title: [How are consumers, service and market factors related to customer loyalty in medical service? Targeting the medical consumer in a city].
abstract: OBJECTIVE
  This study was performed to explore customer loyalty and the related factors.
  
  
  METHODS
  900 households (a 1% sample) were randomly selected from the total population of K city located in Kangwon province. An interview survey was performed with using a structured questionnaire for the subjects (923 persons) who had used medical service during the year before the survey, and the survey was done September, 2002.
  
  
  RESULTS
  When comparing the relating factors related with customer loyalty according to the sociodemographic characteristics, the older group showed a significantly higher level of recognition for service quality, service reputation, internal customers.attitudes and switching cost. The lower income group showed a higher level of recognition for service quality, service image and switching cost. The lower educated group showed a higher level of recognition for service reputation, service image and internal customers.attitudes. The higher educated group showed a higher level of recognition for perceived risk, and seeking variety. In addition, the expert group or the service and manufacturing workers group showed a higher level of recognition for service involvement. On multiple regression analysis, internal customers' attitudes, service image, service reputation, service quality, switching cost, and substitutability showed significant relations with customer loyalty.
  
  
  CONCLUSIONS
  This study showed that customer loyalty was significantly influenced by service factors like internal customers' attitudes, service image, service reputation, and service quality, and by market factors like switching cost, and substitutability. The results of this study can be used as a baseline for developing strategies to create and keep customers with high loyalty.
authors.affiliation: Department of Preventive Medicine, School of Medicine, Ewha Womans University, Korea.
authors.forename: Sunhee
authors.initials: S
authors.lastname: Lee
authors.forename: Hyunmi
authors.initials: H
authors.lastname: Kim
authors.forename: Juhye
authors.initials: J
authors.lastname: Kim
authors.forename: Gwiyeom
authors.initials: G
authors.lastname: Ha
mesh_terms: D000328:Adult; D003256:Community Participation; D005260:Female; D019538:Health Care Surveys; D006296:Health Services; D006801:Humans; D007407:Interviews as Topic; D007723:Korea; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D014505:Urban Population