This research examines consumers' value perceptions and their role in hospital choice behavior in rural and suburban markets. While health care markets are "local," this study confirms the broad efficacy of a value-based approach to understanding consumer choice of providers.
{"title":"Quality, sacrifice, and value in hospital choice: a comparative study of rural and suburban consumer perspectives.","authors":"S K Gooding","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This research examines consumers' value perceptions and their role in hospital choice behavior in rural and suburban markets. While health care markets are \"local,\" this study confirms the broad efficacy of a value-based approach to understanding consumer choice of providers.</p>","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"13 2","pages":"23-42"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The use of "alternative" medicine has become increasingly popular in the United States. Books devoted to alternative medicine, e.g., Spontaneous Healing and 8 Weeks to Optimum Health, have become best sellers. Nevertheless, relatively few research studies have focused on the subject. This study examined the role of alternative medicine among college students. Issues addressed included students' familiarity with, use of, and perceptions regarding unconventional health therapies. The study substantiated a phenomenon health care providers across the country are discovering: a growing number of Americans with interest and financial resources support the development of "mainstream" alternative medicine programs. Results of the study also suggest that well-respected traditional health care organizations would not suffer reputation damage if they were to offer such programs.
{"title":"Alternative medicine among college students.","authors":"R M Gaedeke, D H Tootelian, C Holst","doi":"10.1300/J043v13n01_08","DOIUrl":"https://doi.org/10.1300/J043v13n01_08","url":null,"abstract":"<p><p>The use of \"alternative\" medicine has become increasingly popular in the United States. Books devoted to alternative medicine, e.g., Spontaneous Healing and 8 Weeks to Optimum Health, have become best sellers. Nevertheless, relatively few research studies have focused on the subject. This study examined the role of alternative medicine among college students. Issues addressed included students' familiarity with, use of, and perceptions regarding unconventional health therapies. The study substantiated a phenomenon health care providers across the country are discovering: a growing number of Americans with interest and financial resources support the development of \"mainstream\" alternative medicine programs. Results of the study also suggest that well-respected traditional health care organizations would not suffer reputation damage if they were to offer such programs.</p>","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"13 1","pages":"107-18"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J043v13n01_08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21478058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As hospitals continue to incorporate web technology into their overall marketing and communications strategies, they face several issues which we explore in this paper. Hospitals' effectiveness in dealing with these issues will affect the benefits received from this technology. We provide an exploratory analysis of current hospital web sites and develop implications for future web site development. Likewise, recommendations based on our research are also provided.
{"title":"Hospital web-site marketing: analysis, issues, and trends.","authors":"P M Sanchez, P Maier-Donati","doi":"10.1300/j043v13n02_06","DOIUrl":"https://doi.org/10.1300/j043v13n02_06","url":null,"abstract":"<p><p>As hospitals continue to incorporate web technology into their overall marketing and communications strategies, they face several issues which we explore in this paper. Hospitals' effectiveness in dealing with these issues will affect the benefits received from this technology. We provide an exploratory analysis of current hospital web sites and develop implications for future web site development. Likewise, recommendations based on our research are also provided.</p>","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"13 2","pages":"87-103"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j043v13n02_06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The authors used a relatively new advertising medium to increase public awareness of their children's hospital. They found that street pole banners, a form of outdoor advertising, made a measurable, positive impression on consumer consciousness. Banners effectively supplemented a product awareness campaign that included more traditional media. This study is the first documentation of the use of banners to market health care services. Using a two-phase approach, respondents were surveyed via telephone before and after exposure. Results of the follow-up survey show significant increases in levels of awareness and preference. The authors hope their report on the successful use of street pole banners will spur further research on the use of this innovative media.
