| Literature DB >> 36141649 |
Qihui Xie1, Xun Xie1, Siwei Guo1.
Abstract
The satisfaction of highly educated citizens with community services for COVID-19 represents the attitude of the middle class and plays an important role in both the social and political stability of a country. The aim of this paper was to determine which factors influence public satisfaction with COVID-19 services in a highly educated community. Through a literature review and using the American Customer Satisfaction Index (ACSI) model, this paper constructed a public satisfaction model of community services for COVID-19 and proposed relevant research hypotheses. A community with many highly educated residents in Beijing was selected as the case study, where 450 official questionnaires were distributed based on the age ratio of residents, with 372 valid questionnaires being collected from May 2021 to July 2021. The study results obtained by a structural equation model (SEM) show that: (1) public satisfaction is significantly and positively influenced by quality perception (0.305 **), public demand (0.295 **), and service maturity (0.465 ***); (2) public satisfaction has a significantly positive effect on service image (0.346 ***) and public trust (0.232 **), and service image significantly affects public trust (0.140 *); (3) service maturity is positively influenced by public demand (0.460 ***) and quality perception (0.323 *); and (4) public demand is positively influenced by quality perception (0.693 ***) (* p < 0.05; ** p < 0.01; *** p < 0.00). The conclusions of the study can provide suggestions and recommendations to improve the satisfaction of highly educated residents with community healthcare services during the COVID-19 pandemic.Entities:
Keywords: community governance; highly educated residents; satisfaction influence factors; services for COVID-19
Mesh:
Year: 2022 PMID: 36141649 PMCID: PMC9517255 DOI: 10.3390/ijerph191811363
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 4.614
Figure 1American Customer Satisfaction Index model.
Connotation and measurable variables of public demand.
| Connotation | Measurable Variables |
|---|---|
| Whether the public has new needs for community services for COVID-19 after experiencing the services provided by the community. | A1 I think the overall community services for COVID-19 need to be improved [ |
| A2 I think the reliability of community services for COVID-19 needs to be improved [ | |
| A3 I think community services for COVID-19 need to be improved in terms of meeting individualized needs [ |
Connotation and measurable variables of quality perception.
| Connotation | Indicators | Measurable Variables |
|---|---|---|
| Public perception of the overall quality of community services for COVID-19. | Service resources | B1 I think there is an adequate workforce for community COVID-19 services [ |
| B2 I think the infrastructure of community COVID-19 services is well developed [ | ||
| B3 I think there is sufficient financial support for community COVID-19 services [ | ||
| Service content | C4 I think the community services for COVID-19 are rich in measures [ | |
| C5 I think the measures of community services for COVID-19 are scientific [ | ||
| C6 I think the measures of community services for COVID-19 are effective [ | ||
| Access to services | D7 I have easy access to community services for COVID-19 [ | |
| D8 The access to community services for COVID-19 works for me [ | ||
| D9 I have much access to services for COVID-19 in my community [ | ||
| Public participation | E10 I participate actively in the community services for COVID-19 [ | |
| E11 I think the community provides personalized COVID-19 services [ | ||
| E12 I think there are enough opportunities provided by the community to involve the public in COVID-19 services [ |
Connotation and measurable variables of service maturity.
| Connotation | Measurable Variables |
|---|---|
| Scope size and perfection of community services for COVID-19. | F1 I think the measures of community services for COVID-19 are perfect [ |
| F2 I think the scope of community services for COVID-19 is wide enough [ |
Connotation and measurable variables of public satisfaction.
| Connotation | Measurable Variables |
|---|---|
| Recognition of the services enjoyed by the public after they have experienced COVID-19 community services. | G1 I am satisfied with the overall community services for COVID-19 [ |
| G2 I think community services for COVD-19 are meeting my expected needs [ |
Connotation and measurable variables of service image and public trust.
| Variables | Connotation | Measurable Variables |
|---|---|---|
| Service image | The overall image of the community built by the public as they receive the COVID-19 services provided by the community. | H1 I think the overall image of community services for COVID-19 is good [ |
| H2 I think the community services for COVID-19 are working efficiently [ | ||
| H3 I think the community services for COVID-19 are well positioned to receive public complaints and scrutiny [ | ||
| H4 I think the community has responded to complaints or suggestions in a timely manner [ | ||
| Public trust | The level of trust and support shown by the public for the community after experiencing the COVID-19 services. | I1 I trust the work of the community services for COVID-19 [ |
| I2 I am willing to cooperate with the work of the community services for COVID-19 [ |
Figure 2The public satisfaction model of community services for COVID-19.
Number of questionnaires distributed and collected.
| Age | Proportion of Total Population | Distributed Samples | Effective Samples Recovered | Proportion of Effective Sample |
|---|---|---|---|---|
| <18 | 3% | 14 | 11 | 2.96% |
| 18–25 | 18% | 81 | 67 | 18.01% |
| 26–45 | 49% | 221 | 182 | 48.92% |
| 46–60 | 21% | 94 | 78 | 20.97% |
| >60 year | 9% | 40 | 34 | 9.14% |
| Total | 100% | 450 | 372 | 100% |
(Data source for the proportion of total population: interview with the “D” community committee.)
Fitting index of the public satisfaction model.
| Indicator Type | Fitting Index | Evaluation Criteria or Thresholds | Model Estimation |
|---|---|---|---|
| Absolute Fit Index | CMIN/DF | <3 | 1.6045 |
| GFI | >0.8 | 0.920 | |
| RMSEA | <0.08 | 0.04 | |
| Relative Fit Index | NFI | >0.8 | 0.906 |
| CFI | >0.9 | 0.962 | |
| TLI | >0.8 | 0.957 |
Figure 3The public satisfaction model in a highly educated community.
The path test.
| Independent Variable | Dependent Variable | Unstandardized Regression Coefficients | Standardized Regression Coefficients | Standard Errors | T-Value | Hypothesis | ||
|---|---|---|---|---|---|---|---|---|
| Quality Perception | ----> | Public Satisfaction | 0.774 | 0.305 | 0.265 | 2.918 | ** | H1a |
| Service Maturity | ----> | Public Satisfaction | 0.677 | 0.465 | 0.119 | 5.668 | *** | H1b |
| Public Demand | ----> | Public Satisfaction | 0.321 | 0.295 | 0.092 | 3.495 | *** | H1c |
| Public Satisfaction | ----> | Service Image | 0.348 | 0.346 | 0.059 | 5.920 | *** | H2a |
| Public Satisfaction | ----> | Public Trust | 0.193 | 0.232 | 0.061 | 3.171 | ** | H2b |
| Service Image | ----> | Public Trust | 0.115 | 0.140 | 0.057 | 2.019 | * | H3 |
| Quality Perception | ----> | Service Maturity | 0.562 | 0.323 | 0.221 | 2.546 | * | H4a |
| Public Demand | ----> | Service Maturity | 0.344 | 0.460 | 0.081 | 4.265 | *** | H4b |
| Quality Perception | ----> | Public Demand | 1.616 | 0.693 | 0.262 | 6.174 | *** | H5 |
* p < 0.05; ** p < 0.01; *** p < 0.00.
Figure 4The results of the public satisfaction model. * p < 0.05; ** p < 0.01; *** p < 0.00.