8.
90. Spathis, C., Petridou, E., & Glaveli, N. (2004). Managing Service Quality In Banks: Customers’ Gender Effects. Managing Service Quality, 14(1), 90–102. doi:10.1108/09604520410513695
91. Steinar Kvale. (1996). Interviews: An Introduction to Qualitative Research Interviewing. Lund: Studentlitteratur.
92. Susan M. Keaveney. (1995). Customer Switching Behavior in Service Industries: An Exploratory Study. Journal of Marketing, 59(2).
93. Sweeney, J. C., & Soutar, G. N. (2001). Consumer Perceived Value: The Development of a Multiple Item Scale. Journal of Retailing, 77(2), 203–220.
94. Szymanski, D. M., & Henard, D. H. (2001). Customer Satisfaction: A Meta-Analysis of the Empirical Evidence. Journal of the Academy of Marketing Science, 29(1), 16–35. doi:10.1177/0092070301291002
95. Tam, J. L. M. (2004). Customer Satisfaction, Service Quality and Perceived Value: An Integrative Model. Journal of Marketing Management, 20(7-8), 897–917. doi:10.1362/0267257041838719
96. Taylor, S. A., & Baker, T. L. (1994). An Assessment of the Relationship Between Service Quality and Customer Satisfaction in the Formation of Consumers’ Purchase Intentions. Journal of Retailing, 70(2), 163–178.
97. Vansteenwegen, P. (2008). Planning in Tourism and Public Transportation. 4OR, 7(3), 293–296. doi:10.1007/s10288-008-0086-4
98. Vantrappen, H. (1992). Creating Customer Value by Streamlining Business Processes. Long Range Planning, 25(1), 53–62.
99. Wang, Y., Lo, H. P., Chi, R., & Yang, Y. (2004). An Integrated Framework For Customer Value and Customer-Relationship-Management Performance: A Customer-Based Perspective From China. Managing Service Quality, 14(2/3), 169–182. doi:10.1108/09604520410528590
100. Wang, Y., Lo, H.-P., & Hui, Y. V. (2003). The Antecedents of Service Quality and Product Quality and Their Influences On Bank Reputation: Evidence From The Banking Industry in China. Managing Service Quality, 13(1), 72–83. doi:10.1108/09604520310456726
101. Wei, Y.-K. (2002). Corporate Image as Collective Ethos: a Poststructuralist Approach. Corporate Communications: An International Journal, 7(4), 269–276. doi:10.1108/13563280210449859
102. Wells, W., Prensky, D. (1996). Consumer Behavior. New York, NY: John Wiley & Sons.
103. Woodruff, BR & Gardial, S. (1996). Know Your Customer: New Approaches To Customer Value and Satisfaction. Malden: Blackwell.
104. Yu, L., Hong, Q., Gu, S., & Wang, Y. (2008). An Epistemological Critique of Gap Theory Based Library Assessment: The Case of SERVQUAL. Journal of Documentation, 64(4), 511–551. doi:10.1108/00220410810884066
105. Zaltman, G.?; Lemasters, K.?; Heffring, M. (1982). Theory Construction In Marketing: Some Thoughts On Thinking. Journal of Marketing, 48(1), 139–141.
106. Zeithaml, V. (1988). Consumer Perceptions of Price, Quality, and Value: A Means-end Model and Synthesis of Evidence. The Journal of Marketing.
107. Zeithaml, V. A. (1988). Consumer Perceptions of Price, Quality, and Value: A Means-End Model and Synthesis of Evidence. The Journal of Marketing, 52, 2–22. doi:10.2307/1251446
108. Zeithaml, V. A., & Bitner, M. J. (1996). Services Marketing. New York: McGraw-Hill.
109. Zeithaml, V. A., Bitner, M. J., & Gremler, D. D. (2006). Services Marketing: Integrating Customer Focus Across The Firm. New York: McGraw-Hill.
110. Zhen Zhu and Cheryl Nakata. (2007). Reexamining the Link between Customer Orientation and Business Performance: The Role of Information Systems. Journal of Marketing Theory and Practice, 15(3), 187–203.