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25 pages, 2138 KB  
Article
Leveraging Visitor Satisfaction for Sustainable Tourism and Economic Growth: A Case of the Golden Triangle in India
by Dipendra Singh Mann and Abraham Pizam
Sustainability 2026, 18(16), 8291; https://doi.org/10.3390/su18168291 - 12 Aug 2026
Viewed by 602
Abstract
The Golden Triangle circuit (Delhi–Agra–Jaipur) is India’s most iconic tourism product, yet it faces mounting pressure from overtourism, environmental degradation, and economic leakage to non-regional operators. We argue that strategic management of visitor satisfaction can play a key role in transforming this high-volume [...] Read more.
The Golden Triangle circuit (Delhi–Agra–Jaipur) is India’s most iconic tourism product, yet it faces mounting pressure from overtourism, environmental degradation, and economic leakage to non-regional operators. We argue that strategic management of visitor satisfaction can play a key role in transforming this high-volume circuit into a sustainable destination that delivers long-term economic growth. Drawing on expectancy disconfirmation theory (EDT), SERVQUAL (service quality), perceived value theory, social exchange theory (SET), destination competitiveness models, and systematic classification of destination attributes, this study evaluates destination attributes and visitor satisfaction. This study assesses the importance of visitor satisfaction with the Golden Triangle and proposes a comprehensive framework for its measurement and application with destination-specific attributes. It uses a qualitative methodology that incorporates an extensive review of information available through various sources and triangulates findings with autoethnography. It identifies key attributes driving tourist satisfaction in the Golden Triangle and assesses the overall current state of the circuit. Furthermore, it identifies major challenges (harassment, congestion, and leakage) and proposes actionable improvements through smart technology, community-based tourism, and real-time feedback. A comprehensive evaluation of visitor satisfaction with various destination attributes of the Golden Triangle reveals that it performs well, as the outcome shows high overall satisfaction. This study also highlights that overall visitor satisfaction is an indirect economic lever that impacts local economic activity by creating jobs and earning foreign currency. The Golden Triangle can possibly serve as a replicable model for other heritage circuits in the Global South with similar characteristics. Full article
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40 pages, 1267 KB  
Article
Development and Analysis of a Quality Assessment System for Campus Courier Services
by Yan Jia, Xinyue Song, Xingxing He and Zengqiang Wang
Systems 2026, 14(8), 978; https://doi.org/10.3390/systems14080978 - 12 Aug 2026
Viewed by 515
Abstract
With the rapid growth of global e-commerce and the shift towards online consumption among university staff and students, the volume of campus courier services has experienced explosive growth, and the quality of last-mile services has become a key factor influencing the satisfaction of [...] Read more.
With the rapid growth of global e-commerce and the shift towards online consumption among university staff and students, the volume of campus courier services has experienced explosive growth, and the quality of last-mile services has become a key factor influencing the satisfaction of staff and students with campus life. Therefore, this paper constructs a dedicated evaluation system for campus courier service quality comprising six dimensions and 23 indicators, based on the Service Quality (SERVQUAL) and Logistics Service Quality (LSQ) models and incorporating data mining from online reviews. Empirical research was conducted using Structural Equation Modelling (SEM) and the Fuzzy Comprehensive Evaluation (FCE) method. The results indicate that the overall quality of campus courier services in China currently stands at a moderately satisfactory level. Based on the evaluation results and an analysis of weaknesses, targeted optimization and improvement strategies are proposed, providing both theoretical and practical support for enhancing the quality of campus courier services. Full article
(This article belongs to the Section Systems Engineering)
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20 pages, 1171 KB  
Article
Digital Technologies and Perceived Service Quality in German Restaurants: An Empirical Study of Guest Acceptance and Technology-Specific Preferences
by Juergen Weimann and Marie Schönlein
Tour. Hosp. 2026, 7(7), 207; https://doi.org/10.3390/tourhosp7070207 - 16 Jul 2026
Viewed by 793
Abstract
This study investigates how restaurant guests in Germany evaluate digital service technologies and examines whether perceived digital service quality contributes to overall perceived service quality. Drawing on SERVQUAL, DINESERV, the Technology Acceptance Model, and self-service technology research, a quantitative cross-sectional online survey was [...] Read more.
