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

How to Cite
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 Apr. 19];42(1):13-24. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/253769
Section
Original articles

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.