Factors affecting pharmacy engagement and pharmacy customer devotion in community pharmacy: A structural equation modeling approach
Background: The concept of customer engagement and devotion has been applied in various service businesses to keep the customers with business However, a limited number of studies were performed to examine the context of customer engagement and devotion in pharmacy business which focus on the impact of customer perceptions about pharmacists, perceived quality of pharmacy structure, medication price strategy on pharmacy engagement and pharmacy customer devotion in a pharmacy providing pharmaceutical care to the customers.
Objective: This study aimed to assess a conceptual model depicting the relationships among customer perceptions about pharmacists, pharmacy quality structure, medication price, customer engagement, and customer devotion. And also aimed to assess and measure if there is a direct or indirect relationship between these factors.
Methods: A quantitative study was conducted by using self-administered questionnaires. Two hundred and fifty three customers who regularly visited the pharmacy were randomly recruited from a purposively selected 30 community pharmacies in Bangkok. The survey was completed during February to April 2016. A structural equation model (SEM) was used to assess the direct and indirect relationships between constructs.
Results: A total of 253/300 questionnaires were returned for analysis, and the response rate was 84%. Only perceptions about pharmacist in customers receiving professional pharmacy services was statically significant regarding relationship with pharmacy engagement (beta=0.45). Concurrently, the model from empirical data fit with the hypothetical model (p-value = 0.06, adjusted chi-square (CMIN/DF)=1.16, Goodness of Fit Index (GFI)=0.93, Comparatively Fit Index (CFI)=0.99, and Root Mean Square Error Approximation (RMSEA)=0.03).
Conclusion: The study confirmed the indirect positive influence of customer perceptions about pharmacist on pharmacy customer devotion in providing pharmacy services via pharmacy engagement It was customer perceptions about pharmacist that influenced customer retention, positive word of mouth and constructive advice to pharmacies, not quality of pharmacy structure and medication price. To create a long term impact on community pharmacy business, pharmacist is the key success factor.
2. Smith, B., Customer Satisfaction Is the Wrong Measure. The Gallup Management Journal 2005. Available at: http://www.gallup.com/businessjournal/15850/customer-satisfaction-wrong-measure.aspx (accessed 22 August 2017).
3. Van Doorn J, Lemon KN, Mittal V, Nass S, Pick D, Pirner P, Verhoef PC. Customer engagement behavior: theoretical foundations and research directions. J Serv Res. 2010;13(253):253-266. doi: 10.1177/1094670510375599
4. Castaldo S, Grosso M, Mallarini E, Rindone M. The missing path to gain customers loyalty in pharmacy retail: The role of the store in developing satisfaction and trust. Res Social Adm Pharm. 2016;12(5):699-712. doi: 10.1016/j.sapharm.2015.10.001
5. Patrícia Antunes L, Gomes JJ, Cavaco AM.How pharmacist–patient communication determines pharmacy loyalty? Modeling relevant factors. Res Social Adm Pharm. 2015;11(4):560-570. doi: 10.1016/j.sapharm.2014.11.003
6. Pimentel RW, Reynolds KE. A model for consumer devotion: Affective commitment with proactive sustaining behaviors. Acad Mark Sci Rev. 2004;(5):1-48.
7. Jacob F, Kleipass U, Pohl A. Nature and role of customer satisfaction in the solution business. Eur Manag J. 2014;32:487-498. doi: 10.1016/j.emj.2013.08.002
8. Orel FD, Kara A. Supermarket self-checkout service quality,customer satisfaction, and loyalty: Empirical evidence from an emerging market. J Retailing Consum Serv. 2014;21:118-129. doi: 10.1016/j.jretconser.2013.07.002
9. Segoro W. The influence of perceived service quality, mooring factor, and relationship quality on customer satisfaction and loyalty. Procedia. 2013;81:306-310. doi: 10.1016/j.sbspro.2013.06.433
10. Verhoef PC, Lemon KN. Successful customer value management: Key lessons and emerging trends. Eur Manag J. 2013;31(1):1-15. doi: 10.1016/j.emj.2012.08.001
11. Vesel P, Zabkar V. Managing customer loyalty through the mediating role of satisfaction in the DIY retail loyalty program. J Retailing Consum Serv. 2009;16:396-406. doi: 10.1016/j.jretconser.2009.05.002
12. Aksoya L, Buoyeb A, Aksoyc P, Larivièred B, Keininghamb TL. A cross-national investigation of the satisfaction and loyalty linkage for mobile telecommunications services across eight countries. J Interact Mark. 2013;27(1):74-82. doi: 10.1016/j.intmar.2012.09.003
13. Uncles MD, East R, Lomax W. Market share is correlated with word-of-mouth volume. Australasian Mark J. 2010;18(3):145-150. doi: 10.1016/j.ausmj.2010.03.001
14. East R, Hammon K, Lomax W. Measuring the impact of positive and negative word of mouth on brand purchase probability. Int J Res Mark. 2008;25(3):215-224. doi: 10.1016/j.ijresmar.2008.04.001
15. Brodie RJ, Hollebeek LD, Jurić B, Ilić A. Customer engagement: conceptual domain, fundamental propositions, and implications for research. J Serv Res. 2011;14(3):252-271. doi: 10.1177/1094670511411703
16. Greve G. The moderating effect of customer engagement on the brand image – brand loyalty relationship. Procedia. 2014;148:203-210. doi: 10.1016/j.sbspro.2014.07.035
17. So K, King C, Sparks BA, Wang Y. The Role of Customer Engagement in Building Consumer Loyalty to Tourism Brands. Journal of Travel Research, 2016;55(1):64-78. doi: 10.1177/0047287514541008
18. Vivek SD, Beatty SE, Morgan RM, Customer engagement: exploring customer relationships beyond purchase. Journal of Marketing Theory and Practice, 2012;20(2):122-146.
