This review paper delves into the critical aspects of healthcare service quality and patient loyalty within Libya's private healthcare sector. Despite its significance for the country's healthcare landscape, there has been limited research on these topics by Libyan researchers. Therefore, this paper conducts a comprehensive literature search to address this gap. It examines the challenges and importance of enhancing patient loyalty, considering economic implications, private healthcare sustainability, and the unique dynamics of Libya's healthcare system. Additionally, it investigates factors influencing patient loyalty and sheds light on private-sector sustainability. Emphasizing the specific context of Libya and drawing upon the Satisfaction-Loyalty Theory (SLT) and the Expectation Confirmation Theory (ECT). It highlights the importance of actual value delivery and switching costs in Libya's private healthcare. The paper concludes by stressing the need for further research to develop conceptual underpinnings and analytical models, aiming to fill the research gap in Libya's private hospital sector and inform policies, practices, and academic knowledge.
Alabdali, M. A., & Husain, K. S. (2023). Understanding the relationship between patient satisfaction and loyalty through telemedicine platform quality: An empirical study. International Journal of Healthcare Management, 1-13.
Ali, H. (2019). Building repurchase intention and purchase decision: Brand awareness and brand loyalty analysis (case study private label product in Alfamidi Tangerang). Saudi Journal of Humanities and Social Sciences, 4(09), 623-634.
Altin, S. V., & Stock, S. (2016). The impact of health literacy, patient-centered communication and shared decision-making on patients’ satisfaction with care received in German primary care practices. BMC Health Services Research, 16, 1-10.
Alwirfili, A. A. F., Armiyati, Y., Wardani, R. S., & Mubin, F. (2023). The impact of nursing services on patient satisfaction: A scientific analysis of hospitals under the Libyan Ministry of Health. Babali Nursing Research, 4(4), 755-770.
Amangala, E. A., & Wali, A. F. (2020). Market orientation, service quality perception, and customer satisfaction: The role of market-sensing capabilities. Business Perspectives and Research, 8(2), 216-231.
Anell, A., Dietrichson, J., Ellegård, L. M., & Kjellsson, G. (2021). Information, switching costs, and consumer choice: Evidence from two randomised field experiments in Swedish primary health care. Journal of Public Economics, 196, 104390.
Arman, R. A., Pasinringi, S. A., Rivai, F., Sidin, A. I., Saleh, L. M., & Mallongi, A. (2023). The effect of service quality and patient satisfaction toward patient loyalty in special regional Hospitals of South Sulawesi. Pharmacognosy Journal, 15(3).
B?rzi?a-Novikova, N., & Taube, M. (2019, July). Evaluation of the patients’ satisfaction with psychiatric health care services with an adapted PIPEQ-OS Tool. In Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences, 73(4), 348-355.
Blut, M., Beatty, S. E., Evanschitzky, H., & Brock, C. (2014). The impact of service characteristics on the switching costs–customer loyalty link. Journal of Retailing, 90(2), 275-290.
Burnham, T. A., Frels, J. K., & Mahajan, V. (2003). Consumer switching costs: A typology, antecedents, and consequences. Journal of the Academy of marketing Science, 31(2), 109-126.
Canolle, F., Antoni?, D., Nova, A. C., Goncharuk, A., Melo, P., Raposo, V., & Vinot, D. (2022). Advancement of efficiency evaluation for healthcare. In Intelligent systems for sustainable person-centered healthcare (pp. 91-118). Cham: Springer International Publishing.
Carretta, E., Bond, T. G., Cappiello, G., & Fantini, M. P. (2017). Looking through the patients’ eyes: Measuring patient satisfaction in a public hospital. Journal of Patient Experience, 4(3), 121-128.
Daw, M. A. (2017). Libyan healthcare system during the armed conflict: Challenges and restoration. African Journal of Emergency Medicine, 7(2), 47.
Daw, M. A., El-Bouzedi, A. H., Ahmed, M. O., & Alejenef, A. A. (2020). The epidemiological characteristics of COVID-19 in Libya during the ongoing-armed conflict. Pan African Medical Journal, 37(1).
El Oakley, R. M., Ghrew, M. H., Aboutwerat, A. A., Alageli, N. A., Neami, K. A., Kerwat, R. M., & Benamer, H. T. (2013). Consultation on the Libyan health systems: Towards patient-centred services. Libyan Journal of Medicine, 8(1).
El-Fallah, M. (2014). The development of the Libyan health system to improve the quality of the health services (Doctoral dissertation, Manchester Metropolitan University).
Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International journal of quality & Reliability Management, 35(6), 1195-1214.
Ferreira, D. C., Vieira, I., Pedro, M. I., Caldas, P., & Varela, M. (2023, February). Patient satisfaction with healthcare services and the techniques used for its assessment: a systematic literature review and a bibliometric analysis. In Healthcare (Vol. 11, No. 5, p. 639).
