Factors Influencing Growth or Decline of Brand Performance in the Healthcare Industry: a case study in Shiraz hospitals

Authors

Abstract

Background: In the competitive healthcare market, maintaining and developing a market share is the result of brand performance. Therefore, studying factors influencing decline or growth of brand performance is an important topic in hospital marketing strategies.
 
Methods: The statistical population of this descriptive and applied study included individuals who received inpatient services during a 9- month period (March, 2017 to December, 2017) at one hospital in Shiraz. Cluster and convenient sampling was done and 396 ones were selected. The collected data were analyzed through Smart PLS software.
 
Results: Hospital brand value was to a large extent influenced by brand association, perceived quality, brand trust, relationship commitment, brand loyalty, reputation and social responsibility. Hospital reputation from the patients' viewpoint with an impact of 0.875 and patients’ loyalty to hospital brand with an impact of 0.843 had the most important roles in enhancing hospital brand value. The factor of brand specific value affected hospitals brand performance with impact of 0.842. Relative Goodness of Fit (GOF) equal to 0.925 and R squares equal to 0.839 for hospital brand value and 0.725 for brand performance indicated that this model was valid for measuring hospital brand value and performance.
 
Conclusion: Hospitals can improve their brand value and also other performance indicators through essential measures related to promotion of factors influencing the decline or growth of hospital brand performance such as service quality, association, trust, relationship commitment, loyalty, reputation and social responsibility.