{"title":"Measuring the effects of street pole banners on consumer awareness and preference.","authors":"W R Gombeski, P L Miller, M J Levine","doi":"10.1300/J043v13n01_01","DOIUrl":"https://doi.org/10.1300/J043v13n01_01","url":null,"abstract":"<p><p>The authors used a relatively new advertising medium to increase public awareness of their children's hospital. They found that street pole banners, a form of outdoor advertising, made a measurable, positive impression on consumer consciousness. Banners effectively supplemented a product awareness campaign that included more traditional media. This study is the first documentation of the use of banners to market health care services. Using a two-phase approach, respondents were surveyed via telephone before and after exposure. Results of the follow-up survey show significant increases in levels of awareness and preference. The authors hope their report on the successful use of street pole banners will spur further research on the use of this innovative media.</p>","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"13 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J043v13n01_01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21478056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This present article investigates conflicting community attitudes and formal survey results. The survey results suggest that patients viewed their physicians' and nurses' competency and care very highly, as well as receiving satisfactory care in specialized departments. The results further suggest that hospital meals were less satisfactory in terms of patient enjoyment of meals and with the services of the dietitian. However, one major area of concern was the low number of survey responses and the recommendations that are made for improving the response rate. Demographic inconsistencies in the survey results are reviewed as evidence of lack of validity lending support to the contrary community perception of low health care quality at the hospital. Suggestions are made for improvement of the survey instrument and procedures to insure greater validity and reliability.
{"title":"The dilemma of conflicting attitudes: survey results or community perceptions?","authors":"F B Krohn, T M Zboch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This present article investigates conflicting community attitudes and formal survey results. The survey results suggest that patients viewed their physicians' and nurses' competency and care very highly, as well as receiving satisfactory care in specialized departments. The results further suggest that hospital meals were less satisfactory in terms of patient enjoyment of meals and with the services of the dietitian. However, one major area of concern was the low number of survey responses and the recommendations that are made for improving the response rate. Demographic inconsistencies in the survey results are reviewed as evidence of lack of validity lending support to the contrary community perception of low health care quality at the hospital. Suggestions are made for improvement of the survey instrument and procedures to insure greater validity and reliability.</p>","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"13 2","pages":"5-21"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As a way of controlling the rising costs of health care, most managed care companies have implemented drug formularies. A drug formulary is generally defined as a listing of medications the health plan will cover for reimbursement. Some medications may need authorization from the health plan before they will be dispensed. This paper argues that drug formularies contain cost while causing no physical harm to the patient. The method of research used is descriptive. The paper will examine the issue from the side of the physician, the health plan and the patient. The research includes personal interviews, anecdotal records and reviews of available literature. The findings will show that patients still have access to a wide range of therapeutic medications and do not suffer physical harm as a result of a drug formulary.
{"title":"The use of drug formularies in managed care.","authors":"L A Hill","doi":"10.1300/j043v13n02_05","DOIUrl":"https://doi.org/10.1300/j043v13n02_05","url":null,"abstract":"<p><p>As a way of controlling the rising costs of health care, most managed care companies have implemented drug formularies. A drug formulary is generally defined as a listing of medications the health plan will cover for reimbursement. Some medications may need authorization from the health plan before they will be dispensed. This paper argues that drug formularies contain cost while causing no physical harm to the patient. The method of research used is descriptive. The paper will examine the issue from the side of the physician, the health plan and the patient. The research includes personal interviews, anecdotal records and reviews of available literature. The findings will show that patients still have access to a wide range of therapeutic medications and do not suffer physical harm as a result of a drug formulary.</p>","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"13 2","pages":"63-85"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j043v13n02_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article develops two previous research efforts. William J. Winston (1994, 1995) has proposed a set of strategies by which health care organizations can benefit from forging strategic alliances. Raadt and Self (1997) have proposed a classification model of alliances including horizontal, vertical, internal, and osmotic. In the second of two articles, this paper presents a model of vertical, internal, and osmotic alliances. Advantages and disadvantages of each are discussed. Finally, the complete alliance system model is presented.
