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10 (2) 2020

An explanation from customers’ perspectives for difficulties in developing nursing-home service in Vietnam – A study in Ho Chi Minh City


Author - Affiliation:
Le Thi Thanh Xuan - School of Industrial Management, Ho Chi Minh City University of Technology , Vietnam
Nguyen Phuong Thuy Linh - School of Industrial Management, Ho Chi Minh City University of Technology , Vietnam
Corresponding author: Le Thi Thanh Xuan - lttxuan@hcmut.edu.vn

Abstract
Even though the demand for a nursing home is increasing, it is not easily-accepted in Vietnam because of cultural traditions which nomally link to morality, affection, relational cohesion, responsibility, relatives’ and friends’ opinions, etc. According to a study conducted by the Health Strategy and Policy Institute in 2012, Vietnamese people think that no one takes care of their parents better than children. That might be the reason why nursing home services have not developed well in Vietnam. This study aims to (1) explore attributes of nursing home preventing Vietnamese customers from using this service, and (2) explore the connections between these attributes and values of individuals through consequences from these attributes. The mean-end-chain theory with a soft-laddering interview is the method employed to conduct the study. Participants are persons who are responsible for making decisions related to nursing home matters, including elder people and ones having elder people in their families and being responsible to send their parents/grandparents to the nursing homes. The research findings show that there are 15 attributes of nursing home service, which drive to 4 values through 9 consequences, preventing Vietnamese customers from using this service. The result from the HVM states that there are three significant A-C-V linkages to explain what attributes and how they influence customers (perceived) values. The study also proposes some suggestions to promote nursing home service and encourage Vietnamese customers to accept this kind of service.

Keywords
nursing home; mean-end chain theory; laddering interview; Vietnam

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Cite this paper as:

Le, T. T. X., & Nguyen, P. T. L. (2020). An explanation from customers’ perspectives for difficulties in developing nursing-home service in Vietnam – A study in Ho Chi Minh City. Ho Chi Minh City Open University Journal of Science – Economics and Business Administration, 10(4), 68-82. doi:10.46223/HCMCOUJS.econ.en.10.2.966.2020


References

Covinsky, K. E., Goldman, L., Cook, E. F., … Phillips, R. S. (1994). The impact of serious illness on patients' families. SUPPORT investigators. Study to understand prognoses and preferences for outcomes and risks of treatment. JAMA, 272(23), 1839-1844. doi:10.1001/jama.272.23.1839


Grunert, K. G., & Grunert, S. C. (1995). Measuring subjective meaning structures by the laddering method: Theoretical considerations and methodological problems. International Journal of Research in Marketing, 12(3), 209-225. doi:10.1016/0167-8116(95)00022-T


Kalinowski, S., Wulff, I., Kölzsch, M., Kopke, K., Kreutz, R., & Dräger, D. (2012). Physical activity in nursing homes - Barriers and facilitators: A cross-sectional study. Journal of Aging and Physical Activity, 20(4), 421-441. doi:10.1123/japa.20.4.421


Lin, C.-S., Jeng, M.-Y., & Yeh, T.-M. (2018). The elderly perceived meanings and values of virtual reality leisure activities: A means-end chain approach. International Journal of Environmental Research and Public Health, 15(4), Article 663. doi:10.3390/ijerph15040663


M Kellett, U. (2000). Bound within the limits: Facing constraints to family caring in nursing homes. International Journal of Nursing Practice, 6(6), 317-323. doi:10.1046/j.1440-172x.2000.00224.x


McMillan, S.C., & Mahon, M. (1994). Measuring quality of life in hospice patients using a newly developed Hospice Quality of Life Index. Quality of Life Research, 3, 437-447 doi:10.1007/BF00435396


Medilineplus. (n.d.). Nursing homes. Retrieved February 11, 2020, from https://medlineplus.gov/nursinghomes.html


NDO. (2017, July 17). Seminar shares experiences in adapting to aging population. Retrieved December 20, 2019, from Nhan Dan Online website: https://en.nhandan.com.vn/society/ item/5350702-seminar-shares-experiences-in-adapting-to-aging-population.html Seminar shares experiences in adapting to aging population


People’sArmyNewspaper. (2017). Ho Chi Minh City lacks elderly care facilities. Retrieved January 20, 2020, from People’s Army Newspaper website: https://en.qdnd.vn/social-affairs/news/ho-chi-minh-city-lacks-elderly-care-facilities-486915


Pitts, R. E., Wong, J. K., & Joel Whalen, D. (1991). Consumers' evaluative structures in two ethical situations: A means-end approach. Journal of Business Research, 22(2), 119-130. doi:10.1016/0148-2963(91)90046-Z


Reynolds, T. J., & Gutman, J. (1988). Laddering theory, method, analysis, and interpretation. Journal of Advertising Research, 28(1), 11-31.


Reynolds, T. J., & Olson, J. C. (2000). Understanding consumer decision making : The means-end approach to marketing and advertising strategy. Mahwah, NJ: Psychology Press.


ter Hofstede, F., Audenaert, A., Steenkamp, J.-B. E. M., & Wedel, M. (1998). An investigation into the association pattern technique as a quantitative approach to measuring means-end chains. International Journal of Research in Marketing, 15(1), 37-50. doi:10.1016/S0167-8116(97)00029-3


Tuominen, L., Leino-Kilpi, H., & Suhonen, R. (2016). Older people’s experiences of their free will in nursing homes. Nursing Ethics, 23(1), 22-35. doi:10.1177/0969733014557119


Vietnambreakingnews. (2018). Vietnam faces shortage of qualified geriatric nurses. Retrieved January 20, 2020, from Viet Nam breaking News website: https://www.vietnambreakingnews.com/2018/05/vietnam-faces-shortage-of-qualified-geriatric-nurses/


VietnamNews. (2019). Vietnam needs to develop nursing home model. Retrieved January 20, 2020, from Viet Nam breaking News website: https://vietnamnews.vn/society/482286/ viet-nam-needs-to-develop-nursing-home-model.html


Walker, B. A., & Olson, J. C. (1991). Means-end chains: Connecting products with self. Journal of Business Research, 22(2), 111-118. doi:10.1016/0148-2963(91)90045-Y



DOI: https://doi.org/10.46223/HCMCOUJS.econ.en.10.2.966.2020
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