Document Type : Original Article

Authors

1 Health Management Research Center, Baqiyatallah University of Medical Sciences,Tehran, Iran

2 Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Department of Health Services Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran Health Human Resources Research Center, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

BACKGROUND: Patient relationship management (PRM), in addition to saving costs, increases
patient loyalty and creates a satisfactory environment for the patient and the service provider. This
study aimed to design a model of PRM in general hospitals using the combination of the analytic
hierarchy process and interpretive structural modeling (ISM).
METHODS: This was an applied and cross‑sectional study conducted in 2020 at three stages. At
the first stage, using a systematic review, factors affecting PRM were identified. In the second stage,
these factors were prioritized based on the pair‑wise comparisons. In the third stage, the interaction
levels of the factors were modeled for the general hospitals using ISM through the use of the MICMAC
technique and Excel 2007 software.
RESULTS: The results showed that “integrated information system,” “registration of the patient’s
essential information,” and “right data at the correct time” were the first to third priority in implementing
PRM in the general hospitals. In the final model of ISM, three levels of effective factors were extracted,
and 10, 4, and 6 factors were identified in the first, second, and third levels, respectively.
CONCLUSION: Establishing the PRM strategy in the hospital, in addition to executive and managerial
requirements, depends on the existence of an electronic customer relationship management system,
and the choice of new technology, as well as the integration of information systems and technology
culture, should be given special attention by managers.

