Having been synthesized from the researches of Kilbourne et al. (2004). Badri et al.(2009), Lim and Tang (2000) and Parasuraman et al. (1988), this empirical study, a second-order factor model was developed to test whether a set of five service quality dimensions. The hypothesis had been supported in this study. That is the overall healthcare service quality direct causal influences on perceptions of reliability, tangible, response, assurance, and empathy. This paper concluded that the second-order factor structure for healthcare service quality was well supported. This suggested that patient evaluated the service quality on five basic dimensions but that they also viewed overall service quality as a higher order factor that captured a meaning common to all dimensions.