This study investigates how restaurant guests in Germany evaluate digital service technologies and examines whether perceived digital service quality contributes to overall perceived service quality. Drawing on SERVQUAL, DINESERV, the Technology Acceptance Model, and self-service technology research, a quantitative cross-sectional online survey was conducted with N = 235 restaurant guests across Germany. Seven digital touchpoints along the restaurant customer journey were assessed, ranging from online reservation and contactless payment to chatbots and service robots. Data were analyzed using Spearman rank-order correlations, hierarchical linear regression, and Welch-corrected one-way ANOVAs. Results show that contactless payment and online reservation are the most frequently used and most positively evaluated digital services, whereas chatbots and service robots are rarely used and broadly rejected. Perceived digital service quality was significantly and positively associated with overall service quality (ρ = 0.32, p < 0.01), perceived experience improvement (ρ = 0.39, p < 0.01), and recommendation intention (ρ = 0.24, p < 0.01). Quality perceptions were stable across demographic subgroups, while general digital attitudes varied by gender and technology affinity. The findings suggest that restaurant operators should prioritize investment in transactional digital tools while maintaining human service as the experiential core of the dining experience, as digital technologies function as complements to rather than substitutes for personal service. Full article
(This article belongs to the Special Issue Digital Transformation in Hospitality and Tourism)
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17 pages, 686 KB  
Article
Examining the Effects of Service Marketing Mix and Service Quality on Hotel Selection in an Urban Tourism Destination
by Tidaporn Ruengrengkulrit, Piyanuch Limapan, Nootchanate Kansamut and Chayada Chaleawprom
Tour. Hosp. 2026, 7(4), 95; https://doi.org/10.3390/tourhosp7040095 - 1 Apr 2026
Viewed by 2883
Abstract
This study aims to examine the influence of the marketing mix and service quality on hotel selection decisions in a growing urban tourism destination in Thailand in a separate model. A mixed-methods approach was employed. Quantitative data were gathered from 385 tourists residing [...] Read more.
This study aims to examine the influence of the marketing mix and service quality on hotel selection decisions in a growing urban tourism destination in Thailand in a separate model. A mixed-methods approach was employed. Quantitative data were gathered from 385 tourists residing in four- and five-star hotels, while qualitative data were derived from comprehensive interviews with five hotel operators. The first multiple linear regression analysis model of the service marketing mix revealed that product, promotion, personnel, service process, and distribution channels had a statistically significant influence on hotel selection at the 0.05 level, explaining 50.3% of the variance. The second multiple linear regression analysis model of service quality reveals that responsiveness, empathy, and reliability significantly affect tourists’ decisions, explaining 43.9% of the variance. The integration of quantitative and qualitative findings led to the development of four strategic directions: (1) digital competitive advantage, (2) niche market development, (3) service quality enhancement, and (4) sustainability and risk management strategies. The findings contribute to hospitality management by examining how the 7Ps and SERVQUAL influence customer selection behaviors, integrating the entrepreneur’s perspective, and providing appropriate strategic directions for a secondary urban destination. Full article
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17 pages, 458 KB  
Article
Public and Private Healthcare Service Quality in Trujillo, Peru: Evidence from a SERVQUAL Survey
by Pedro Oloya-Salazar, Ener Alayo-Ruiz, Katia Vallejos-Salas, María Ruiton-Castillo, Johanna Peña-López, Kiara Anicama-Ramirez and Walter Rojas-Villacorta
Healthcare 2026, 14(6), 738; https://doi.org/10.3390/healthcare14060738 - 13 Mar 2026
Viewed by 2167
Abstract
Background: Service quality and patient satisfaction are key indicators of healthcare performance, yet disparities remain between public hospitals and private clinics in Peru. Understanding these differences is essential for improving patient-centered care and advancing Sustainable Development Goal 3 (Good Health and Well-Being). The [...] Read more.