Fu, X. M., Zhang, J. H., & Chan, F. T. (2018). Determinants of loyalty to public transit: A model integrating Satisfaction-Loyalty Theory and Expectation-Confirmation Theory. Transportation Research Part A: Policy and Practice, 113, 476-490.
Ghorbanzadeh, D. (2021). From satisfaction to loyalty: the role of emotional structures in the process of transition from satisfaction to loyalty. Asia-Pacific Journal of Business Administration, 13(3), 335-356.
Godovykh, M., & Pizam, A. (2023). Measuring patient experience in healthcare. International Journal of Hospitality Management, 112, 103405.
Ha, M. T., Nguyen, G. D., & Doan, B. S. (2023). Understanding the mediating effect of switching costs on service value, quality, satisfaction, and loyalty. Humanities and Social Sciences Communications, 10(1), 1-14.
Hemmeda, L., Ahmed, A. S., & Omer, M. (2023). Sudan's armed rivalry: A comment on the vulnerable healthcare system catastrophe. Health Science Reports, 6(8), e1517.
Chinemelum, I. G., Mohamed, A. A., Abdulhamid, I. M., Oladunni, A. A., Babiker, M. M., Attaullah, A., ... & Eliseo III, L. P. D. (2021). COVID-19 in a shattered health system: Case of Libya. Journal of Global Health, 11.
Kak, M., Rakic, S., Malkin, J. D., Faisal, M., Alrumayyan, D. D., Hamza, M. M., ... & Herbst, C. H. (2023). A health sector in intensive care. The Long Road to Inclusive Institutions in Libya: A Sourcebook of Challenges and Needs, 287.
Khaial, F. B., Bodalal, Z., Elramli, A., Elkhwsky, F., Eltaguri, A., & Bendardaf, R. (2015). A study of risk factors for breast cancer in a primary oncology clinic in Benghazi-Libya. International Journal of Statistics in Medical Research, 4(1), 156-60.
Kim, C. E., Shin, J. S., Lee, J., Lee, Y. J., Kim, M. R., Choi, A., ... & Ha, I. H. (2017). Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: A cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals. BMC complementary and alternative medicine, 17, 1-12.
Lai, K. P., Yuen, Y. Y., & Chong, S. C. (2020). The effects of service quality and perceived price on revisit intention of patients: the Malaysian context. International Journal of Quality and Service Sciences, 12(4), 541-558.
Lee, C. (2021). Patient loyalty to health services: The role of communication skills and cognitivetrust. International Journal of Healthcare Management, 14(4), 1254-1264.
Lei, P., & Jolibert, A. (2012). A three-model comparison of the relationship between quality, satisfaction and loyalty: an empirical study of the Chinese healthcare system. BMC health services research, 12, 1-11.
Liu, S., Hu, Y., Lu, C., Li, D., & Zhang, Z. (2023). Identifying patient perceived values during outpatient encounters: an empirical study from Chinese public hospitals. BMC Health Services Research, 23(1), 852.
Lonial, S., & Raju, P. S. (2015). Impact of service attributes on customer satisfaction and loyalty in a healthcare context. Leadership in Health Services, 28(2), 149-166.
Manzoor, F., Wei, L., Hussain, A., Asif, M., & Shah, S. I. A. (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.
Marzorati, C., & Pravettoni, G. (2017). Value as the key concept in the health care system: How it has influenced medical practice and clinical decision-making processes. Journal of Multidisciplinary Healthcare, 101-106.
Mofokeng, T. E. (2020). Switching costs, customer satisfaction, and their impact on marketing ethics of medical schemes in South Africa: An enlightened marketing perspective. Cogent Business & Management, 7(1), 1811000.
Mohammad, & Saleh, I. (2019). Private health facilities report Libya 2019 health information centre Ministry of Health Libya 3 Report Writing Questionnaire Design and Formatting.
Morris, B. J., Jahangir, A. A., & Sethi, M. K. (2013). Patient satisfaction: An emerging health policy issue. Am Acad Orthop Surg, 9, 29.
Nguyen, D. T., Pham, V. T., Tran, D. M., & Pham, D. B. T. (2020). Impact of service quality, customer satisfaction and switching costs on customer loyalty. The Journal of Asian Finance, Economics and Business, 7(8), 395-405.
Nyan, L. M., Rockson, S. B., & Addo, P. K. (2020). The mediation effect of customer satisfaction on the relationship between service quality and customer loyalty. Journal of Management and Strategy, 11(3), 13.
Patawayati, D. Z., Setiawan, M., & Rahayu, M. (2013). Patient satisfaction, trust and commitment: Mediator of service quality and its impact on loyalty (an empirical study in Southeast Sulawesi Public hospitals). IOSR Journal of Business and Management, 7(6), 1-14.
Pathak, P. (2017). An analysis of outpatients’ perceived service quality and satisfaction in selected private hospitals of Kathmandu. Journal of Business and Social Sciences Research, 2(1-2), 69-84.
