Health care quality become an important issue of hospital¡¦s management while the change of external environment such as the National Health Insurance program implementation and continuously reformed. The medical market turned into the highly-competitive, and patients are more concern their right and the quality of health care. By health quality improvement, hospitals can reduce medical malpractice and decrease the costs of medical administration. Health service quality is also an important factor of patient satisfaction. Increasing health service quality not only can improve patient satisfaction but also increase patient loyalty. And patient can get better medical care through the improvement of health service quality. It will increase their satisfaction and loyalty of hospital. The long-term relationship between hospitals and patients will help hospitals built their better image and reputation. This study applies PZB model and health quality factors to survey gaps of health service, the difference of service quality, patient satisfaction and patient loyalty. The result shows that service quality and satisfaction have positive effect of loyalty. At last, according to critical study findings, this thesis proposes certain suggestion. Wish medical managers can use these results to explore the key problem of health service. Through improvement of health service quality, it may raise patient satisfaction and increase patient loyalty to the hospitals.

Abstract This research take ¡§the service quality¡¨, ¡§the customer degree of satisfaction¡¨ and ¡§the customer loyalty¡¨ is variable as the research, reads the domestic and foreign various experts to propose the research theory and the argument, and as studies the parent substance take ¡§some area Teaching hospital¡¨, in view of ¡§the populace who once arrived at some area Teaching hospital in hospital¡¨ are the sampling objects, carries on the paper questionnaire real diagnosis work, conducts the above three research variable mutual relatedness research. This research main discovery is: 1. ¡§The medical procedure¡¨ the partial degree of satisfaction and the patient loyalty ¡§will need the medical service regarding the medical service quality to come this courtyard again once more?¡¨Present that the intense forward relational existence. 2. ¡§The service result¡¨ the partial degree of satisfaction and the patient loyalty ¡§will need the medical service regarding the medical service quality to come this courtyard again once more?¡¨ Present that the intense forward relational existence. 3. ¡§The medical procedure¡¨ partial satisfaction and the patient loyalty ¡§the relatives and friends needs the medical service regarding the medical service quality to be willing to introduce this courtyard?¡¨ Present that the intense forward relational existence. 4. ¡§The service result¡¨ partial satisfaction ¡§the relatives and friends needs the medical service regarding the medical service quality in with the patient loyalty to be willing to introduce this courtyard?¡¨ Present that the intense forward relational existence. 5. (1) Demography and in the medical service quality's of variance analysis hospital ward environment facility degree of satisfaction, filling in artificial myself must myself have outside the remarkable difference regarding the hospital ward environment facility degree of satisfaction. (2) Demography and in the medical service quality's of variance analysis staff service attitude degree of satisfaction, filling in artificial myself must myself have the remarkable difference (3) Demography and in medical service quality of variance analysis knowing medical procedure degree of satisfaction regarding the staff service attitude degree of satisfaction, filling in artificial myself must myself have the remarkable difference and the female regarding the medical procedure degree of satisfaction compare the male to have the remarkable difference regarding the medical procedure degree of satisfaction. (4) Demography and in medical service quality's service result degree of satisfaction variance analysis knowing, filling in artificial myself must myself have the remarkable difference regarding the service result degree of satisfaction. 6. (1) Goes see a doctor the background and in medical service quality of variance analysis knowing hospital ward environment facility degree of satisfaction; Regarding chooses factor of this courtyard¡§to recommend, ¡§the good communications¡¨ for the relatives and friends¡¨, ¡§the medical skill to be wise¡¨ and ¡§the service attitude is good¡¨ the option to the hospital ward environment facility degree of satisfaction to have the remarkable difference. (2) Goes see a doctor the background and in medical service quality of variance analysis knowing staff service attitude degree of satisfaction, chooses in this courtyard the factor ¡§to be good for the service attitude¡¨ to goes see a doctor the background and the staff service attitude degree of satisfaction has the remarkable difference. (3) Goes see a doctor the background and in the medical service quality of variance analysis medical procedure degree of satisfaction, ¡§the relatives and friends recommend¡¨, ¡§the good communications¡¨, ¡§the medical skill to be wise¡¨, ¡§the service attitude to be good¡¨The option has the remarkable difference. (4) Goes see a doctor the background and in the medical service quality of variance analysis administrative efficiency degree of satisfaction, the option is ¡§the place is moderate¡¨, ¡§the medical equipment to be good¡¨ has the remarkable difference. (5) Goes see a doctor the background and in the medical service quality of variance analysis service result degree of satisfaction, the gynecology and obstetrics department has the remarkable difference compared to the surgical department: In hospital way outpatient service has the remarkable difference compared to the emergency medical treatment. 6. Customer sickness in medical service satisfaction which provides to the hospital by medical procedure part satisfaction and the service result actually important attribute. Has the intense predictive ability with the patient loyalty. Key words:Service Quality, Customer degree of Satisfaction, Patient Loyalty, local Hospital

To increase medical service quality for medical ecology is necessary nowadays, it provides not only customers satisfaction and ensure patent s¡¦ willing for next visit, but also have the requirements of the hospital accreditation. Furthermore, medical service quality has become the main purchasing direction for hospital administrators. This survey is based on ¡§5Q model for different dimensions¡¨ by Zineldin (2006), including quality of object, quality of processes, quality of infrastructure, quality of interaction, quality of atmosphere. However, it evaluates which medical service quality that may affect patient¡¦s satisfaction and loyalty for having examination check in radiological department. The result of this research can be used by the hospital to provide the medial service quality, hospital competitiveness, sustainable development, and to supply more effective strategies in future direction. This survey investigated the patients for the examination of medical imaging from the biggest military hospital in southern, which was assessed as a regional Teaching Hospital by department of Health, the executive Yuan. A total of 600 questionnaires were sent out to patients, with 586 valid samples, and with 14 uncompleted invalid samples. The effective response rate is about 97.9%. In this study, the quality of medical service is based on five dimensions analysis, respectively patient satisfaction and patient loyalty. In addition, the patient satisfaction provided analysis and discussion for patient loyalty. The research was the participants with medical treatment from military hospital and was carried the analysis in order to further understand the significant difference in the causes for medical treatment, medical service quality, patient satisfaction and royalty. The research is summarized as follows: 1.The medical service quality ¡§quality of object, quality of processes, quality of infrastructure, quality of interaction, quality of atmosphere. ¡§ were all positive and significant influence on patient satisfaction, particularly quality of atmosphere and quality of interaction. 2. The quality of object, quality of interaction, quality of atmosphere had also strong and positive impact on the loyalty of the patients, but the quality of process, and the quality of infrastructure hadn¡¦t affect the patients¡¦ loyalty remarkably. 3. In addition, patient satisfaction appeared a relevant and significant impact on patient loyalty. 4. For treatment reasons, people who were military and military dependents were significant higher than the patients who live closely to hospital for quality of object, quality of infrastructure, quality of interaction, quality of atmosphere and patient satisfaction.