Consecuencias del cinismo del consumidor en servicios de salud privados en México
Consequences of Consumer Cynicism in Private Healthcare Services in Mexico
Consequências do cinismo do consumidor em serviços privados de saúde no México
DOI:
https://doi.org/10.15446/innovar.v35n95.100912Palabras clave:
cinismo de consumidores, escepticismo del consumidor, intención de compra, marketing de servicios, servicios privados de salud (es)Consumers’ cynicism, consumer skepticism, purchase intention, service marketing, private healthcare services (en)
cinismo dos consumidores, ceticismo do consumidor, intenção de compra, marketing de serviços, serviços privados de saúde (pt)
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El descontento de los consumidores en la prestación de servicios de salud puede generar emociones negativas como el cinismo y el escepticismo hacia la organización, lo cual puede derivar en consecuencias perjudiciales. Esta investigación evaluó los efectos del cinismo y el escepticismo del consumidor de servicios de salud, así como sus efectos en la falta de compromiso, la intención de castigar a la organización proveedora del servicio de salud y la intención de recompra. Se desarrolló una investigación cuantitativa, explicativa y transversal a 254 usuarios con edad entre 20 y 40 años, consumidores de servicios de salud privada en México. Para el análisis se utilizó la técnica PLS-SEM. Los resultados mostraron efectos directos significativos del cinismo hacia el escepticismo del consumidor y de la responsabilidad social de estas organizaciones. Además, se encontró que la falta de compromiso del consumidor incrementa la intención de castigar a la institución, pero no afecta la intención de volver a utilizar los servicios privados de salud.
Consumer dissatisfaction with healthcare services can lead to negative emotions such as cynicism and skepticism towards an organization, which can result in detrimental consequences. This research assessed the effects of consumer cynicism and skepticism in healthcare services, as well as their impact on commitment, the intention to punish the healthcare provider, and the intention to repurchase. A quantitative, explanatory, and cross-sectional study was conducted with 254 users aged 20 to 40 years, who are consumers of private healthcare services in Mexico. The analysis employed the pls-sem technique. Our results exposed significant direct effects of cynicism on consumer skepticism and the perceived social responsibility of organizations within the studied sector. Additionally, it was found that consumer commitment decreases the intention to punish the institution but does not affect the intention to continue using private healthcare services.
O descontentamento dos consumidores com a prestação de serviços de saúde pode gerar emoções negativas como o cinismo e o ceticismo com relação à organização, o que pode resultar em consequências prejudiciais. Esta pesquisa avaliou os efeitos do cinismo e do ceticismo do consumidor de serviços de saúde, bem como seus efeitos na falta de compromisso, a intenção de castigar a organização fornecedora do serviços de saúde e a intenção de recompra. Foi desenvolvida uma pesquisa quantitativa, explicativa e transversal com 254 usuários de 20 a 40 anos, consumidores de serviços privados de saúde no México. Para a análise, utilizou-se a técnica pls-sem. Os resultados mostraram efeitos diretos significativos do cinismo com relação ao ceticismo do consumidor e à responsabilidade social dessas organizações. Além disso, descobriu-se que a falta de compromisso do consumidor aumenta a intenção de castigar a instituição, mas não afeta a intenção de utilizar novamente os serviços privados de saúde.
Referencias
Antonetti, P., & Maklan, S. (2016). “An extended model of moral outrage at corporate social irresponsibility”. Journal of Business Ethics, 135(3), 429-444. https://doi.org/10.1007/s10551-014-2487-y
Austin, E. W., Miller, A. C.-R., Silva, J., Guerra, P., Geisler, N., Gamboa, L., & Kuechle, B. (2002). “The effects of increased cognitive involvement on college students' interpretations of magazine advertisements for alcohol”. Communication Research, 29(2), 155-179. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.960.5026&rep=rep1&type=pdf
Bailey, A. A. (2007). “Public information and consumer skepticism effects on celebrity endorsements: Studies among young consumers”. Journal of Marketing Communications, 13(2), 85-107. https:// 10.1080/13527260601058248
Beltramini, R. F., & Stafford, E. R. (1993). “Comprehension and perceived believability of seals of approval information in advertising”. Journal of Advertising, 22(3), 3-13. https://doi.org/10.1080/00913367.1993.10673407
Blanco, C. F., & Blasco, M. G. (2006). “La confianza y el compromiso en las relaciones a través de Internet: dos pilares básicos del marketing estratégico en la red”. Cuadernos de Economía y Dirección de la Empresa, 29, 133-160. https://www.redalyc.org/pdf/807/80702906.pdf
Bowden, J. L., Gabbott, M., & Naumann, K. (2015). “Service relationships and the customer disengagement–engagement conundrum”. Journal of Marketing Management, 31(7-8), 774-806. http://dx.doi.org/10.1080/0267257X.2014.983143
Brown, C. L., & Krishna, A. (2004). “The skeptical shopper: A metacognitive account for the effects of default options on choice”. Journal of consumer research, 31(3), 529-539. https://doi.org/10.1086/425087
Cabello, E., & Chirinos, J. L. (2012). “Validación y aplicabilidad de encuestas SERVQUAL modificadas para medir la satisfacción de usuarios externos en servicios de salud”. Revista Medica Herediana, 23(2), 88-95. http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=s1018-130x2012000200003
Campbell, M. C., & Kirmani, A. (2000). “Consumers' use of persuasion knowledge: The effects of accessibility and cognitive capacity on perceptions of an influence agent”. Journal of consumer research, 27(1), 69-83. http://www.jstor.org/stable/10.1086/314309
Carver, C. S., & Scheier, M. F. (1994). “Situational coping and coping dispositions in a stressful transaction”. Journal of personality and social psychology, 66(1), 184. https://www.researchgate.net/profile/Charles-Carver-7/publication/15071901_Situational_Coping_and_Coping_Dispositions_in_a_Stressful_Transaction/links/5666e0ff08aea62726ed55a1/Situational-Coping-and-Coping-Dispositions-in-a-Stressful-Transaction.pdf
Chen, B. H., Chen, M. H., & Tai, P. N. (2018). “Socially Irresponsible Corporations and Choices of Consumers: Altruism, Retaliation, or Demand for Reparation?”. International Journal of Marketing Studies, 10(2), 47-59. https:// 10.5539/ijms.v10n2p47
Cho, J. (2006). “The mechanism of trust and distrust formation and their relational outcomes”. Journal of Retailing, 82(1), 25-35. https:// 10.1016/j.jretai.2005.11.002
Chylinski, M., & Chu, A. (2010). “Consumer cynicism: antecedents and consequences”. European Journal of Marketing, 44(6), 796-837. https://psycnet.apa.org/doi/10.1108/03090561011032720
CONAMED (2018). Cuadros estadísticos sobre la atención de controversias en salud 1996-2018. Dirección General de Difusión e Investigación. https://www.gob.mx/conamed/documentos/informacion-estadistica-2018
Connors, S., Anderson-MacDonald, S., & Thomson, M. (2017). “Overcoming the ‘Window Dressing’effect: Mitigating the negative effects of inherent skepticism towards corporate social responsibility”. Journal of Business Ethics, 145(3), 599-621. http://link.springer.com/10.1007/s10551-015-2858-z
Dhanesh, G. S. (2014). CSR as organization-employee relationship management strategy: A case study of socially responsible information technology companies in India. Management Communication Quarterly, 28, 130-149. doi: 10.1177/0893318913517238
Dhanesh, G. S., & Nekmat, E. (2018). Facts over Stories for Involved Publics: Framing Effects in CSR Messaging and the Roles of Issue Involvement, Message Elaboration, Affect, and Skepticism. Management Communication Quarterly, en prensa, 1-32. https://doi.org/10.1177/0893318918793941
Darke, P. R., & Ritchie, R. J. (2007). The defensive consumer: Advertising deception, defensive processing, and distrust. Journal of Marketing research, 44(1), 114-127. https://www.researchgate.net/profile/Robin-Ritchie/publication/242122785_The_Defensive_Consumer_Advertising_Deception_Defensive_Processing_and_Distrust/links/5e221ebb92851cafc38c744b/The-Defensive-Consumer-Advertising-Deception-Defensive-Processing-and-Distrust.pdf
Del Riquelme Martínez, M. I. P., Nicolás, S. R., & Herrera, R. R. (2011). Desconfianza hacia la venta tradicional y electrónica: Un estudio sobre el perfil del consumidor desconfiado. Universia Business Review, 31, 132-155. http://www.redalyc.org/articulo.oa?id=43320831006
