Patient Experience as Multidimensional Construct Evidence from Literature

Authors

Tiara Turay

Fakulti Pengurusan Teknologi dan Teknousahawanan, Universiti Teknikal Malaysia Melaka, Fakultas Ekonomi Dan Bisnis Universitas Dharma Andalas (Malaysia)

Ezizwita

Fakultas Ekonomi Dan Bisnis Universitas Dharma Andalas (Malaysia)

Article Information

DOI: 10.47772/IJRISS.2025.92800017

Subject Category: Technology

Volume/Issue: 9/28 | Page No: 170-179

Publication Timeline

Submitted: 2025-11-08

Accepted: 2025-11-14

Published: 2025-12-18

Abstract

Patient experience is closely linked to perceptions of healthcare quality, reflecting how patients evaluate the services they receive. Measuring patient experience as a multidimensional construct facilitates both the conceptualization and operationalization of the term. Accordingly, this paper conceptualizes patient experience and its constituent dimensions. Drawing on an extensive review of the literature, the study synthesizes previous definitions and measurement approaches, grouping similar themes to identify key dimensions and indicators of patient experience. Patient experience is inherently multifaceted, encompassing elements such as interaction, communication, responsiveness, reliability, empathy, relationships, behavior, perception, and the hospital environment. Empirical evidence indicates that patient experience not only predicts satisfaction and willingness to recommend healthcare services but also influences patient well-being, quality of life, and long-term healthcare decisions. Therefore, patient experience should be recognized as a multidimensional construct and positioned as a core indicator of healthcare quality. As this study represents a literature review, it is strongly recommended that the identified dimensions and indicators be subjected to empirical validation, and that future research expand the scope of investigation to enhance the robustness and applicability of the conceptual framework.

Keywords

Patient experience, Interaction, Responsiveness

Downloads

References

1. Anabila, P., Kumi, D. K., & Anome, J. (2019). Patients’ perceptions of healthcare quality in Ghana: A review of public and private hospitals. International journal of health care quality assurance, 32(1), 176-190. https://doi.org/10.1108/IJHCQA-10-2017-0200 [Google Scholar] [Crossref]

2. An, S., Lee, P., & Shin, C. H. (2023, September). Effects of servicescapes on interaction quality, service quality, and behavioral intention in a healthcare setting. In Healthcare (Vol. 11, No. 18, p. 2498). MDPI. [Google Scholar] [Crossref]

3. Avdic, D., Moscelli, G., Pilny, A., Sriubaite, I., 2019b. Subjective and objective quality and choice of hospital: Evidence from maternal care services in Germany. http://dx.doi.org/10.1016/j.jhealeco.2019.102229. [Google Scholar] [Crossref]

4. Avlijas, R. N., Squires, R. N., Janet, E., Lalonde, R. N., & Backman, R. N. (2023). A concept analysis of the patient experience. Patient Experience Journal, 10(1), 15-63. [Google Scholar] [Crossref]

5. Bernardo, J. M. S., Mendes, G. H. S., Lizarelli, F. L., & Roscani, M. G. (2022). Instruments to measure patient experience in hospitals: a scoping review. Gestão & Produção, 29, e0821. https://doi.org/10.1590/1806-9649-2022v29e0821 [Google Scholar] [Crossref]

6. Bhatti, H. S., & Hassan, T. (2019). The influence of customer experience on customer loyalty for the mobile telecommunication services. In CONF-IRM (p. 8). [Google Scholar] [Crossref]

7. Brandão, A., & Ribeiro, L. (2023). The impact of patient experience on loyalty in the context of medical-aesthetic health services. Journal of Patient Experience, 10, 23743735231160422. [Google Scholar] [Crossref]

8. Daleske, C. B. (2024). The Five-Dimension Patient Experience Model and Its Applications in Healthcare Using the Example of Spinal Cord Injury and COPD. Journal of Patient Experience, 11, 23743735241293965. [Google Scholar] [Crossref]

9. Coulter, A., Fitzpatrick, R., & Cornwell, J. (2009). Measures of patients' experience in hospital: purpose, methods and uses (pp. 7-9). London: King's Fund. [Google Scholar] [Crossref]

10. De Jager, J. W., & du Plooy, A. T. (2015). The Measurement of Service Quality in Provincial Hospitals in South Africa. In Proceedings of the 2000 Academy of Marketing Science (AMS) Annual Conference (pp. 459-468). Springer, Cham. [Google Scholar] [Crossref]

11. Doyle, C., Lennox, L., & Bell, D. (2020). Patient experience: An analysis of the concept and its measurement. Patient Experience Journal, 7(3), 12–20. https://doi.org/10.35680/2372-0247.1427 [Google Scholar] [Crossref]

12. Duplechan, L. (2024). How high reliability can facilitate clinical, organizational, and public health responses to global ecological health risks. AMA Journal of Ethics, 26(2), 171-178. [Google Scholar] [Crossref]

13. Emmamally, W., Erlingsson, C., & Brysiewicz, P. (2022). In-hospital interventions to promote relational practice with families in acute care settings: A scoping review. Health SA Gesondheid, 27(1). [Google Scholar] [Crossref]

14. Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty. International Journal of Quality & Reliability Management. https://doi.org/10.1108/IJQRM-02-2017-0031 [Google Scholar] [Crossref]

15. Giovanis, A., Pierrakos, G., Rizomyliotis, I., & Binioris, S. (2018). Assessing service quality and customer behavioral responses in hospital outpatient services: A formative measurement approach. International Journal of Quality and Service Sciences, 10(2), 98-116. [Google Scholar] [Crossref]

16. Gualandi, R., Masella, C., Piredda, M., Ercoli, M., & Tartaglini, D. (2021). What does the patient have to say? Valuing the patient experience to improve the patient journey. BMC health services research, 21(1), 347. [Google Scholar] [Crossref]

17. Holt, J. M. (2018, October). An evolutionary view of patient experience in primary care: A concept analysis. In Nursing Forum (Vol. 53, No. 4, pp. 555-566). [Google Scholar] [Crossref]

18. Ponsignon, F., Smart, A., & Phillips, L. (2018). A customer journey perspective on service delivery system design: insights from healthcare. International Journal of Quality & Reliability Management, 35(10), 2328-2347. [Google Scholar] [Crossref]

19. Jain, R., Aagja, J., & Bagdare, S. (2017). Customer experience–a review and research agenda. Journal of service theory and practice, 27(3), 642-662. [Google Scholar] [Crossref]

20. Ponsignon, F., Smart, A., & Phillips, L. (2018). A customer journey perspective on service delivery system design: insights from healthcare. International Journal of Quality & Reliability Management, 35(10), 2328-2347. [Google Scholar] [Crossref]

21. Malenfant, S., Jaggi, P., Hayden, K. A., & Sinclair, S. (2022). Compassion in healthcare: an updated scoping review of the literature. BMC palliative care, 21(1), 80. [Google Scholar] [Crossref]

22. Rapport, F., Hibbert, P., Baysari, M., Long, J. C., Seah, R., Zheng, W. Y., Jones, C., Preece, K., & Braithwaite, J. (2019). What do patients really want? An in-depth examination of patient experience in four Australian hospitals. BMC Health Services Research, 19(1), 38.http://dx.doi.org/10.1186/s12913-019-3881-z PMid:30646962. » http://dx.doi.org/10.1186/s12913-019-3881-z [Google Scholar] [Crossref]

23. Mohammadi, A., & Kamali, K. (2014). Responsiveness in the healthcare settings: a survey of inpatients. International journal of hospital research, 3(3), 123-132. [Google Scholar] [Crossref]

24. Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: a multiple item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 14-40. [Google Scholar] [Crossref]

25. Pronovost, P. J., Berenholtz, S. M., Goeschel, C. A., Needham, D. M., Sexton, J. B., Thompson, D. A., ... & Hunt, E. (2006). Creating high reliability in health care organizations. Health services research, 41(4p2), 1599-1617. [Google Scholar] [Crossref]

26. Rodrigues, K. C. (2019). A era da experiência dos pacientes. GV EXECUTIVO, 18(1), 16-19. http://dx.doi.org/10.12660/gvexec.v18n1.2019.78186. [Google Scholar] [Crossref]

27. Larson, E., Sharma, J., Bohren, M. A., & Tunçalp, Ö. (2019). When the patient is the expert: measuring patient experience and satisfaction with care. Bulletin of the World Health Organization, 97(8), 563. [Google Scholar] [Crossref]

28. Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC Health Services Research, 23(1), 886. [Google Scholar] [Crossref]

29. Silva, J. H. O., Mendes, G. H. S., Cauchick Miguel, P. A., Amorim, M., & Teixeira, J. G. (2021). Customer experience research: intellectual structure and future research opportunities. Journal of Service Theory and Practice, 31(6), 893-931. http://dx.doi.org/10.1108/JSTP-08-2020-0193 [Google Scholar] [Crossref]

30. » http://dx.doi.org/10.1108/JSTP-08-2020-0193 [Google Scholar] [Crossref]

31. Tunçalp, Ӧ., Were, W. M., MacLennan, C., Oladapo, O. T., Gülmezoglu, A. M., Bahl, R., ... & Bustreo, F. (2015). Quality of care for pregnant women and newborns—the WHO vision. Bjog, 122(8), 1045. [Google Scholar] [Crossref]

32. Turay, T., & Elsandra, Y. (2025). Student Satisfaction or University Reputation? What Is More Important for A Memorable Student Experience. Jurnal Ekonomi dan Bisnis Dharma Andalas, 27(1), 62-72. [Google Scholar] [Crossref]

33. Zeithaml, V. A. (1988). Consumer perceptions of price, quality, and value: a means-end model and synthesis of evidence. The Journal of marketing, 2-22. [Google Scholar] [Crossref]

34. Zeithaml, V. A., Berry, L. L., & Parasuraman, A. (1996). The behavioural consequences of service quality. the Journal of Marketing, 31-46. https://doi.org/10.1177/002224299606000203 [Google Scholar] [Crossref]

35. Zhao, Z., Zhang, Z., Yang, C., Li, Q., Chen, Z., & Yin, W. (2024). The influence of patient experience and patient trust on willingness to see a doctor based on SOR theory. BMC Health Services Research, 24(1), 1278. [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles