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Stream/Area:
-
Subject:
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Paper ID:
IJSREM66721
Volume:
10 |
8 |
Aug 2026
Pages:
1-20
Publication Frequency:
Monthly (12 issues per year)
License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.
Commerce CA
Kangeyam Institute of Commerce
Healthcare service quality is an important determinant of patients’ trust and satisfaction, particularly in private healthcare settings where service experiences influence patients’ perceptions of institutional performance. This study examines the influence of healthcare service quality on patient trust and satisfaction in selected private hospitals in Erode District, Tamil Nadu, with particular emphasis on the mediating role of patient trust. A quantitative research design was adopted, and data were collected from 250 patients using a structured questionnaire based on five dimensions of healthcare service quality: tangibility, reliability, responsiveness, assurance, and empathy. The collected data were analysed using descriptive statistics, Cronbach’s alpha, factorability assessment, Pearson correlation, multiple regression, and mediation analysis. The findings demonstrate satisfactory internal consistency across all study constructs, with Cronbach’s alpha coefficients ranging from 0.840 to 0.857. Healthcare service quality significantly predicts patient trust (R² = 0.164, p < 0.001), with responsiveness and tangibility emerging as significant individual predictors. Healthcare service quality also significantly explains patient satisfaction (R² = 0.229, p < 0.001), with tangibility, reliability, and empathy showing significant positive effects. Patient trust has a significant positive influence on patient satisfaction (β = 0.282, p < 0.001). Further, mediation analysis indicates that patient trust partially mediates the relationship between healthcare service quality and patient satisfaction, with a significant indirect effect. The study concludes that improving patients’ experiences requires hospitals to strengthen both the physical and interpersonal dimensions of service delivery while developing trust through responsive and dependable care. The findings provide useful implications for hospital administrators seeking to enhance patient satisfaction through systematic improvements in healthcare service quality and trust-building practices.
KEYWORDS
This study establishes that healthcare service quality significantly influences patient trust and satisfaction in selected private hospitals in Erode District. Responsiveness and tangibility emerged as significant contributors to patient trust, while tangibility, reliability, and empathy significantly influenced patient satisfaction. Patient trust also demonstrated a significant positive relationship with patient satisfaction. The mediation analysis confirmed that patient trust partially mediates the relationship between overall healthcare service quality and patient satisfaction, with a significant indirect effect (B = 0.073, 95% bootstrap CI = 0.001–0.155). These findings indicate that different dimensions of healthcare service quality contribute differently to patient outcomes and that trust provides an important pathway through which service quality enhances patient satisfaction. The findings suggest that private hospitals should strengthen responsive service delivery, maintain appropriate physical facilities, ensure reliable care, and promote empathetic patient interactions. Integrating these service-quality dimensions with deliberate trust-building practices can enhance patients’ overall healthcare experience and satisfaction. Thus, continuous improvement in service quality, together with the development of patient trust, provides an important basis for strengthening patient-centred healthcare delivery.
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Publication Date
8/17/2026
Peer Review Type
Double-Blind Peer Review
Review Rounds: 2
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