An Empirical Assessment of Service Quality and Resident Satisfaction in Aging Homes in Bangladesh Using the SERVQUAL Model

MD Zakir Hossain, Md. Abdul Kader, Hanif Hossain, Kaniz Fatema Ananna

Abstract

The purpose of the article is to empirically measure the satisfaction of residents in aging homes in Dhaka, Bangladesh, using the SERVQUAL model as the theoretical framework. The article describes a new empirical approach for assessing the quality of services in aging homes, based on the SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy, enabling a comprehensive evaluation of the factors influencing resident satisfaction.
Using a structured questionnaire administered in five aging homes—ProbinNibash, Azimpur Old People Age Home, Care Bangladesh, AshrayNibash, and AponNibash—and analyzing the data through Structural Equation Modeling (SEM) with Smart PLS, the authors identified that the Assurance dimension, particularly the knowledge and competence of caregivers, positively impacts overall satisfaction. In contrast, the Empathy, Reliability, and Responsiveness dimensions negatively affect satisfaction, indicating significant gaps in emotional support, timely care, and reliability. The Tangibles dimension showed only a moderate impact on satisfaction. As an example, we illustrate the proposed approach through the empirical analysis of these five aging homes in Dhaka. Our method allows policymakers and practitioners to identify service quality gaps and to develop targeted improvements. Although no quantitative performance indicators were explicitly reported, the approach facilitates actionable strategies for enhancing emotional support, responsiveness, and staff reliability. The new method for effectiveness evaluation is confirmed by the calculation and interpretation of SEM outputs, which validate the critical role of the Assurance dimension in overall resident satisfaction. New research results improve the understanding of how service dimensions contribute to elderly care outcomes in Bangladesh and can be used to inform policy reforms and targeted training programs for caregivers. This paper is novel because it applies the SERVQUAL framework and SEM-based analysis to a unique population—aging home residents in Bangladesh—thereby offering region-specific insights and actionable recommendations to enhance the well-being of this vulnerable group.

 

Keywords: Elderly Home Satisfaction, SERVQUAL Model, Structural Equation Modeling (SEM), Smart PLS, Elderly Care, Nursing Standards, Service Quality, Dhaka City.

 

https://doi.org/10.55463/issn.1674-2974.52.4.8


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KABIR I., KULSUM, MOST. U. H., DR. MD. AL MAMUN SARKER, RAHAMAN A., & ALI S. M. Y. Psycho-Social Condition of Elder Persons in Bangladesh: A Case Study on Elder People in Bangladesh. International Journal of Research and Innovation in Social Science, 2024, 8(2): 1470-1483. http://dx.doi.org/10.47772/IJRISS.2024.802103

KHODA M.S., & KRÖGER T. Policy-makers and Population Ageing in Bangladesh: A Dearth of Attention. Journal of Population Ageing, 2024, early online. https://doi.org/10.1007/s12062-024-09452-x

BROMS R., DAHLSTRÖM C., & NISTOTSKAYA M. Provider Ownership and Indicators of Service Quality: Evidence from Swedish Residential Care Homes. Journal of Public Administration Research and Theory, 2023, 34(1): 150–163, https://doi.org/10.1093/jopart/muad002

HAIDER MD. S. U., & RAHAMAN M. A. A Study on Quality of Life Among Elderly People Living in Old Age Homes in Bangladesh. International Journal of Social Science and Management, 2022, 9(2): 48-54. https://doi.org/10.3126/ijssm.v9i2.43787

PARASURAMAN A., ZEITHAML V. A., & BERRY L. L. Retailing: Critical Concepts. Routledge, 2002.

WIDER W., TAN F.P., TAN Y.P., LIN J., FAUZI M.A., WONG L.S., CLOYD J., & SYED. Service quality (SERVQUAL) model in private higher education institutions: A bibliometric analysis of past, present, and future prospects. Social Sciences & Humanities Open, 2024, 9: 100805. https://doi.org/10.1016/j.ssaho.2024.100805

YANG Q., WANG Z.-S., FENG K., & TANG Q.-Y. Investigating the crucial role of logistics service quality in customer satisfaction for fresh e-commerce: A mutually validating method based on SERVQUAL and service encounter theory. Journal of Retailing and Consumer Services, 2024, 81: 103940. https://doi.org/10.1016/j.jretconser.2024.103940

LITTLE T. D., & CARD N. A. Longitudinal structural equation modeling (2nd Edition). The Guilford Press, Cop, 2024.