19. Brooks N, Simkin L. Judging marketing mix effectiveness. Marketing Intelligence & Planning, 2012;30(5):494-514. doi: 10.1108/02634501211251025
20. D'Esopo M, Almquist E. An approach to mastering the marketing mix. Business Strategy Series. 2007;8(2):122-131. doi: 10.1108/17515630710685186
21. Wise R, Sirohi N. Finding the best marketing mix. Journal of Business Strategy. 2005;26(6):10-11. doi: 10.1108/02756660510632975
22. Goi CL. A review of marketing mix: 4Ps or more? Int J Mark Stud. 2009;1(1):2. doi: 10.5539/ijms.v1n1p2
23. Lostakova H, Horakova V. Usefulness of tools to enhance retention and loyalty in purchasing OTC drugs from the perspective of clients of B&M Pharmacies. Procedia. 2014;150:576-589. doi: 10.1016/j.sbspro.2014.09.077
24. Cronin JJ, Brady MK, Hult GTM. Assessing the effects of quality, value, and customer satisfaction on consumer behavioral intention in sercice enviornment. Journal of Retailing. 2000;76(2):193-218.
25. Brady MK, Cronin JJ Jr, Brand RR. Performance-only measurement of service quality: a replication and extension. J Business Res. 2002;55(1):17-31. doi: 10.1016/S0148-2963(00)00171-5
26. Zhao L, Lu Y, Zhang L, Chau PYK. Assessing the effects of service quality and justice on customer satisfaction and continuance intention of mobile value-added services: An empirical test of a multidimensional model. Decision Support Systems. 2012;52(3):645-656. doi: 10.1016/j.dss.2011.10.022
27. Osman K, Yavas U, Emin B. Measuring service quality of banks: Scale development and validation. J Retailing Consum Serv. 2005;12(5):373-383.
28. Jain SJ, Gupta G. Measuring service quality: SERVQUAL vs. SERVPERF scales. Vikalpa, 2004;29(2):25-37.
29. Carpenter G, Lehmann D. A model of marketing mix, brand switching, and competition. J Mark Res. 1985;22(3):318-329. doi: 10.2307/3151428
30. Gronroos C. From marketing mix to relationship marketing: towards a paradigm shift in marketing. Manag Decis. 1994;32(2):4-20. doi: 10.1108/00251749410054774
31. Thailand, P.C.o. Good Pharmacy Practice (GPP) and Quality Assurnace System. Available at: http://papc.pharmacycouncil.org/share/file/file_1780.%E0%B8%A3%E0%B8%B0%E0%B8%9A%E0%B8%9A%E0%B8%84%E0%B8%B8%E0%B8%93%E0%B8%A0%E0%B8%B2%E0%B8%9E%E0%B8%81%E0%B8%B1%E0%B8%9A%E0%B8%87%E0%B8%B2%E0%B8%99%E0%B8%9A%E0%B8%A3%E0%B8%B4%E0%B8%81%E0%B8%B2%E0%B8%A3%E0%B9%83%E0%B8%99%E0%B8%A3%E0%B9%89%E0%B8%B2%E0%B8%99%E0%B8%A2%E0%B8%B2(16%E0%B8%9E%E0%B8%8459)%E0%B8%99%E0%B8%84%E0%B8%A3%E0%B8%9B%E0%B8%90%E0%B8%A12.0.pdf (accessed 10 April 2017).
32. Soper DS. A-priori sample size calculator for structural equation models [Software]. Available at: http://www.danielsoper.com/statcalc (accessed 22 August 2017).
33. van Eikenhorst L, Salema NE, Anderson C. A systematic review in select countries of the role of the pharmacist in consultations and sales of non-prescription medicines in community pharmacy. Res Social Adm Pharm. 2017;13(1):17-38. doi: 10.1016/j.sapharm.2016.02.010
34. Hamilton J. Building a targeted pharmacy customer engagement approach. Int J Pharm Healthcare Mark. 2009;3(4):381-396. doi: 10.1108/17506120911006065
35. Hooper D, Coughlan J, Mullen MR. Structural equation modelling: guidelines for determining model fit. Electr J Business Res Meth. 2008;6(1):53-60.
36. Carter T. Customer engagement and behavioral considerations. J Strategic Mark. 2008;6(1):21-26. doi: 10.1080/09652540701794387
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