Background: Service quality and patient satisfaction are key indicators of healthcare performance, yet disparities remain between public hospitals and private clinics in Peru. Understanding these differences is essential for improving patient-centered care and advancing Sustainable Development Goal 3 (Good Health and Well-Being). The study examined how perceived service quality relates to user satisfaction in Trujillo’s private and public institutions. Methods: A cross-sectional study was conducted involving 480 users from public and private healthcare institutions. Service quality was assessed using the SERVQUAL model, and user satisfaction was measured with a validated Likert-scale instrument. Data did not follow a normal distribution (Kolmogorov–Smirnov test); thus, nonparametric statistics were applied. A two-step cluster analysis was additionally performed to identify user profiles based on the five quality dimensions of quality. Results: Participants from both health centers exhibited a range of sociodemographic profiles with regard to age, gender and income. Private clinics reported high levels of perceived service quality (95.8%) and user satisfaction (89.3%), whereas the public hospital showed moderate ratings in both dimensions. In the public setting, empathy and tangible elements emerged as significant predictors of satisfaction, while in private clinics, these same dimensions exhibited negative associations. The cluster analysis identified two distinct user profiles, with tangibles and reliability being the most influential predictors. Conclusions: Significant differences were observed between private and public institutions. Although service quality was positively associated with satisfaction, its explanatory power was limited, suggesting the influence of additional unmeasured factors. This study opens avenues for future research on how differentiated strategies can be scaled and adapted to strengthen public healthcare delivery in Peru, ensuring alignment with equitable and patient-centered care principles promoted by SDG 3. Full article
(This article belongs to the Special Issue Healthcare Management: Improving Patient Outcomes and Service Quality)
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27 pages, 739 KB  
Article
Service Quality Assessment of Smart Campus Dining Services: Combining SERVQUAL and IPA Models
by Ju-Jung Lin and Jung Yu Lai
Sustainability 2026, 18(4), 1822; https://doi.org/10.3390/su18041822 - 11 Feb 2026
Cited by 1 | Viewed by 1444
Abstract
This study evaluates the service quality of smart campus dining services as a core element of sustainable school meal governance and health-promoting campus environments. A structured questionnaire grounded in the five SERVQUAL dimensions—tangibles, reliability, responsiveness, assurance, and empathy—was administered to 375 users of [...] Read more.
This study evaluates the service quality of smart campus dining services as a core element of sustainable school meal governance and health-promoting campus environments. A structured questionnaire grounded in the five SERVQUAL dimensions—tangibles, reliability, responsiveness, assurance, and empathy—was administered to 375 users of a smart campus catering platform, including students, faculty and staff, and education administrators from 20 counties and cities in Taiwan. The data were analyzed using gap analysis, confirmatory factor analysis, multiple regression, and Importance–Performance Analysis (IPA) to identify major service quality gaps and sustainability-oriented improvement priorities. The results show that tangibles, reliability, responsiveness, and assurance significantly predict overall service quality, with assurance exerting the strongest effect, while empathy is highly correlated with the other dimensions. IPA further indicates that outdated or insufficient smart facilities fall into the high-importance/low-performance area and thus represent a critical weakness. These findings provide empirical evidence for data-driven and user-centered management of school meal services, supporting more efficient resource allocation, AI-assisted menu planning, and IoT-based food safety monitoring. By linking service quality assessment with sustainable campus governance, the study contributes to efforts to promote healthy eating, reduce food waste, and strengthen localized food supply collaboration, in line with Sustainable Development Goals related to health, education, and responsible consumption. Full article