Dijkstra, T. K., & Henseler, J. (2015). Consistent Partial Least Squares Path Modeling. MIS quarterly, 39(2), 297-316. http://www.henseler.com/Dijkstra-Henseler-MISQ-2015.pdf
Dutot, V., & Mosconi, E. (2016). Understanding factors of disengagement within a virtual community: an exploratory study. Journal of Decision systems, 25(3), 227-243. https://doi.org/10.1080/12460125.2016.1187547
Eriksson, D., & Svensson, G. (2016). The process of responsibility, decoupling point, and disengagement of moral and social responsibility in supply chains: Empirical findings and prescriptive thoughts. Journal of Business Ethics, 134(2), 281-298. http://dx.doi.org/10.1007%2Fs10551-014-2429-8
Folkes,V. S., Koletsky, S., & Graham, J. L. (1987). A field study of causal inferences and consumer reaction: The view from the airport. Journal of Consumer Research, 13(4), 534-539. https://www.researchgate.net/profile/John-Graham-24/publication/24098488_A_Field_Study_of_Causal_Inferences_and_Consumer_Reaction_The_View_from_the_Airport/links/550359810cf2d60c0e64eca8/A-Field-Study-of-Causal-Inferences-and-Consumer-Reaction-The-View-from-the-Airport.pdf
Goode, S. (2012). Engagement and disengagement in online service failure: Contrasting problem and emotional coping effects. Journal of Internet Commerce, 11(3), 226-253. https://doi.org/10.1080/15332861.2012.729464
Grewal, D., Roggeveen, A. L., & Tsiros, M. (2008). The effect of compensation on repurchase intentions in service recovery. Journal of retailing, 84(4), 424-434. https:// 10.1016/j.jretai.2008.06.002
Gustafsson, A., Johnson, M. D., & Roos, I. (2006). The effects of customer satisfaction, relationship commitment dimensions, and triggers on customer retention. Journal of marketing, 69(4), 210-218. https://psycnet.apa.org/doi/10.1509/jmkg.2005.69.4.210
Forehand, M. R., & Grier, S. (2003). When is honesty the best policy? The effect of stated company intent on consumer skepticism. Journal of consumer psychology, 13(3), 349-356. http://dx.doi.org/10.1207%2FS15327663JCP1303_15
Hamzelu, B., Gohary, A., Ghafoori Nia, S., & Heidarzadeh Hanzaee, K. (2017). Does involvement shapes consumers’ response to product failure?. Asia Pacific Journal of Marketing and Logistics, 29(2), 283-304. https://doi.org/10.1108/APJML-03-2016-0042
Hansen, H., Sandvik, K.,& Selnes, F. (2003). Direct and indirect effects of commitment to a service employee on the intention to stay. Journal of Service Research, 5(4), 356-368. https://doi.org/10.1177%2F1094670503005004007
Hardesty, D. M., Carlson, J. P., & Bearden, W. (2002). Brand familiarity and invoice price effects on consumer evaluations: the moderating role of skepticism toward advertising. Journal of advertising, 31(2), 1-15. https://doi.org/10.1177%2F1094670503005004007
Hellier, P. K., Geursen, G. M., Carr, R. A., & Rickard, J. A. (2003). Customer repurchase intention: A general structural equation model. European journal of marketing, 37(11/12), 1762-1800. https://doi.org/10.1108/03090560310495456
Helm, A. E., Moulard, J. G., & Richins, M. (2015). Consumer cynicism: developing a scale to measure underlying attitudes influencing marketplace shaping and withdrawal behaviours. International journal of consumer studies, 39(5), 515-524. https://doi.org/10.1111/ijcs.12191
Jaroenwanit, P., & Chueabunko, A. (2015). The power of forgiveness toward repurchase intention. BU Academic Review, 14(2), 118-134. https://www.bu.ac.th/knowledgecenter/epaper/july_dec2015/pdf/ac08.pdf
Joireman, J., Liu, R. L., & Kareklas, I. (2018). Images paired with concrete claims improve skeptical consumers’ responses to advertising promoting a firm’s good deeds. Journal of Marketing Communications, 24(1), 83-102. https://doi.org/10.1080/13527266.2015.1126757
Kanter, D. L., & Wortzel, L. H. (1985). Cynicism and alienation as marketing considerations: some new ways to approach the female consumer. Journal of Consumer Marketing, 2(1), 5-15. https://doi.org/10.1108/eb038816
Kim, M. J., Chung, N., Lee, C. K., & Kim, J. M. (2012). Do loyalty groups differ in the role of trust in online tourism shopping? A process perspective. Journal of Travel and Tourism Marketing, 29(4), 352-368. https://doi.org/10.1080/10548408.2012.674878
Kim, C., Galliers, R. D., Shin, N., Ryoo, J. H., & Kim, J. (2012). Factors influencing Internet shopping value and customer repurchase intention. Electronic Commerce Research and Applications, 11(4), 374-387. https://doi.org/10.1016/j.elerap.2012.04.002
Khuhro, R., Khan, A., Humayon, A., & Khuhro, A. (2017). Ad skepticisms: Antecedents and consequences. Management Science Letters, 7(1), 23-34. https:// http://dx.doi.org/10.5267/j.msl.2016.11.005
Krishen, A. S., & Hu, H. F. (2018). Will they pitch or will they switch? Comparing Chinese and American consumers. Psychology and Marketing, 35(3), 210-219. https://doi.org/10.1002/mar.21081
Kucuk, S. U. (2016). What Is Brand Hate? en S.U. Kucuk (Ed.). Brand Hate (pp. 17-36). New York: Palgrave Macmillan, Cham.