ALI J., JUSOH A., IDRIS N., & MD NOR, K. Healthcare service quality and patient satisfaction: a conceptual framework. International Journal of Quality & Reliability Management, 2023, 41(2): 608-627. https://doi.org/10.1108/IJQRM-04-2022-0136

AL-BALAS S. M., AL-MAQABLEH H. O., ATHAMNEH S., & ODEIBAT A. M. Quality status: A SERVQUAL approach to evaluate the effect of the quality of healthcare services on patient satisfaction in Jordan. International Journal of Healthcare Management, 2024, 18(2): 351-367. https://doi.org/10.1080/20479700.2024.2310375

MEREDITH SJ, COX NJ, IBRAHIM K, HIGSON J, MCNIFF J, MITCHELL S, RUTHERFORD M, WIJAYENDRAN A, SHENKIN SD, KILGOUR AHM, & LIM SER. Factors that influence older adults' participation in physical activity: a systematic review of qualitative studies. Age Ageing, 2023, 52(8): afad145. https://doi.org/10.1093/ageing/afad145

DARYONO D., & TUKIRAN M. The SERVQUAL Model that Affects Patient Satisfaction at a Daryo Dental Specialist Clinic. International Journal of Social and Management Studies, 2024, 5(1): 24–34. https://doi.org/10.5555/ijosmas.v5i1.384

PRATAMA R. M., PURNAMASARI P., & YUNIARTI L. The Influence of Service Quality and Health Facilities on Patient Satisfaction. Jurnal Manajemen Kesehatan Indonesia, 2024, 12(1): 35–44. https://ejournal.undip.ac.id/index.php/jmki/article/download/61107/25866

PRATAMA, M.R.A. Analysis of Service Quality in Early Child Care Services Businesses Using SERVQUAL and Quality Function Deployment. Jurnal Teknik Industri: Jurnal Hasil Penelitian dan Karya Ilmiah dalam Bidang Teknik Industri, 2024, 10(1): 91-99. http://eprints.umg.ac.id/id/eprint/10635

IBRAHIM A., FITRIANI L., RUSKAN E. L., SEVTIYUNI P. E., & SUARLI P. P. Analysis of the Level of Satisfaction with the Quality of Clinical Services Using the Servqual Method. Journal of Informatics and Telecommunication Engineering, 2024, 7(2): 385–396. https://doi.org/10.31289/jite.v7i2.11171

WU J.-H., LEE K.-T., CHENG K.-I., DU J.-K., & LEE C.-Y. Patient perception of service quality to preanesthetic oral examination: a cross-sectional study using the SERVQUAL model. BMC Oral Health, 2024, 24(1): 120. https://doi.org/10.1186/s12903-024-03853-2

BUSTAMANTE M. A., TELLO M., CARVACHE-FRANCO M., FRANCO O. C., & CARVACHE-FRANCO W. Statistical determination of service quality gaps in primary health care in Guayas, Ecuador. PLoS ONE, 2024, 19(3): e0299994. https://doi.org/10.1371/journal.pone.0299994

ADOMAH-AFARI, A., & BUCKMAN, G. Original Article Patient Satisfaction with Service Quality of a Private Health Facility in Accra, Ghana. International Journal of Caring Sciences, 2024, 17: 257-268. https://internationaljournalofcaringsciences.org/docs/26.afari.pdf

KRUGER, F., & MITCHELL, B. Research methodology. Oxford University Press, 2022.

Smartpls. Product | SmartPLS. Smartpls.com, 2024.

SAUNDERS, M., LEWIS, P., & THORNHILL, A. Research methods for business students (4th ed.). Pearson Education, 2019.


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