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2 pages, 160 KB  
Retraction
RETRACTED: Hoque et al. Assessing Service Quality Using SERVQUAL Model: An Empirical Study on Some Private Universities in Bangladesh. Trends High. Educ. 2023, 2, 255–269
by Umma Salma Hoque, Nazmoon Akhter, Nurul Absar, Mayeen Uddin Khandaker and Abdullah Al-Mamun
Trends High. Educ. 2026, 5(1), 13; https://doi.org/10.3390/higheredu5010013 - 21 Jan 2026
Viewed by 1122
Abstract
The journal retracts the article titled “Assessing Service Quality Using SERVQUAL Model: An Empirical Study on Some Private Universities in Bangladesh” [...] Full article
2 pages, 130 KB  
Abstract
Evaluation of Health Service Quality Using the SERVQUAL Model at a University Health Centre, Limpopo Province, South Africa
by Agnes Ramadimetja Sema-Ramashala and Peter Mphekgwana
Proceedings 2025, 130(1), 44; https://doi.org/10.3390/proceedings2025130044 - 15 Dec 2025
Viewed by 1038
Abstract
Background: Health institutions, particularly public hospitals, continue to be cash cows for medico-legal practitioners owing to patients not receiving services as promised [...] Full article
(This article belongs to the Proceedings of Faculty of Health Sciences: 8th Annual Research Day)
21 pages, 1282 KB  
Article
Assessing Service Quality and User Satisfaction in University Transit: Evidence from the SERVQUAL Approach
by Sirima Kruadsungnoen and Auttawit Upayokin
Sustainability 2025, 17(24), 11118; https://doi.org/10.3390/su172411118 - 11 Dec 2025
Cited by 4 | Viewed by 1746
Abstract
Sustainable urban transport planning requires inclusive, high-quality mobility systems that address both user needs and broader environmental objectives. This study examines the service quality and user satisfaction of Chiang Mai University Transit using the SERVQUAL framework and structural equation modeling, based on survey [...] Read more.
Sustainable urban transport planning requires inclusive, high-quality mobility systems that address both user needs and broader environmental objectives. This study examines the service quality and user satisfaction of Chiang Mai University Transit using the SERVQUAL framework and structural equation modeling, based on survey data from 384 student respondents. Seven service quality dimensions—Tangibles, Reliability, Responsiveness, Assurance, Empathy, Environmental Performance, and Respiratory Disease Prevention—were systematically analyzed. The results indicate that Responsiveness has the strongest positive influence on perceived service quality, while Tangibles most significantly shape user expectations. Overall, higher service quality is found to enhance user satisfaction substantially. Nevertheless, a measurable service quality gap persists, especially in the areas of Responsiveness (gap = −0.34) and Respiratory Disease Prevention (gap = −0.26), which are identified as priority areas for targeted improvement. In contrast, Environmental Performance surpasses user expectations (gap = +0.12). These empirical insights underscore the importance of strategically investing in university transit systems to encourage modal shift away from private vehicles, reduce congestion, and improve air quality. The study provides an evidence-based foundation for policymakers and planners seeking to implement integrated and environmentally sustainable mobility strategies within both university and broader urban contexts. Full article
(This article belongs to the Special Issue Sustainable Urban Transport Planning: Challenges and Solutions)
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36 pages, 1778 KB  
Article
Sustainable Public Transportation Service Quality Assessment by a Hybrid Bayesian BWM and Picture Fuzzy WASPAS Methodology: A Real Case in Izmir, Turkey
by Ecem Tumsekcali and Alev Taskin
Sustainability 2025, 17(23), 10735; https://doi.org/10.3390/su172310735 - 30 Nov 2025
Viewed by 1661
Abstract
Especially in crowded cities, the public transportation system is one of the most crucial elements that influences quality of life and also demonstrates progress. For this purpose, a new SERVQUAL model, expanded with sustainability and Industry 4.0 dimensions, is proposed to evaluate service [...] Read more.