Koslow, S. (2000). Can the truth hurt? How honest and persuasive advertising can unintentionally lead to increased consumer skepticism. Journal of consumer Affairs, 34(2), 245-267. https://doi.org/10.1111/j.1745-6606.2000.tb00093.x
Lange, D., & Washburn, N. T. (2012). Understanding attributions of corporate social irresponsibility. Academy of Management Review, 37(2), 300-326. https://doi.org/10.5465/amr.2010.0522
Lex and Co (2017). Estadísticas de negligencia médica en México en 2017. Recuperado de https://abogadosnegligenciamedica.com.mx/estadisticas-de-negligencia-medica-en-mexico-en-2017/
Lievonen, M., Luoma-aho, V., & Bowden, J. (2018). Negative Engagement. En Johnston, K.A., y Taylor, M. (eds.). The Handbook of Communication Engagement (pp. 529-547). USA: John Wiley and Sons. https://choolskool.com/wp-content/uploads/2021/07/The-handbook-of-communication-engagement.pdf#page=533
Losada, M., & Rodríguez, A. (2007). Calidad del servicio de salud: una revisión a la literatura desde la perspectiva del marketing. Cuadernos de Administración, 20 (34). http://www.redalyc.org/articulo.oa?id=20503411
Marshall, N. W. (2010). Commitment, loyalty and customer lifetime value: investigating the relationships among key determinants. Journal of Business and Economics Research, 8(8), 67-84. https://doi.org/10.19030/jber.v8i8.753
Mattila, A. S., & Ro, H. (2008). Discrete negative emotions and customer dissatisfaction responses in a casual restaurant setting. Journal of Hospitality and Tourism Research, 32(1), 89-107.
Maxham III, J. G. (2001). Service recovery's influence on consumer satisfaction, positive word-of-mouth, and purchase intentions. Journal of business research, 54(1), 11-24.
Mendini, M., Peter, P. C., & Gibbert, M. (2018). The dual-process model of similarity in cause-related marketing: How taxonomic versus thematic partnerships reduce skepticism and increase purchase willingness. Journal of Business Research, 91, 195-204.
Mohr, L. A., Eroǧlu, D., & Ellen, P. S. (1998). The development and testing of a measure of skepticism toward environmental claims in marketers' communications. Journal of consumer affairs, 32(1), 30-55.
Moorman, C., Deshpandé, R., & Zaltman, G. (1993). Factors affecting trust in market relationships. Journal of Marketing, 57, January, 81-101.
Morgan, R. M., & Hunt, S. D. (1994). The commitment-trust theory of relationship marketing. Journal of marketing, 58(3), 20-38.
Naumann, K., Lay-Hwa Bowden, J., & Gabbott, M. (2017). Exploring customer engagement valences in the social services. Asia Pacific Journal of Marketing and Logistics, 29(4), 890-912.
Obermiller, C., & Spangenberg, E. R. (1998). Development of a Scale to Measure Consumer Skepticism toward Advertising. Journal of Consumer Psychology, 7(2), 159-186.
Obermiller, C., & Spangenberg, E. R. (2000). On the Origin and Distinctness of Skepticism toward Advertising. Marketing Letters, 11(4), 311-322.
Obermiller, C., Spangenberg, E., & MacLachlan, D. L. (2005). Ad skepticism: The consequences of disbelief. Journal of advertising, 34(3), 7-17.
Odou, P., & de Pechpeyrou, P. (2011). Consumer cynicism: From resistance to anti-consumption in a disenchanted world?. European Journal of Marketing, 45(11/12), 1799-1808.
Palmer, A., Beggs, R., & Keown-McMullan, C. (2000). “Equity and repurchase intention following service failure”. Journal of Services Marketing, 14(6), 513-528.
