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The relationship between facilities management service quality and patients’ health-care experience: the mediating effect of adequacy of health-care resource

Oti Amankwah (Department of Estate Management, Faculty of Built and Natural Environment, Kumasi Technical University, Kumasi, Ghana)
Weng Wai Choong (Department of Real Estate, Faculty of Built Environment and Surveying, Universiti Teknologi Malaysia, Johor Bahru, Malaysia)
Naana Amakie Boakye-Agyeman (Department of Estate Management, Faculty of Built and Natural Environment, Kumasi Technical University, Kumasi, Ghana)

Facilities

ISSN: 0263-2772

Article publication date: 28 November 2022

Issue publication date: 23 January 2023

472

Abstract

Purpose

With challenges in health-care facilities management (FM) and adequacy of health-care resources constraints in most developing countries, improving patient’s health-care experience has become of strategic importance in public health-care delivery. This paper aims to investigate the mediating effect of adequacy of health-care resources on the relationship between the quality of health-care FM services and patient’s health-care experience.

Design/methodology/approach

This cross-sectional study adopts a quantitative approach based on a questionnaire survey conducted on 660 patients of three teaching hospitals in Ghana. In total, 622 valid questionnaires were used for data analysis using partial least squares structural equation modelling.

Findings

The mediating effect of adequacy of health-care resources on the relationship between responsiveness and tangibility and patients’ health-care experience were supported, while that of empathy, reliability and assurance were not supported. The relationship between and adequacy of health-care resources and patients’ health-care experience was also supported.

Research limitations/implications

The study limitation is that it was only the teaching hospitals that were surveyed. In future studies, a comparative analysis can be conducted between both public and private hospitals. Other constructs and relationships such as the mediating effect of the quality of health-care administrative process on the relationship between FM service quality and patients’ health-care experience as well as the moderation effect of adequacy of health-care resource on the relationship between FM service quality and patients’ health-care experience can also be tested. Future studies on the same subject can use health-care workers as the respondents of the study.

Practical implications

The result should inspire health-care managers to prioritize attention on health-care FM to create and sustain a decent health-care environment. Facilities managers should ensure standards are not compromised by keeping health-care resources in good condition through the organisation and management of resources.

Originality/value

To the best of the authors’ knowledge, this paper is one of the pioneer studies to test the mediating effect of adequacy of health-care resources on the relationship between patient’s health-care experience and health-care FM service quality. The proposed framework can be adapted to various sectors and countries as this empirical validation extends knowledge.

Keywords

Acknowledgements

This paper forms part of a PhD research project entitled “A Model for the Relationship Between User Satisfaction of Healthcare Facilities Management and Core Healthcare Business”, from which other papers are being produced based on different objectives but sharing the same background, methodology and data. The authors wish to express their sincere gratitude to the management of Komfo Anokye, Tamale and Cape Coast Teaching Hospitals, all in Ghana for their support during the data collection stage, as well as all the patients who participated in this research study. The authors also express their profound gratitude to the Kumasi Technical University for providing partial sponsorship for the first author’s PhD research from which the paper is extracted.

Citation

Amankwah, O., Choong, W.W. and Boakye-Agyeman, N.A. (2023), "The relationship between facilities management service quality and patients’ health-care experience: the mediating effect of adequacy of health-care resource", Facilities, Vol. 41 No. 1/2, pp. 108-125. https://doi.org/10.1108/F-08-2022-0113

Publisher

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Emerald Publishing Limited

Copyright © 2022, Emerald Publishing Limited

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