Especially in crowded cities, the public transportation system is one of the most crucial elements that influences quality of life and also demonstrates progress. For this purpose, a new SERVQUAL model, expanded with sustainability and Industry 4.0 dimensions, is proposed to evaluate service quality in the public transport system. This model, called SPT SERVQUAL 4.0 (Sustainable Public Transport SERVQUAL 4.0), is created with a three-level hierarchical criteria structure by developing the structure of the traditional SERVQUAL model. First of all, criteria weights are determined using the Bayesian Best–Worst Method (BWM) and expert evaluations for each level. Afterwards, the Picture Fuzzy WASPAS method is applied in order to rank the public transportation alternatives using the obtained criteria weights. The proposed hybrid methodology is applied on a real case study of five different bus alternatives in the Izmir public transportation system. As a result, the best public transportation bus alternative is found to be electric buses. The study, which adapts the dimensions of Industry 4.0 and sustainability, two of the most important issues of our age, to the evaluation of public transport system service quality, contributes by providing insights into system improvement and strategy development in the public or private sector. Full article
(This article belongs to the Collection Sustainable Urban Mobility Project)
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34 pages, 1086 KB  
Article
Service Quality Evaluation and Analysis of Autonomous-Rail Rapid Transit in Yibin City of China
by Yan Jia, Xinyue Song and Guifang Li
Systems 2025, 13(9), 823; https://doi.org/10.3390/systems13090823 - 19 Sep 2025
Cited by 1 | Viewed by 2902
Abstract
With the acceleration of urbanization, Autonomous-rail Rapid Transit (ART), as a new type of public transportation mode, plays an important role in alleviating traffic congestion and optimizing urban transportation structure. However, the operation of ART faces various problems, such as the route and [...] Read more.
With the acceleration of urbanization, Autonomous-rail Rapid Transit (ART), as a new type of public transportation mode, plays an important role in alleviating traffic congestion and optimizing urban transportation structure. However, the operation of ART faces various problems, such as the route and station design problems considering passengers’ convenience and transferring efficiency, and there is a gap between passenger perception and expectation for the ART service quality. Therefore, it is crucial to comprehensively evaluate the service quality of ART, so as to improve passenger satisfaction and promote the sustainable development of ART. Taking Yibin ART as the research object, this study is based on the Service Quality (SERVQUAL) model, combined with the Analytic Hierarchy Process (AHP) and Fuzzy Comprehensive Evaluation (FCE), to analyze the service quality of Yibin ART. Firstly, a service quality evaluation indicator system for Yibin ART is constructed based on the extended SERVQUAL model that includes six dimensions of reliability, responsiveness, assurance, empathy, tangibility, and convenience, as well as 19 secondary indicators. Then, the research collects 110 valid samples through a questionnaire survey, and the rationality of the questionnaire is verified through reliability and validity analysis. Later, the weights of the indicators are calculated by AHP, and a comprehensive evaluation of Yibin ART service quality is conducted with the FCE method. Finally, based on the evaluation results, the study shows that the core indicators of the ART service quality are the service reliability and responsiveness, as well as the convenience; further, the results find the significant differences between participants’ perceptions and expectations for ART service quality, especially in the aspects of smooth driving, cleanliness, station location, ticket service and transferring, and the corresponding targeted strategies are proposed for improving the Yibin ART service quality. Additionally, future research will expand the sample and conduct in-depth research on passenger travel characteristics, carefully grasp the needs of passengers, continuously optimize operational service plans, and strive to improve the service level of ART. Full article
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26 pages, 944 KB  
Article
Factors Influencing Rail Service Passenger Loyalty Among Older Thai Adults
by Ratchaphong Lieophairot, Nuttawut Rojniruttikul and Singha Chaveesuk
Sustainability 2025, 17(18), 8240; https://doi.org/10.3390/su17188240 - 13 Sep 2025
Cited by 7 | Viewed by 2205
Abstract
This study investigates the drivers of older adult loyalty (OAL) in Thailand’s rail passenger transport sector. Using structural equation modeling (SEM), data from 625 older rail passengers were analyzed to examine the direct and indirect pathways shaping loyalty. The results demonstrate that service [...] Read more.