Park, J. S., Ju, I., & Kim, K. E. (2014). Direct-to-consumer antidepressant advertising and consumers’ optimistic bias about the future risk of depression: the moderating role of advertising skepticism. Health communication, 29(6), 586-597.
Pomering, A., & Johnson, L. W. (2009). Advertising corporate social responsibility initiatives to communicate corporate image: Inhibiting scepticism to enhance persuasion. Corporate Communications: An International Journal, 14(4), 420-439.
Rahman, I., Park, J., & Chi, C. G. Q. (2015). Consequences of greenwashing Consumers’ reactions to hotels’ green initiatives. International Journal of Contemporary Hospitality Management, 27(6), 1054-1081.
Romani, S., Grappi, S., & Bagozzi, R. P. (2016). Corporate socially responsible initiatives and their effects on consumption of green products. Journal of Business Ethics, 135(2), 253-264.
Rose, A., Duschinsky, R., & Macnaughton, J. (2017). Cynicism as a strategic virtue. The Lancet, 389(10070), 692-693. http://hdl.handle.net/10871/125574
Rotman, J. D., Khamitov, M., & Connors, S. (2018). Lie, cheat, and steal: How harmful brands motivate consumers to act unethically. Journal of Consumer Psychology, 28(2), 353-361.
Servaes, H., &Tamayo, A. (2013). The impact of corporate social responsibility on firm value: The role of customer awareness. Management Science, 59, 1045-1061.
Skarmeas, D., & Leonidou, C. N. (2013). When consumers doubt, watch out! The role of CSR skepticism. Journal of business research, 66(10), 1831-1838. https://doi.org/10.1016/j.jbusres.2013.02.004
Skarmeas, D., Leonidou, C.N., & Saridakis, C. (2014) Examining the role of CSR skepticism using fuzzy-set qualitative comparative analysis. Journal of Business Research, 67 (9). 1796 - 1805. https://econpapers.repec.org/scripts/redir.pf?u=http%3A%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS014829631300444X;h=repec:eee:jbrese:v:67:y:2014:i:9:p:1796-1805
Sinclair, L., & Kunda, Z. (1999). Reactions to a black professional: motivated inhibition and activation of conflicting stereotypes. Journal of personality and social psychology, 77(5), 885.
Singh, J., & Sirdeshmukh, D. (2000). Agency and Trust Mechanisms in Consumer Satisfaction and Loyalty Judgments. Journal of the Academy of Marketing Science, 28(1), 150–167.
Soares, R. R., Zhang, T. T., Proença, J. F., & Kandampully, J. (2017). Why are Generation Y consumers the most likely to complain and repurchase?. Journal of Service Management, 28(3), 520-540.
Soh, H., Reid, L. N., & King, K. W. (2009). Measuring trust in advertising. Journal of Advertising, 38, 83-104.
Stolle, D. (2001). An Analysis of the importance of institutions, families, personal experiences and group membership. Social Capital and Participation in Everyday Life, 23, 105-112.
Sweetin, V. H., Knowles, L. L., Summey, J. H., & McQueen, K. S. (2013). Willingness-to-punish the corporate brand for corporate social irresponsibility. Journal of Business Research, 66(10), 1822-1830.
The Economist (2012). Faith in world leaders: Busted trust. The Economist. Recuperado de: http://www.economist.com/blogs/newsbook/2012/01/faith-world-leaders
Turner, J. H., & Valentine, S. R. (2001). Cynicism as a fundamental dimension of moral decision-making: A scale development. Journal of Business Ethics, 34(2), 123-136. https://www.jstor.org/stable/25074627
Vanhamme, J., & Grobben, B. (2009). ‘Too Good to be True!’. The Effectiveness of CSR History in Countering Negative Publicity. Journal of Business Ethics, 85, 273-283. http://dx.doi.org/10.1007%2Fs10551-008-9731-2
Wagner, T., Lutz, R., & Weitz, B. (2009). Corporate hypocrisy: overcoming the threat of inconsistent corporate social responsibility perceptions. Journal of Marketing, 73(6), 77-91. https://psycnet.apa.org/doi/10.1509/jmkg.73.6.77
Walsh, G., Dinnie, K. & Wiedmann, K.P. (2006). How Do Corporate Reputation and Customer Satisfaction Impact Customer Defection? A Study of Private Energy Customers in Germany. Journal of Services Marketing, 20 (6), 412-420. https://doi.org/10.1108/08876040610691301
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