7Cs marketing mix factors in a dental school comprehensive care clinic: A confirmatory factor analysis

Main Article Content

Watcharin Chongkonsatit
Nantanut Wongsinphaibon
Airin Kurupakorn
Kotchakorn Urairoekkun
Kanjanaporn Noimanee

Abstract

Patient retention at dental school clinics is essential to provide a patient care continuum and dental education. Service marketing mix factors are marketing tools for understanding and planning to meet patients' needs and expectations.


Objectives: To analyze the marketing mix factors related to patients' expectations of dental school comprehensive treatment.


Materials and Methods: Three-hundred patients in a dental school comprehensive-care clinic were enrolled. The data was collected using self-administered questionnaires. Descriptive statistics were used to analyze the demographic and receiving dental treatment data, and the 7Cs marketing mix factors related to patients' expectations of a dental school comprehensive-care clinic. The independent t-test was used to determine significant differences between walk-in and appointed patients. A confirmatory factor analysis (CFA) was performed to validate the 7Cs marketing mix factors.


Results and Discussion: There were 183 walk-in patients and 117 appointed patients. The overall and individual items of the 7Cs marketing mix were crucial expectation factors. C5-Caring was the most crucial factor, followed by C1-Customer value, and C7-Completion. There were no significant differences in these factors between the walk-in and appointed patients. The following indices supported the CFA model of the 7Cs marketing mix factors: Chi-square goodness of fit=595.793 (p<0.001), GFI=0.907, CFI=0.931, TLI=0.914, RMSEA=0.092, and SRMR=0.039.


Conclusion: All 7Cs marketing mix factors were associated with the patients' expectations of dental school comprehensive treatment. C5-Caring, C1-Customer value, and C7-Completion were the most critical factors. The 7Cs marketing mix factors model is a valuable tool for assessing patients' perceptions of dental students providing comprehensive treatment.

Article Details

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1.
Chongkonsatit W, Wongsinphaibon N, Kurupakorn A, Urairoekkun K, Noimanee K. 7Cs marketing mix factors in a dental school comprehensive care clinic: A confirmatory factor analysis. M Dent J [Internet]. 2022 Mar. 23 [cited 2024 Dec. 12];42(1):13-24. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/253769
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References

Holmes D, Trombly R, Garcia L, Kluender R, Keith C. Student productivity in a comprehensive care program without numeric requirements. J Dent Educ 2000; 64: 745-54.

Holmes D, Boston D, Budenz A, Licari F. Predoctoral clinical curriculum models at U.S. and Canadian dental schools. J Dent Educ 2003; 67: 1302-11.

Vining RV. Comprehensive dental care: objectives, management, and financial impact. J Dent Educ 1984; 48(6 Suppl): 7-10.

Slabbert JCG, Lownie JF, Presfon CB. The Provision of "Comprehensive Dental Care" in Various Dental Schools. J Esthet Restor Dent 1990; 2: 177-80.

Mills IJ. A person-centred Approach to holistic Assessment. Prim Dent J 2017; 6: 18-23.

Browne K, Roseman D, Shaller D, Edgman-Levitan S. Analysis & commentary. Measuring patient experience as a strategy for improving primary care. Health Aff (Millwood) 2010; 29: 921-5.

Palihawadana D, Barnes BR. The measurement and management of service quality in dental healthcare. Health Serv Manage Res 2004; 17: 229-36.

Klaassen H, Dukes K, Marchini L. Patient satisfaction with dental treatment at a university dental clinic: A qualitative analysis. J Dent Educ 2020; 85: 311-21.

Kotler P. Marketing Management: Analysis, Planning, Implementation, and Control. Upper Saddle River(NJ): Prentice Hall; 1997.

Kotler P, Shalowitz J, Stevens RJ. Strategic Marketing for Health Care Organizations: Building a Customer-Driven Health System. Hoboken(NJ): Jossey-Bass; 2008.

Saereerat S, Saereerat S, Luksarintanon P, Patawanich O. Marketing Management in the New Era. Bangkok(TH): Dhummasarn; 2003.

Kumruan J. Marketing mix factors affecting marketing strategy and thai tourists' selection of a 4 stars hotels in pattaya city. Dusit Thani Coll J 2016; 10: 58-73.

Padyai P. A study of relationship to marketing mix and behavior of using services of fitness first in bangkok metropolitan area. SSRU J Manag Sci 2016; 3: 86-110.

Supsarn P, Pasunon P. A Cluster Analysis of Customer Behavior Towards Online Purchasing Decision of Organic Products using Marketing Mix on Customer's Perspective (7C's). RMUTI J Hum Soc Sci 2020; 7: 36-48.

Natthasetsakul S., Ratchakom W. KW. Factors that influence decision making about getting dental treatments in faculty of dentistry mahidol university. Mahidol R2R e-Journal 2018; 5: 131-50.

Chongkonsatit C., Charaschaiwanna P., Wongsinphaibon N, Kurupakorn A., Urairoekkun K., Noimanee K., editors. The reasons of patients to terminate the comprehensive treatment by dental students. RSU International Research Conference 2021; 2021 30 April 2021; Pathumthani, Thailand: Rangsit University.

Makarem SC, Coe JM. Patient retention at dental school clinics: a marketing perspective. J Dent Educ 2014; 78: 1513-20.