This study investigates the drivers of older adult loyalty (OAL) in Thailand’s rail passenger transport sector. Using structural equation modeling (SEM), data from 625 older rail passengers were analyzed to examine the direct and indirect pathways shaping loyalty. The results demonstrate that service innovation (SI) exerted the strongest overall effect on OAL, both directly and through its influence on service quality (SQ) and passenger satisfaction (PS). Interaction-oriented innovations and accessible delivery technologies emerged as particularly influential, highlighting the importance of human-centered innovation in aging societies. Perceived value (PV) also significantly predicted SQ, PS, and OAL, with price fairness, emotional reassurance, and reliability as key sub-dimensions. SQ was confirmed as a central mediator, translating SI and PV into satisfaction and loyalty outcomes, while PS, although significant, played a secondary role. The findings extend existing theories by demonstrating that innovation and value outweigh satisfaction as loyalty drivers in this context. They advance the SERVQUAL, Value–Attitude–Behavior, and Expectancy–Disconfirmation frameworks by showing that satisfaction is a necessary but insufficient condition for loyalty. The study emphasizes aligning innovation, value, and quality to build inclusive, sustainable loyalty strategies for older rail passengers. Full article
(This article belongs to the Section Sustainable Transportation)
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22 pages, 2884 KB  
Article
Integrating TRIZ Methodology in Human-Centered Design: Developing a Multifunctional, Sustainable Cup Holder
by Kai-Chao Yao, Chun-Chung Liao, Kuo-Yi Li, Wei-Lun Huang, Wei-Sho Ho, Jing-Ran Xu, Shu-Chen Yang, Hui-Ling Hsiao, Yin-Chi Lin, Ching-Yi Lai and Ying-Ju Tseng
Sustainability 2025, 17(16), 7288; https://doi.org/10.3390/su17167288 - 12 Aug 2025
Cited by 2 | Viewed by 2681
Abstract
This study presents the development of an innovative multifunctional cup holder designed to enhance safety, usability, and sustainability. Addressing common issues such as accidental spills, heat retention, and structural stability, the proposed design incorporates adjustable fixation and heating functionalities. The research applies a [...] Read more.
This study presents the development of an innovative multifunctional cup holder designed to enhance safety, usability, and sustainability. Addressing common issues such as accidental spills, heat retention, and structural stability, the proposed design incorporates adjustable fixation and heating functionalities. The research applies a systematic design approach, applying the Theory of Inventive Problem Solving (TRIZ) methodology to resolve design contradictions and enhance product functionality. By integrating human factors considerations and universal design principles, the cup holder aims to improve user experience and accessibility. The design features a vacuum-based adjustable fixation system to prevent tipping, a controlled heating mechanism to maintain beverage temperature, and a shock-absorbing structure for enhanced durability. To evaluate whether the final design meets user expectations, a SERVQUAL questionnaire was used to collect user feedback, which was then analyzed using the Importance–Performance Analysis combined with the Kano model (IPA-Kano model). The results revealed an overall importance score of 4.347 and a satisfaction score of 3.943. Key strengths identified include reliable shock resistance, effective fixation, and ease of operation, while areas such as brand reputation and temperature control precision were found to require improvement due to their high importance but low performance. These insights confirm that the proposed design effectively enhances stability, thermal performance, and user convenience, while aligning with users’ expectations. By addressing critical functional and safety needs, this research advances the development of practical, user-centered innovations in everyday product design. Full article
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19 pages, 949 KB  
Review
Assessment of Patients’ Quality of Care in Healthcare Systems: A Comprehensive Narrative Literature Review
by Yisel Mi Guzmán-Leguel and Simón Quetzalcoatl Rodríguez-Lara
Healthcare 2025, 13(14), 1714; https://doi.org/10.3390/healthcare13141714 - 16 Jul 2025
Cited by 12 | Viewed by 10945
Abstract
Introduction: Assessing the quality of patient care within healthcare systems remains a multifaceted challenge due to varying definitions of “quality” and the complexity of care delivery structures worldwide. Patient-centeredness, institutional responsiveness, and contextual adaptability are increasingly recognized as core pillars in quality assessment. [...] Read more.