Keywords


1. Asadollah H, Hamidizadeh MR, Dorri B, Karimi Alavijeh MR. Developing a model to examine the relationship between customer-based brand equity and brand market performance: the case of dairy products brands in Tehran market. Journal of New Economy and Commerce 2009; 4(15-16): 52-76. Persian 2. Kotler P, Pfoertsch W. B2B Brand Management Translated by Haghighi M, Mousavi A, Vaziri S. 1th ed. Tehran: Negahe Danesh; 2010. Persian 3. Altaf M, Tabassum N, Mohd Mokhtar SS. Brand equity and the role of emergency medical care service quality of private cardiac institutes: An empirical investigation. International Journal of Pharmaceutical and Healthcare Marketing 2018; 12(1): 44-60. 4. Weerawardena J, O'Cass A, Julian C. Does industry matter? Examining the role of industry structure and organizational learning in innovation and brand performance. Journal of Business Research 2006;59(1):37-45. 5. Nasiripour A, Gohari M, Nafisi A. Branding and functional indices relationship in Mashhad Ghaem hospital. Journal of Health Administration 2010; 13(41):15-20. Persian 6. O’cass A, Ngo LV. Market orientation versus innovative culture: Two routes to superior brand performance. European Journal of Marketing 2006; 41(2): 868-87. 7. O'Cass A, Weerawardena J. The effects of perceived industry competitive intensity and marketing-related capabilities: Drivers of superior brand performance. Industrial Marketing Management 2010;39(4):571-81. 8. Otoofi A. Brand equity in healthcare marketing. [dissertation]. Tehran: Allameh Tabataba'i University; 2013. Persian 9. Khosravizadeh O, Vatankhah S, Maleki M. A systematic review of medical service branding: Essential approach to hospital sector. Annals of Tropical Medicine and Public Health 2017;10(5):1137-46. 10. Chahal H, Bala M. Significant components of service brand equity in healthcare sector. Int J Health Care Qual Assur 2012;25(4):343-62. 11. Kim KH, Kim KS, Kim DY, Kim JH, Kang SH. Brand equity in hospital marketing. Journal of Business Research 2008; 61(1): 75-82. 12. Yoo B, Donthu N, Lee S. An examination of selected marketing mix elements and brand equity. Journal of the Academy of Marketing Science 2000; 28(2):195-211. 13. Pappu R, Quester PG. Does brand equity vary between department stores and clothing stores? Results of an empirical investigation. Journal of Product & Brand Management 2008; 17(7): 425-35. 14. Tong X, Hawley JM. Measuring customer-based brand equity: empirical evidence from the sportswear market in China. Journal of Product and Brand Management 2009; 18(4): 262-71. 15. Molinillo S, Japutra A, Nguyen B, Steve Chen CH. Responsible brands vs active brands? An examination of brand personality on brand awareness, brand trust, and brand loyalty. Marketing Intelligence & Planning 2017; 35(2):166-79. 16. Chen AC. Using free association to examine the relationship between the characteristics of brand associations and brand equity. Journal of Product & Brand Management 2001; 10(7): 439-51. 17. Pai YP, Chary ST. Measuring patient-perceived hospital service quality: a conceptual framework. International Journal of Health Care Quality Assurance 2016; 29(3): 300-23. 18. Narang R. Measuring perceived quality of health care services in India. International Journal of Health Care Quality Assurance 2010; 23(2): 171-86. 19. Chaudhuri A, Holbrook MB. The chain of effects from brand trust and brand affect to brand performance: the role of brand loyalty. Journal of Marketing 2001;65(2):81-93. 20. Wang YC, Hsu KC, Hsu SH, Hsieh PA. Constructing an index for brand equity: a hospital example. The Service Industries Journal 2011;31(2):311-22. 21. Kumar RS, Dash S, Purwar PC. The nature and antecedents of brand equity and its dimensions. Marketing Intelligence & Planning 2013; 31(2): 141-9. 22. Rios RE, Riquelme HE. Brand equity for online companies. Marketing Intelligence & Planning 2008; 26(7): 719-42. 23. Shojaei A, Abolhasani Niaraki F. Criteria of trust in the physician-patient relationship. Iranian Journal of Medical Ethics and History of Medicine 2013; 5(7):79-90. Persian 24. Marquardt AJ. Relationship quality as a resource to build industrial brand equity when products are uncertain and future-based. Industrial Marketing Management 2013;42(8):1386-97. 25. Ouschan R, Sweeney J, Johnson L. Customer empowerment and relationship outcomes in healthcare consultations. European Journal of Marketing 2006; 40(9-10): 1068-86. 26. Brickley JA, Smith CW, Zimmerman JL. Business ethics and organizational architecture. Journal of Banking & Finance 2002;26(9):1821-35. 27. Lai CS, Chiu CJ, Yang CF, Pai DC. The effects of corporate social responsibility on brand performance: The mediating effect of industrial brand equity and corporate reputation. Journal of Business Ethics 2010; 95(1):457-69. 28. Martínez P, Nishiyama N. Enhancing customer-based brand equity through CSR in the hospitality sector. International Journal of Hospitality & Tourism Administration 2017:1-25. 29. Tuan LT. Corporate social responsibility, leadership, and brand equity in healthcare service. Social Responsibility Journal 2012; 8(3): 347-62. 30. Bennett R, Kottasz R. Practitioner perceptions of corporate reputation: an empirical investigation. Corporate Communications: an International Journal 2000; 5(4): 224-34. 31. Najm Roshan S, Nasrollahi Z, Tabatabaee nasab SM. Identifying & prioritizing effective parameters on corporate reputation in home appliances industry. Journal of Business Administration Research 2012; 3(6): 75-104. Persian 32. Motameni A, Moradi H, Banddar AR, Hemmati A. Defining Aspects of a Hospital's Reputation and its Impact on Brand Image and Brand Equity. Journal of Business Management 2014; 13(3): 87-104. Persian 33. Beverland M. Creating value for channel partners: the Cervena case. Journal of Business & Industrial Marketing 2005; 20(3): 127–35. 34. Beverland M, Napoli J, Lindgreen A. Industrial global brand leadership: a capabilities view. Industrial Marketing Management 2007;36(8):1082-93. 35. Massimino PM, Kopelman RE, Joseph ML. Explaining hospital performance via the cube one framework. Journal of Organizational Effectiveness: People and Performance 2015; 2(1): 73-90. 36. Feiz D, Kohyari Haghighat A, Kohyari Haghighat K. The role of quality improvement of services in promoting brand performance in Tehran hospitals. Payavard Salamat 2017; 11(1):53-65. Persian 37. Azar A, Gholamzadeh R, Ghanavati M. Structural Path Modeling in Management with Smart PLS Software. Tehran: Negahe Danesh Publication; 2012. Persian 38. Wang DH, Chen PH, Yu TH, Hsiao CY. The effects of corporate social responsibility on brand equity and firm performance. Journal of Business Research 2015;68(11):2232-6. 39. Wagner P. Strong branding creates a competitive edge. Radiol Manage 2007;29(3):40-3.