Zittel-Palamara K, Fabiano JA, Davis EL, Waldrop DP, Wysocki JA, Goldberg LJ. Improving patient retention and access to oral health care: the CARES program. J Dent Educ 2005; 69: 912-8.

Mills I, Frost J, Cooper C, Moles DR, Kay E. Patient-centred care in general dental practice--a systematic review of the literature. BMC oral health 2014; 14: 64.

Epstein RM, Mauksch L, Carroll J, Jaén CR. Have you really addressed your patient's concerns? Fam Pract Manag 2008;15: 35-40.

Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, et al. The impact of patient-centered care on outcomes. J Fam Pract 2000; 49: 796-804.

Bertakis KD, Azari R. Patient-centered care is associated with decreased health care utilization. J Am Board Fam Med 2011; 24: 229-39.

Adeniyi AA, Adegbite KO, Braimoh MO, Ogunbanjo BO. Factors affecting patient satisfaction at the Lagos State University Teaching Hospital Dental Clinic. Afr J Med Med Sci 2013; 42: 25-31.

Habib SR, Ramalingam S, Al Beladi A, Al Habib A. Patient's satisfaction with the dental care provided by dental students. J Ayub Med Coll Abbottabad 2014; 26: 353-6.

Clow KE, Fischer AK, O'Bryan D. Patient expectations of dental services. Image affects expectations, and expectations affect perceived service quality. J Health Care Mark 1995; 15: 23-31.

Cronbach LJ. Essentials of psychological testing. 5th edition ed. New York: Harper & Row; 1990.

Harerimana A, Mtshali NG. Using Exploratory and Confirmatory Factor Analysis to understand the role of technology in nursing education. Nurse Educ Today 2020; 92: 104490.

Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Modeling 1999; 6: 1-55.

Kline R. Principles and Practice of Structural Equation Modeling. 3rd ed. ed. New York: New York Guilford Press, 2011.

MacCallum RC, Browne MW, Sugawara HM. Power analysis and determination of sample size for covariance structure modeling. Psychol Methods 1996; 1: 130–49.

Hair J BWC, Barbin BJ, Anderson RE, R.L. T. Multivariate data analysis. New Jersey: Upper Sandle River, Prentice Hall; 2010.

Ali DA. Patient satisfaction in Dental Healthcare Centers. Eur J Dent 2016; 10: 309-14.

Clarkson E, Bhatia S. Management and marketing for the general practice dental office. Dent Clin North Am 2008; 52: 495-505, viii.

Chambers DW. Marketing. J Am Coll Dent 2010; 77:48-55.

Punjapol Laotha. The marketing mix that affects the selection of private hospital services of in-patients in Sumut Prakan province. J Humanit Sci Nakhon Phanom Univ 2019; 9: 9-17.

Taewsuwan K. Factor that Influence Decision Making about Getting Dental Treatments in Social Security Recipients in NakhonSawan Province, 2020. J Health Sci Scholarsh (JOHSS) 2021; 8: 51-68.

Kuphadist J, Yenyuak C. Consumer behavior and service marketing mix factors affecting decision making for using beauty clinic service in bangkok. Rajapark J 2020; 14: 111-34.

Rinkaewkan R. Marketing mix (7ps) and service factors affecting to the satisfaction of patients of huachiew traditional chinese medicine clinic in bangkok. J Bus Adm Social Sci Ramkhamhaeng Univ 2019; 2: 92-106.

Srirak C. The Confirmatory Factor Analysis on Factors Influencing Decision to Use Medical Tourism Services from CLMV Countries in Thai-Laos Border Area, Nongkhai and Udon Thani Provinces. J Bus Admin 2021; 10: 142-56.

Dewi FD, Sudjana G, Oesman YM. Patient satisfaction analysis on service quality of dental health care based on empathy and responsiveness. Dent Res J (Isfahan) 2011; 8: 172-77.

Beltrán Salazar OA. Humanized care: A relationship of familiarity and affectivity. Invest Educ Enferm 2015; 33: 17-27.

Beltrán-Salazar OA. Healthcare institutions do not favor care. Meaning of humanized care for people directly participating in it. Invest Educ Enferm 2014; 32: 194-205.

Lafont BE, Gardiner DM, Hochstedler J. Patient satisfaction in a Dental School. Eur J Dent Educ 1999; 3: 109-16.

Tangcharoensathien V, Limwattananon S, Patcharanarumol W, Thammatacharee J. Monitoring and evaluating progress towards Universal Health Coverage in Thailand. PLoS Med 2014; 11: e1001726.

Somkotra T, Vachirarojpisan T. Inequality in dental care utilisation among Thai children: evidence from Thailand where universal coverage has been achieved. Int Dent J 2009; 59: 349-57.

Somkotra T. Experience of socioeconomic-related inequality in dental care utilization among Thai elderly under universal coverage. Geriatr Gerontol Int 2013; 13: 298-306.

Somkotra T, Detsomboonrat P. Is there equity in oral healthcare utilization: experience after achieving Universal Coverage. Community Dent Oral Epidemiol 2009; 37: 85-96.

Jung YS, Yang HY, Choi YH, Kim EK, Jeong SH, Cho MJ, et al. Factors affecting use of word-of-mouth by dental patients. Int Dent J 2018; 68: 314-19.

Schreiber JB, Nora A, Stage FK, Barlow EA, King J. Reporting Structural Equation Modeling and Confirmatory Factor Analysis Results: A Review. J Educ Res 2006; 99: 323-38.