Introduction: Assessing the quality of patient care within healthcare systems remains a multifaceted challenge due to varying definitions of “quality” and the complexity of care delivery structures worldwide. Patient-centeredness, institutional responsiveness, and contextual adaptability are increasingly recognized as core pillars in quality assessment. Objective: This narrative literature review aims to explore conceptual models and practical frameworks for evaluating healthcare quality, emphasizing tools that integrate technical, functional, and emotional dimensions and proposing a comprehensive model adaptable to diverse health system contexts. Methodology: A systematic literature search was conducted in the PubMed, Scopus, and Cochrane Library databases, covering the years 2000 to 2024. Studies were selected based on relevance to quality assessment models, patient satisfaction, accreditation, and strategic improvement methodologies. The review followed a thematic synthesis approach, integrating structural, process-based, and outcome-driven perspectives. Results: Core frameworks such as Donabedian’s model and balancing measures were reviewed alongside evaluation tools like the Dutch Consumer Quality Index, SERVQUAL, and Importance–Performance Analysis (IPA). These models revealed significant gaps between patient expectations and actual service delivery, especially in functional and emotional quality dimensions. This review also identified limitations related to contextual generalizability and bias. A novel integrative model is proposed, emphasizing the dynamic interaction between institutional structure, clinical processes, and patient experience. Conclusions: High-quality healthcare demands a multidimensional approach. Integrating conceptual frameworks with context-sensitive strategies enables healthcare systems to align technical performance with patient-centered outcomes. The proposed model offers a foundation for future empirical validation, particularly in resource-limited or hybrid settings. Full article
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12 pages, 307 KB  
Article
Quality and Satisfaction in Health Care: A Case Study of Two Public Hospitals in Trujillo, Peru
by Ariane Morales-Garrido, Brigitte Valderrama-Pazos, Jeremy García-Carranza, Alexis Horna-Velásquez, Willy Reyes-Anticona, Anlli Estela-Vargas and Walter Rojas-Villacorta
Int. J. Environ. Res. Public Health 2025, 22(7), 1119; https://doi.org/10.3390/ijerph22071119 - 16 Jul 2025
Cited by 3 | Viewed by 4646
Abstract
(1) Background: The Peruvian healthcare system is widely regarded as deficient, with ongoing improvements identified as a key area of need. This study sought to assess user satisfaction and the quality of care in two public hospitals in Trujillo. (2) Methods: A non-experimental, [...] Read more.
(1) Background: The Peruvian healthcare system is widely regarded as deficient, with ongoing improvements identified as a key area of need. This study sought to assess user satisfaction and the quality of care in two public hospitals in Trujillo. (2) Methods: A non-experimental, cross-sectional, and correlational study was carried out. A group of 384 people who used two public hospitals in the city of Trujillo was studied. The people in the study were chosen based on the researchers’ convenience sampling. Information was collected using a survey based on the SERVQUAL model. This survey was used to evaluate the quality of service. Descriptive and inferential analyses were performed, including Spearman’s correlation and multinomial logistic regression to assess associations and identify key predictors of perceived service quality. (3) Results: The results indicated that 97.66% of the users perceived a low quality of care and 100% expressed dissatisfaction with the services. The most critical dimensions were reliability and responsiveness, while tangible items obtained better results. A positive correlation (rho = 0.723) was identified between quality of care and user satisfaction, with empathy (rho = 0.559) and safety (rho = 0.543) emerging as the most influential dimensions. (4) Conclusions: Responsiveness and Security were identified as key predictors of the perceived service quality in two public hospitals in Trujillo, Peru. Despite high empathy correlations, only timely care and safety significantly influenced satisfaction. The findings align with SDG 3, calling for improved efficiency and humanized care in public health services. Full article
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