Keywords

  1. Schneider JE, Miller TR, Ohsfeldt RL, Morrisey MA, Zelner BA,
    Li P. The economics of specialty hospitals. Medical Care Research
    and Review. 2008;65:531-53.
    2. Barnum H, Kutzin J, Saxenian H. Incentives and provider payment
    methods. The Int J Health Plann Manage 1995;10:23‑45.
    3. Rezapour A, Khalaj M. The economic behavior of general hospitals
    of Iran. Shahrekord‑University‑of‑Med‑Sci 2006;8:11‑16.
    4. Hong HG, Chun JR. The Analysis of the Factors and Weights for
    the Performance Mesurement of Hospital CRM System. Journal of
    the Korea Academia-Industrial cooperation Society. 2007;8:915-23.
    5. Nguyen T, Sherif J, Newby M. Strategies for successful CRM
    implementation. Inf Manag Comput Security 2007;15:102‑15.
    6. Poku M, Behkami N, Bates D, Patient relationship management:
    What the U.S. healthcare system can learn from other industries.
    J Gen Intern Med 2016;1;32:101-4.
    7. Anshari M, Almunawar MN. Evaluating CRM Implementation in
    Healthcare Organization, International Conference on Economics
    and Business Information, IPEDR .2011: IACSIT Press, Bangkok,
    Thailand.
    8. Aboulhallaje M, Hatamabad N, Abachizadeh K. Revenue sources
    of educational hospitals affiliated to iranian medical universities.
    J Gorgan University Med Sci 2011;13:94‑100.
    9. Raisinghani MS, Tan EL, Untama JA, Weiershaus H, Levermann
    T, Verdeflor N. CRM systems in german hospitals: Illustrations
    of issues & trends. J Cases on Inf Techn 2005;7:1-26.
    10. Mbah O, Schaal J, Cykert S, Eng E, Robertson L, Baker S, et al.
    Associations between the patient-physician relationship and
    health-related quality of life among patients with cancer. J Clin
    Oncol 2018;36:162-62.
    11. Abbasi-Moghaddam MA, Zarei E, Bagherzadeh R, Dargahi H,
    Farrokhi P. Evaluation of service quality from patients’ viewpoint.
    BMC Health Services Research. 2019;19:1-7.
  2. 12. Baashar YM, Mahmood AK. An integrative perspective for CRMS
    implementation in healthcare in Malaysia," 2014 International
    Conference on Computer and Information Sciences (ICCOINS),
    2014, pp. 1-6, doi: 10.1109/ICCOINS.2014.6868399.
    13. Baashar Y, Alhussian H, Patel A, Alkawsi G, Alzahrani AI, Alfarraj
    O, Hayder G. Customer relationship management systems
    (CRMS) in the healthcare environment: A systematic literature
    review. Computer Standards & Interfaces. 2020 ;1;71:103442.
    14. Yaghoubi M, Asgari H, Javadi M. The impact of the customer
    relationship management on organizational productivity,
    customer trust and satisfaction by using the structural equation
    model: A study in the Iranian hospitals. J Educ Health Promot
    2017;6:6.
    15. Simieneh MM, Mengistu MY, Gelagay AA, Gebeyehu MT.
    Mothers’ health care seeking behavior and associated factors for
    common childhood illnesses, Northwest Ethiopia: community
    based cross-sectional study. BMC health services research.
    2019;19(1):1-7.
    16. Khajeh A, Vardanjani HM, Salehi A, Rahmani N, Delavari S.
    Healthcare-seeking behavior and its relating factors in South of
    Iran. Journal of education and health promotion. 2019;8:183-83.
    17. Wu Z, Robson S, Hollis B. The application of hospitality elements
    in hospitals. J Healthcare Manag 2013;58:47‑62.
    18. Asgar MG, Shahri S. Customer relationship management in
    healthcare. Cumhuriyet Sci J 2015;36: 1003-05.
    19. Sharifabadi AM, Pezeshki RE, Noori A. Evaluating the situation
    of service quality based on patient relationship management
    approach. SSUJ 2015;14:90-105.
    20. Yousefi K, Kargari M, Patient relationship management method,
    an approach toward patient satisfaction: A case study in a public
    hospital. Int J Travel Med Global Health 2014;2:11-17.
    21. Dahmardeh N, Shahraki A, Lakzaei M. Identifying and ranking
    the effective factors on customer relationship management
    implementation cause study: Telecommunication company of
    sistan & baluchestan. J Indust Manag 2010;5:91 -100.
    22. Baashar YM, Mahomood AK, Almomani MA, Alkawsi GA.
    Customer relationship management (CRM) in healthcare
    organization: A review of ten years of research. 2016. 97-102.
    23. Abbaszadeh M, et al. Designing customer relationship
    management model in hospital. Manag Strat Health Syst 2017;Sep
    10;2(2):96-107.
    24. Moshref Javadi MH, Azmoon Z. Ranking branches of system
    group company in terms of acceptance preparation of electronic
    customer relationship management using ahp method. Procedia
    Comput Sci 2011;3:1243‑48.
    25. Navimipour JN, Soltani Z. The impact of cost, technology
    acceptance and employees’ satisfaction on the effectiveness of the
    electronic customer relationship management systems. Comput
    Human Behav 2016;55:1052‑66.
    26. Monem H, Hussin A, Behboodian N. Organizational Perspective
    of CRM Implementation Factors in Hospital; 2011;23 :1-6.
    27. Vardasca T, Martins H. Patient relationship management in public
    healthcare Settings. International Conference on Communications
    (ICC) IEEE. 2011; Jun5:1-4.
    28. Hung SY, Hung WH, Tsai CA, Jiang SC. Critical factors of hospital
    adoption on CRM system: Organizational and information system
    perspectives. Decision support systems. 2010;1;48(4):592-603.
    29. Nekoie-Moghadam M, Amiresmaili M, Kardan-moghadam V,
    Jahani Y, Goharimehr M. Identification of Effective Dimensions
