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Peer-reviewedCC BYDiscover Social Science and Health

The moderating role of online literacy and trust in shaping patient satisfaction through e-service quality in private hospitals

7 affiliations
  1. 1Department of Business Administration, Shanto-Mariam University of Creative Technology
  2. 2School of Accounting and Finance, Taylor’s University
  3. 3Faculty of Business Administration, Van Lang University
  4. 4Department of Business Administration, Northern University Bangladesh
  5. 5Doctoral School of Management and Business, Faculty of Economics and Business, University of Debrecen
  6. 6Modeling and Forecasting Unit, Economic Research Department, Central Bank of The Gambia
  7. 7Bangladesh Institute of Governance and Management

Abstract

The paper aims to investigate the influences of E-Service Quality on patient satisfaction. To comprehensively capture e-service quality, this study adopts a holistic perspective of the purchase experience by focusing on five key dimensions: website appearance, information quality, security, personalization, and responsiveness. Based on the E-S-QUAL (Electronic Service Quality) model to assess customer perceptions, a survey questionnaire was developed to collect data from patients at private hospitals in Dhaka, Bangladesh. Finally, 391 responses were processed for further analysis using the PLS-SEM. The results indicate that e-service quality is influenced by various dimensions, including information quality, security, personalization, and responsiveness. In addition, e-service quality positively affects patient satisfaction. Moreover, online literacy significantly moderates the relationship between e-service quality and patients’ satisfaction; however, trust doesn’t show any moderating effects. Thus, this research extends the theoretical understanding of e-service quality practices in healthcare contexts. The research provides a strategic roadmap for healthcare organizations, especially private hospitals, seeking to enhance patient satisfaction through proper electronic service quality.

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BibTeX
@article{karim2026moderating,
  title = {{The moderating role of online literacy and trust in shaping patient satisfaction through e-service quality in private hospitals}},
  author = {Mohammad Rezaul Karim and Md. Sharif Hassan and Nguyen Hong Mai and Mohammad Abul Kalam Azad and Mohammad Bin Amin and Foday Joof and Md. Mominur Rahman},
  journal = {Discover Social Science and Health},
  year = {2026},
  month = jul,
  doi = {10.1007/s44155-026-00429-z},
  url = {https://doi.org/10.1007/s44155-026-00429-z},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - The moderating role of online literacy and trust in shaping patient satisfaction through e-service quality in private hospitals
AU  - Mohammad Rezaul Karim
AU  - Md. Sharif Hassan
AU  - Nguyen Hong Mai
AU  - Mohammad Abul Kalam Azad
AU  - Mohammad Bin Amin
AU  - Foday Joof
AU  - Md. Mominur Rahman
PY  - 2026
DA  - 2026/07/01
JO  - Discover Social Science and Health
DO  - 10.1007/s44155-026-00429-z
UR  - https://doi.org/10.1007/s44155-026-00429-z
AB  - The paper aims to investigate the influences of E-Service Quality on patient satisfaction. To comprehensively capture e-service quality, this study adopts a holistic perspective of the purchase experience by focusing on five key dimensions: website appearance, information quality, security, personalization, and responsiveness. Based on the E-S-QUAL (Electronic Service Quality) model to assess customer perceptions, a survey questionnaire was developed to collect data from patients at private hospitals in Dhaka, Bangladesh. Finally, 391 responses were processed for further analysis using the PLS-SEM. The results indicate that e-service quality is influenced by various dimensions, including information quality, security, personalization, and responsiveness. In addition, e-service quality positively affects patient satisfaction. Moreover, online literacy significantly moderates the relationship between e-service quality and patients’ satisfaction; however, trust doesn’t show any moderating effects. Thus, this research extends the theoretical understanding of e-service quality practices in healthcare contexts. The research provides a strategic roadmap for healthcare organizations, especially private hospitals, seeking to enhance patient satisfaction through proper electronic service quality.
SN  - 2731-0469
ER  -