Penconek, T., Tate, K., Bernardes, A., Lee, S., Micaroni, S. P., Balsanelli, A. P., ... & Cummings, G. G. (2021). Determinants of nurse manager job satisfaction: A systematic review. International Journal of Nursing Studies, 118, 103906.
Romanet Perroux, J. L. (2019). The deep roots of libya’s security fragmentation. Middle Eastern Studies, 55(2), 200-224.
Pick, D., & Eisend, M. (2014). Buyers’ perceived switching costs and switching: A meta analytic assessment of their antecedents. Journal of the Academy of Marketing Science, 42, 186-204.
Rahim, A. I. A., Ibrahim, M. I., Musa, K. I., Chua, S. L., & Yaacob, N. M. (2021, October).Patient satisfaction and hospital quality of care evaluation in malaysia using servqual and facebook. In Healthcare (Vol. 9, No. 10, p. 1369).
Rivai, F., & Amirrudin, R. (2021). The effect of patient experience on patient loyalty throughpatient satisfaction in telemedicine application services during the COVID-19 pandemic. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(3), 8-14.
Rundle-Thiele, S., & Russell-Bennett, R. (2010). Patient influences on satisfaction and loyalty for GP services. Health Marketing Quarterly, 27(2), 195-214.
Shie, A. J., Huang, Y. F., Li, G. Y., Lyu, W. Y., Yang, M., Dai, Y. Y., ... & Wu, Y. J. (2022). Exploring the relationship between hospital service quality, patient trust, and loyalty from a service encounter perspective in elderly with chronic diseases. Frontiers in Public Health, 10, 876266.
Soare, T., Ianovici, C., Gheorghe, I. R., Purc?rea, V. L., & Soare, C. M. (2022). A word-of mouth perspective on consumers of family medicine services: A case study. Journal of Medicine and Life, 15(5), 655.
Sofia, T. A. (2023). The effect of patient satisfaction on patient loyalty mediated by patient trust and hospital brand image at the Jakarta Education Dental and Oral Hospital. Journal of Social Research, 2(3), 765-780.
Sumaedi, S., Gede Mahatma Yuda Bakti, I., Rakhmawati, T., J. Astrini, N., Widianti, T., & Yarmen, M. (2014). The empirical study on patient loyalty: The role of trust, perceived value, and satisfaction (a case study from Bekasi, Indonesia). Clinical Governance: An International Journal, 19(3), 269-283.
Sutrisno, I. A. B., & Panjaitan, H. (2016). The influence of service quality, and customer relationship management (CRM) of patient satisfaction, brand image, trust, and patient loyalty on Indonesian National Army Level II Hospitals. International Journal of Business and Management Invention, 5(5), 30-44.
Suwarno, B., Rizal, S., Ginting, C. N., Girsang, E., Alamsyah, B., & Siregar, R. T. (2023). Analysis of post-COVID-19 Hospital Service Quality: A study based on patient perceptions.
Swain, S., & Singh, R. K. (2021). Measuring the impact of perceived service quality on insured and uninsured patients’ satisfaction. Measuring Business Excellence, 25(3), 346-367.
El Taguri, A., Elkhammas, E. A., Bakoush, O., Ashammakhi, N., Baccoush, M., & Betilmal, I. (2008). Libyan national health services the need to move to management-by-objectives. Libyan Journal of Medicine, 3(3), 113-121.
Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: A strategic framework. Academic Medicine, 95(5), 682-685.
Tajul Urus, S., Hasim, K., Syed Mustapha Nazri, S. N. F., & Tuan Mat, T. Z. (2020). Critical success factors of accounting information systems (AIS): Empirical evidence from Malaysian organizations. Management & Accounting Review (MAR), 19(1), 233-266.
Vimla, & Taneja, U. (2021). Brand image to loyalty through perceived service quality and patient satisfaction: A conceptual framework. Health Services Management Research, 34(4), 250-257.
Zaidin, N., Baharun, R., & Zakuan, N. (2015, March). A development of satisfaction-loyalty and reputation relationship model using performance measurement approach of the Private Medical Clinics' services: A literature review. In 2015 International Conference on Industrial Engineering and Operations Management (IEOM) (pp. 1-10).
Zhou, W. J., Wan, Q. Q., Liu, C. Y., Feng, X. L., & Shang, S. M. (2017). Determinants of patient loyalty to healthcare providers: An integrative review. International Journal for Quality in Health Care, 29(4), 442-449.
Issa, H. M. M., Zaidin, N., & Ali, M. I. (2024). Factor Influence of High-Quality Service Delivery and Switching Costs on Patient Satisfaction and Loyalty in Libyan Private Hospitals. International Journal of Academic Research in Business and Social Sciences, 14(12), 1347–1360.
Copyright: © 2024 The Author(s)
Published by Knowledge Words Publications (www.kwpublications.com)
This article is published under the Creative Commons Attribution (CC BY 4.0) license. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this license may be seen at: http://creativecommons.org/licences/by/4.0/legalcode