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Causal Model of Dental Patient Satisfaction, Compliance and Behavioral Intention by LISREL Analysis

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Abstract


Patient satisfaction is noww recognized as a outcome indicator of health care gilality. The objective of this research was to develop and evaluate a patient satisfaction survey instrument specially applicable to dental care, and to evaluate causal relationship of patient satisfaction, compliance and behavioral intention.
Patient questionnaire contained 25 items that were used to develop the patient satisfaction scale. Item were Likert scales with a five point . Subjects were 435patient of 25 dental clinics.
Patient satisfaction was an independent predictor of reported compliance and behavioral intention. Structural equation of modeling using LISREL procedures revealed that the predominant direction of causation from overall satisfaction to compliance and behavioral intention. For the study sample , the proposed model provided an acceptable fit to the data (GFI=.,928, NFI=0.921, AGFI=0.903, RMK=0.039). Inspection of the model parameters suggested that six of nine hypothesized relations were significant in the expected direction, Compliance was predicted by overall Satisfaction( /1=0.521, P < 0.01). As hypothesized, Behavioral Intention was predicted by overall satisfaction(fl=0.767, P < 0.01). Contrary to our predictions, overall Satisfaction(ETA 1) was neither predicted by Staff( KSI 1) (ii=0.053, p > 0.05) nor Appointment(KSI 6) (v =-0.056, P > 0.05).

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