Examine the Effects of Customer Satisfaction on Customer Loyalty: An Empirical Study in the Healthcare Insurance Industry in Hong Kong
Raymond Wong, Canon Tong, Anthony Wong
Journal of Economics, Management and Trade · pp. 372–399 · Published 21 Dec 2013
10.9734/BJEMT/2014/6318Abstract
Aims: Customer loyalty, which is affected by satisfaction, brand preference and switching costs, is an important concept in service industries as it is known to increases market share and revenue while bringing down the cost of acquiring and retaining customers. Healthcare insurance is one such service industry and it is currently the focus of attention in Hong Kong due to the introduction of an insurance-based healthcare plan for its citizens. In the past decade, a number of empirical studies related to healthcare have been conducted in Western countries. However, in order to acquire a better understanding of customer loyalty in the context of healthcare insurance in Hong Kong it was considered essential to conduct an in-depth study in that special administrative region of China. The objectives of the research were to determine the following: the direct effects of customer satisfaction on customer loyalty; the direct effects of customer satisfaction on brand preference; the direct effects of brand preference on customer loyalty; the direct effects of customer satisfaction on switching costs; the direct effects of switching costs on customer loyalty; the direct effects of switching costs on brand preference; the mediating effects of brand preference on the causal relationship between customer satisfaction and customer loyalty; the mediating effects of switching costs on the causal relationship between customer satisfaction and customer loyalty; and the mediating effects of brand preference on the causal relationship between switching costs and customer loyalty. Study Design: This study employed positivism paradigm, cross-sectional and quantitative study. Place and Duration of Study: The study was taken in Hong Kong between June 2011 and June 2012. Methodology: The research methodology of this study involved a questionnaire survey of over five hundred respondents and quantitative analysis of the collected data using structural equation modeling. Results: The results indicate that: customer satisfaction has a positive direct effect on customer loyalty; customer satisfaction has a positive direct effect on brand preference; brand preference has a positive direct effect on customer loyalty; customer satisfaction has a positive direct effect on switching costs; switching costs have a positive direct effect on customer loyalty; switching costs have a positive direct effect on brand preference; the influence of customer satisfaction on customer loyalty is mediated by brand preference; the influence of customer satisfaction on customer loyalty is mediated by switching costs; and that the influence of switching costs on customer loyalty is mediated by brand preference. Conclusion: The research findings provide new and useful insights for the managers of healthcare insurance providers in Hong Kong that will help them understand their customers better.
References (63)
- 1 Review of Psychometric theory (2nd ed.). [DOI]
- 2 Developing Buyer-Seller Relationships [DOI]
- 3 Whence Consumer Loyalty? [DOI]
- 4 A National Customer Satisfaction Barometer: The Swedish Experience [DOI]
- 5 The Antecedents and Consequences of Customer Satisfaction for Firms [DOI]
- 6 Building Strong Brands
- 7 The Theory of Reasoned Action: A Meta-Analysis of Past Research with Recommendations for Modifications and Future Research [DOI]
- 8 Examining the structural relationships of destination image, tourist satisfaction and destination loyalty: An integrated approach [DOI]
- 9 Customer repurchase intention [DOI]
- 10 The Effects of Customer Satisfaction, Relationship Commitment Dimensions, and Triggers on Customer Retention [DOI]
- 11 Competition when Consumers have Switching Costs: An Overview with Applications to Industrial Organization, Macroeconomics, and International Trade [DOI]
- 12 Managing Customer Relationships for Profit: The Dynamics of Relationship Quality [DOI]
- 13 Corporate image and corporate reputation in customers’ retention decisions in services [DOI]
- 14 The effects of customer satisfaction and switching barrier on customer loyalty in Korean mobile telecommunication services [DOI]
- 15 Why customers stay: measuring the underlying dimensions of services switching costs and managing their differential strategic outcomes [DOI]
