Evidence map›Paper›PMID 40721773›Full record

ArticleBMC health services research2025

Assessing service quality and its impact on patient experience and satisfaction in prosthetics and orthotics: a SERVQUAL-based cross-sectional study.

Mahmoud Alfatafta, Nizar Alsubahi, Huda Alfatafta, Amneh Alshawabka, Anthony McGarry, Alaeddin Ahmad, Evelin Derkacs, Dorottya Varga, Bálint Molics

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Transitioning Towards Quality-of-Care Assessment in Orthotics and Prosthetics Practice.Archives of rehabilitation research and clinical translation · 2026
    Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mahmoud AlfataftaDepartment of Prosthetics and Orthotics, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan. m.alfatafta@ju.edu.jo.
Nizar AlsubahiDepartment of Health Services and Hospitals Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah, 21589, Saudi Arabia.
Huda AlfataftaDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Amneh AlshawabkaDepartment of Prosthetics and Orthotics, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan.
Anthony McGarryBiomedical Engineering, The University of Strathclyde, Glasgow, UK.
Alaeddin AhmadDepartment of Marketing, School of Business, The University of Jordan, Amman, Jordan.
Evelin DerkacsDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Dorottya VargaDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Bálint MolicsDepartment of Sport Physiotherapy, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundService quality plays a crucial role in shaping patient experience and satisfaction in prosthetic and orthotic services. However, limited research has examined the specific impact of SERVQUAL dimensions (Reliability, Assurance, Tangibility, Responsiveness, and Empathy) on patient satisfaction and patient experience in this field. This study aimed to assess the relationships between service quality, patient experience, and satisfaction, providing insights for healthcare improvement.

methodsThis cross-sectional study collected data from 307 patients receiving prosthetic and orthotic care at 14 centers across public, private, military, and NGO-operated facilities. A structured questionnaire based on the SERVQUAL model was administered, measuring patient experience, patient satisfaction, and service quality dimensions using a 5-point Likert scale. Structural equation modelling was conducted using IBM SPSS AMOS 28 to assess direct and indirect relationships among the study variables.

resultsThe findings indicate that Responsiveness, Assurance, and Tangibility were the strongest predictors of patient experience and satisfaction (p < 0.001). Patient experience played a mediating role, reinforcing the importance of effective communication, timely service delivery, and competent care providers. Reliability significantly influenced PS (p < 0.001) but had no impact on PE (p = 0.386), while Empathy did not significantly affect PS (p = 0.311), suggesting that practical aspects such as device functionality and efficiency may be prioritized over emotional considerations in P&O care.

conclusionsThis study highlights the critical role of service quality in shaping patient experience and satisfaction in P&O services. Responsiveness, Assurance, and Tangibility should be prioritized to enhance patient-centered care. Policymakers should focus on standardized training programs, infrastructure improvements, and public-private partnerships to ensure accessible and high-quality P&O services globally. Future research should explore longitudinal effects of service quality on patient outcomes to further optimize healthcare delivery in this field.

Indexed as

Orthotic DevicesPatient SatisfactionProstheses and ImplantsQuality of Health CareAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesHealthcare qualityPatient experiencePatient satisfactionProsthetics and orthoticsService qualitySERVQUALStructural equation modelling

Identifiers

PMID40721773
PMCPMC12306002

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.