    and Factors on Improving Patient Relationship Management
    Strategy in Kerman City Hospitals, Iran: A Qualitative Study.
    Journal of Qualitative Research in Health Sciences. 2018 ;
    19;6(4):400-13.
    30. Nasrabad RR. Customer relationship management in agile
    healthcare organizations. Int J Econom Finan Issues 2017;7:730‑32.
    31. Stevenson A. Striving for excellence: Insights from a key
    informant survey on nursing work environment improvement
    and innovation. Nurse Leader 2003;1:13‑20.
    32. Ahn YC. Implemental Model of Customer Relationship
    Management System for Oriental Hospital Using Customer
    Segmentation. Journal of the Korea Industrial Information
    Systems Research. 2010;15(5):79-87.
    33. Oinas‑Kukkonen H, Räisänen T, Hummastenniemi N. Patient
    relationship management: An overview and study of a follow‑up
    system. J Healthcare Inform Manage JHIM 2008;2:24‑9.
    34. Siau K, Shen Z, Mobile healthcare informatics. Med Inform Intern
    Med 2006;31:89‑99.
    35. Salomann H, Dous M, Kolbe L, Brenner W. Rejuvenating
    Customer Management: How to Make Knowledge For, From and
    About Customers Work. European Management Journal. 2005 ;
    1;23(4):392-403.
    36. Al-Busaidi KA. Aligning customer knowledge management
    tools with business strategy. International Journal of Electronic
    Customer Relationship Management. 2013 Jan 1;7(2):117-34.
    37. Nekoie-moghadam M, Amiresmaili M, Kardan-moghadam V,
    Jahani Y, Goharimehr M. Identification of Effective Dimensions
    and Factors on Improving Patient Relationship Management
    Strategy in Kerman City Hospitals, Iran: A Qualitative Study.
    Journal of Qualitative Research in Health Sciences. 2020 ;
    24;6(4):400-13.
    38. Yaghoubi M, Agharahimi Z, Karimi S, Javadi M. Factors affecting
    patients' preferences in choosing a hospital based on the mix
    marketing components in isfahan. 2011;14(2):106-114.
    39. Hausman AV, Mader D. Measuring social aspects in the
    physician/patient relationship. Health Market Quarterly
    2004;21:3‑26.
    40. Baashar Y, Mahmood AK. An integrative perspective for
    CRMS implementation in healthcare in Malaysia. International
    Conference on Computer and Information Sciences (ICCOINS)
    .2014; Jun 3:1-6.
    41. Bose R, Sugumaran V. Application of knowledge management
    technology in customer relationship management. Knowledge
    Process Manage 2003;10:3‑17.
    42. Ryals L. Are your customers worth more than money? J Retai
    Consumer Serv 2002;9:241‑51.
    43. Wu IL, Wu KW. A hybrid technology acceptance approach
    for exploring e‑CRM adoption in organizations. Behav IT
    2005;24:303‑16.
    44. Fjermestad J, Romano NC. Electronic customer relationship
    management: Revisiting the general principles of usability and
    resistance‑an integrative implementation framework. Bus Process
    Manag J 2003;9:572‑91.
    45. Zablah A, Bellenger D, Johnston W. An evaluation of divergent
    perspectives on customer relationship management: Towards a
    common understanding of an emerging phenomenon. Industrial
    Marketing Manage 2004;33:475‑89.
    46. Swift R. Accelerating Customer Relationships: Using Crm and
    Relationship technologiestm. Prentice Hall Press; Upper Saddle
    River, NJ. 2001.
    47. Soltani Arabshahi SK, Ajami A, Siabani S. Investigation of
    doctor‑patient communication skills teaching: Medical learners’
    perception (stager‑intern) and staffs of iran university of medical
    sciences and kermanshah university of medical sciences. RJMS
    2004;11:423‑31.
    48. Charlton CR, Dearing KS, Berry JA, Johnson MJ. Nurse
    practitioners’ communication styles and their impact on patient
    outcomes: an integrated literature review. Journal of the American
    Academy of Nurse Practitioners. 2008 l;20(7):382-8.
    49. Gibson‑Mee S. Communication skills to improve clients’
    experiences of hospital. Learn Disability Pract 2011;14:28‑30.
    50. Hashemi N, Hajiheydari N. Customer knowledge management
    framework in e-commerce. In International Conference on
    E-business, Management and Economics, IACSIT Press, Singapore
    2011.
  3. 51. Lindgreen A. The design, implementation and monitoring
    of a CRM programme: A case study. Market Intell Plann
    2004;22:160‑86.
    52. Monem H, Sharifian R, Shaterzadeh H. CRM software
    implementation factors in hospital: Software & patient
    perspectives. In2011 Malaysian Conference in Software
    Engineering 2011;13:159-164.
    53. Jalal AN, Bahari M, Tarofder AK, Musa WM .Factors influencing
    customer social relationship management implementation and
    its benefits in healthcare industry. Polish J Manage Studies
    .2019;19(2):196-205.
    54. Roopchund R. Exploring Social CRM for Development of SMEs
    in Mauritius. J Enterprising Culture 2019;27:93‑109.
    55. Aiyer M, Panigrahi JK, Das B. Successful customer relationship
    management in business process integration and development
    of applications for project management. International Journal of
    Mechanical Engineering and Technology. 2018;9(2):637-43.
    56. Rahimnia FZ, Hanzaleh; Feyz Mohammadi, shirin factors
    affecting the acceptance of customer relationship management
    system strategy in mashhad hospitals. Health Inform Manag
    2014;11:88‑98.
    57. Mendoza LE, Marius A, Pérez M, Grimán AC. Critical success
    factors for a customer relationship management strategy. Inform
    Software Technol 2007;49:913-45.