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Leadership and Commitment to Service Quality in Pakistani Hospitals: The Contingent Role of Role Clarity

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  • Munwar Hussain Pahi
  • Umair Ahmed
  • Abdullah Zafar Sheikh
  • Sarfraz Ahmed Dakhan
  • Faiz Muhammad Khuwaja
  • T. Ramayah

Abstract

The health care system is usually a reflection of the human development and prosperity index of a country. In particular, a sound health care system is generally deemed essential for providing quality service delivery to service users. Pakistan, in this respect, is lagging even after implementing the district health management model of World Health Organization (WHO). In particular, the province of Sindh reports a higher level of dissatisfaction among the service recipients and, therefore, remains a core concern for the concerned authorities. This study, therefore, aims to investigate the levels of employees’ commitment to service quality in Pakistan’s health care sector. A quantitative survey method was adopted to collect data from 315 medical officers working in 43 public-sector hospitals in Sindh, Pakistan. The data were analyzed using the partial least squares structural equation modeling (PLS-SEM) technique and Smart PLS 3 software. Based on cognitive dissonance theory and path-goal theory, the present study investigated the role of leadership styles in influencing commitment to service quality with the moderation of role clarity. The findings lend support to the direct hypothesized relationships of transformational and transactional leadership with commitment to service quality. The study found significant support for all the hypothetical relationships except laissez-faire leadership’s direct link with commitment to service quality. While role clarity was found to moderate the relationships of two leadership styles, namely, transformational leadership and laissez-faire leadership with commitment to service quality, there was no such moderating effect for the relationship between transactional leadership and commitment to service quality. These findings offer useful theoretical and managerial implications on the importance of leadership styles in influencing commitment to service quality and provide the basis for future research.

Suggested Citation

  • Munwar Hussain Pahi & Umair Ahmed & Abdullah Zafar Sheikh & Sarfraz Ahmed Dakhan & Faiz Muhammad Khuwaja & T. Ramayah, 2020. "Leadership and Commitment to Service Quality in Pakistani Hospitals: The Contingent Role of Role Clarity," SAGE Open, , vol. 10(4), pages 21582440209, October.
  • Handle: RePEc:sae:sagope:v:10:y:2020:i:4:p:2158244020963642
    DOI: 10.1177/2158244020963642
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    References listed on IDEAS

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    1. Jeoung-Hak Lee & Hyun-Duck Kim & Yong Jae Ko & Michael Sagas, 2011. "The influence of service quality on satisfaction and intention: A gender segmentation strategy," Sport Management Review, Taylor & Francis Journals, vol. 14(1), pages 54-63, January.
    2. Nur Afifah, 2018. "Strategic Leadership Style and Commitment to Service Quality on Services Innovation in Local Enterprise Water Services," GATR Journals jmmr191, Global Academy of Training and Research (GATR) Enterprise.
    3. Ellinger, Alexander E. & Musgrove, Carolyn (Casey) Findley & Ellinger, Andrea D. & Bachrach, Daniel G. & Elmadağ Baş, Ayşe Banu & Wang, Yu-Lin, 2013. "Influences of organizational investments in social capital on service employee commitment and performance," Journal of Business Research, Elsevier, vol. 66(8), pages 1124-1133.
    4. Olli-Pekka Kauppila, 2014. "So, What Am I Supposed to Do? A Multilevel Examination of Role Clarity," Journal of Management Studies, Wiley Blackwell, vol. 51(5), pages 737-763, July.
    5. Mumtaz, Zubia & Levay, Adrienne & Bhatti, Afshan & Salway, Sarah, 2013. "Signalling, status and inequities in maternal healthcare use in Punjab, Pakistan," Social Science & Medicine, Elsevier, vol. 94(C), pages 98-105.
    6. Osman M. Karatepe & Georgiana Karadas, 2011. "The effect of management commitment to service quality on job embeddedness and performance outcomes," Journal of Business Economics and Management, Taylor & Francis Journals, vol. 13(4), pages 614-636, July.
    7. Paulin, Michele & Ferguson, Ronald J. & Bergeron, Jasmin, 2006. "Service climate and organizational commitment: The importance of customer linkages," Journal of Business Research, Elsevier, vol. 59(8), pages 906-915, August.
    8. Lee, Jeoung-Hak & Kim, Hyun-Duck & Ko, Yong Jae & Sagas, Michael, 2011. "The influence of service quality on satisfaction and intention: A gender segmentation strategy," Sport Management Review, Elsevier, vol. 14(1), pages 54-63, February.
    9. Wynne W. Chin & Barbara L. Marcolin & Peter R. Newsted, 2003. "A Partial Least Squares Latent Variable Modeling Approach for Measuring Interaction Effects: Results from a Monte Carlo Simulation Study and an Electronic-Mail Emotion/Adoption Study," Information Systems Research, INFORMS, vol. 14(2), pages 189-217, June.
    10. Umair Ahmed & Kabiru Maitama Kura & Waheed Ali Umrani & Munwar Hussain Pahi, 2020. "Modelling the Link Between Developmental Human Resource Practices and Work Engagement: The Moderation Role of Service Climate," Global Business Review, International Management Institute, vol. 21(1), pages 31-53, February.
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    1. Jinyong Chen & Wafa Ghardallou & Ubaldo Comite & Naveed Ahmad & Hyungseo Bobby Ryu & Antonio Ariza-Montes & Heesup Han, 2022. "Managing Hospital Employees’ Burnout through Transformational Leadership: The Role of Resilience, Role Clarity, and Intrinsic Motivation," IJERPH, MDPI, vol. 19(17), pages 1-23, September.

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