- 16 The Mechanisms Mediating the Effects of Poverty on Children's Intellectual Development [DOI]
- 17 The effects of satisfaction and structural constraints on retailer exiting, voice, loyalty, opportunism, and neglect [DOI]
- 18 The influence of satisfaction, trust and switching barriers on customer retention in a continuous purchasing setting [DOI]
- 19 Re-examining the influence of trust on online repeat purchase intention: The moderating role of habit and its antecedents [DOI]
- 20 Determinants of trust in a service provider: the moderating role of length of relationship [DOI]
- 21 New measures of job control, cognitive demand, and production responsibility. [DOI]
- 22 Switching costs, price sensitivity and health plan choice [DOI]
- 23 Path analysis of perceived service quality, satisfaction and loyalty in Greek insurance [DOI]
- 24 Understanding and profitably managing customer loyalty [DOI]
- 25 Marketing accountability: Linking marketing actions to financial results [DOI]
- 26 The role of variety seeking in short and long run revisit intentions in holiday destinations [DOI]
- 27 How habits, social ties, and economic switching barriers affect customer loyalty in contractual service settings [DOI]
- 28 Uncovering the real effect of switching costs on the satisfaction‐loyalty association [DOI]
- 29 The relative importance of brands in modified rebuy purchase situations [DOI]
- 30 Customer satisfaction, earnings and firm value [DOI]
- 31 Consumer Assessment of the Safety of Beef at the Point of Purchase: A Pan‐European Study [DOI]
- 32 Examining mediating role of attitudinal loyalty and nonlinear effects in satisfaction‐behavioral intentions relationship [DOI]
- 33 The effects of peripheral exposure to information on brand preference [DOI]
- 34 Churn analysis for an Iranian mobile operator [DOI]
- 35 Does customer satisfaction lead to profitability? [DOI]
- 36 Antecedents of brand preference for mobile telecommunications services [DOI]
- 37 Linking Customer Loyalty to Growth
- 38 The differing effects of technology on inside vs. outside sales forces to facilitate enhanced customer orientation and interfunctional coordination [DOI]
- 39 Impact of service personal values on service value and customer loyalty: a cross-service industry study [DOI]
- 40 Mathematical models of brand choice behavior [DOI]
- 41 High tech or high touch? Efficient channel strategies for delivering financial services [DOI]
- 42 Complementary effects of relational bonds in information asymmetry contexts [DOI]
- 43 Customers' relationship expectations and costs as segmentation variables: preliminary evidence from banking [DOI]
- 44 Towards a methodology to assess organizational learning capability [DOI]
- 45 An empirical investigation of the relative effect of trust and switching costs on service loyalty in the UK retail banking industry [DOI]
- 46 Discovering the variables that influence new home‐buyer service satisfaction [DOI]
- 47 Managing commitment to customer in the public sector: highlight the role of the supervisor [DOI]
- 48 Are pub discount cards loyalty cards? [DOI]
- 49 Competition in the U.K. beer market: further intervention in the U.K. beer market may produce a brand oriented market at the expense of competition and consumer choice [DOI]
- 50 China's Entry to the WTO: Prospects and Managerial Implications for Foreign Life Insurance Companies [DOI]
- 51 Multivariate Data Analysis. [DOI]
- 52 Principles of Marketing
- 53 Reporting practices in confirmatory factor analysis: An overview and some recommendations. [DOI]
- 54 MANAGERIAL INTERPRETATIONS AND ORGANIZATIONAL CONTEXT AS PREDICTORS OF CORPORATE CHOICE OF ENVIRONMENTAL STRATEGY. [DOI]
- 55 Industry Structure and Competitive Strategy: Keys to Profitability [DOI]
- 56 Moderators of the self-congruity effect on consumer decision-making: A meta-analysis [DOI]
- 57 The Development of Brand Loyalty: An Experimental Study [DOI]
- 58 Evaluation of factors affecting customer loyalty in the restaurant industry [DOI]
- 59 Factors Influencing the Adoption of Mass Customization: The Impact of Base Category Consumption Frequency and Need Satisfaction [DOI]
- 60 The Influences of Service Personalization, Customer Satisfaction and Switching Costs on E-Loyalty [DOI]
- 61 Subscription Choices and Switching Costs in Mobile Telephony [DOI]
- 62 Exploring Chinese consumer repurchasing intention for services: An empirical investigation [DOI]
- 63 Do status levels in loyalty programmes change customers’ willingness to pay? [DOI]
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