SERVQUAL

Health Management Glossary

Quality Management

Definition. SERVQUAL is a multi-item scale that measures service quality as the gap between customers’ expectations and perceptions across five dimensions: tangibles, reliability, responsiveness, assurance and empathy.

Explanation

Parasuraman, Zeithaml and Berry developed the instrument for service industries (Parasuraman et al., 1988), and it has been widely adapted to hospitals and primary care.

Criticisms include the reliability of difference scores and the stability of its five-factor structure across settings, which is why many studies use perception-only versions.

Related concepts

Patient satisfaction Patient experience Reliability Confirmatory factor analysis (CFA)

References

Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40.

Cite this entry: Kurutkan, M. N. (2026). SERVQUAL. In The Health Topics glossary. https://healthtopic.org/glossary/servqual/

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