本文发展了之前的两项研究成果。William J. Winston(1994,1995)提出了一套战略,通过这些战略,卫生保健组织可以从建立战略联盟中受益。Raadt和Self(1997)提出了一个联盟的分类模型,包括水平、垂直、内部和渗透。在两篇文章中的第二篇中,本文提出了一个垂直的、内部的和渗透的联盟模型。讨论了每种方法的优缺点。最后,给出了完整的联盟系统模型。
{"title":"A model of strategic marketing alliances for hospices: vertical, internal, osmotic alliances and the complete model.","authors":"B J Starnes, D R Self","doi":"10.1300/J043v13n01_03","DOIUrl":"https://doi.org/10.1300/J043v13n01_03","url":null,"abstract":"<p><p>This article develops two previous research efforts. William J. Winston (1994, 1995) has proposed a set of strategies by which health care organizations can benefit from forging strategic alliances. Raadt and Self (1997) have proposed a classification model of alliances including horizontal, vertical, internal, and osmotic. In the second of two articles, this paper presents a model of vertical, internal, and osmotic alliances. Advantages and disadvantages of each are discussed. Finally, the complete alliance system model is presented.</p>","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"13 1","pages":"43-56"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J043v13n01_03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21478061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The healthcare industry in the United States is faced with many strategic challenges, because of the nation's growing culturally diverse population. Growing cultural diversity now calls for better trained medical staff that is capable of handling language, religious and cultural differences. In the rural communities, where cultural diversity is rapidly becoming a demographic fact, small hospitals with limited resources are especially confronted with medical challenges for which they seem to be least prepared. Based on an exploratory research that includes a study of small town hospitals, this paper provides insights into cross-cultural problems facing healthcare professionals in small communities. The paper highlights also the ways in which hospitals are responding to such challenges.
{"title":"Cross-cultural healthcare challenges: an insight into small American community hospitals.","authors":"M. P. Kothari, V. Kothari","doi":"10.1300/J043V12N01_02","DOIUrl":"https://doi.org/10.1300/J043V12N01_02","url":null,"abstract":"The healthcare industry in the United States is faced with many strategic challenges, because of the nation's growing culturally diverse population. Growing cultural diversity now calls for better trained medical staff that is capable of handling language, religious and cultural differences. In the rural communities, where cultural diversity is rapidly becoming a demographic fact, small hospitals with limited resources are especially confronted with medical challenges for which they seem to be least prepared. Based on an exploratory research that includes a study of small town hospitals, this paper provides insights into cross-cultural problems facing healthcare professionals in small communities. The paper highlights also the ways in which hospitals are responding to such challenges.","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"12 1 1","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"1998-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J043V12N01_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66277229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Gombeski, D. Konrad, G. Kanoti, S. Ulreich, J. Skilogianis, J. Clough
OBJECTIVE This study investigates the reasons for hospital transfers and the role patients, their families, physicians, and payers play in the choice of a referral center. DATA SOURCES A thirty-three item questionnaire and clinical data from the hospital's discharge database. STUDY DESIGN A study of all 307 hospital transfer patients admitted between November 9 and December 3, 1993 was conducted to understand the factors contributing to the increase in transfers and the reasons patients were sent to CCH. Data on the transfer decision were collected by interviewing patients 48 hours after admittance to the hospital or by telephone if they were discharged before an interview could be completed. Two hundred and sixty-two (85%) patients were interviewed. PRINCIPLE FINDINGS (1) Almost 58% of transfers were patient-initiated or -influenced; the remainder were physician- (38%) or payer-directed (4%); (2) More than 78% of the patients identified lack of clinical expertise/technology at originating hospital as the main reason for transferring. Other reasons included: established CCH patient status (43%), CCH marketing (31%), and concerns regarding quality of care at originating hospital (10%). Financial and quality dumping were not identified as reasons for the transfer. New patients to CCH were more likely to indicate that marketing and lack of clinical resources at originating hospital were reasons for selecting CCH than previous patients. CONCLUSIONS Patients significantly influenced the transfer decision and the transfer decision-making process can be influenced by marketing. The opinions of the consumer should not be underestimated, especially by those seeking non-marketing solutions to health care reform.
{"title":"Selection of a hospital for a transfer: the roles of patients, families, physicians and payers.","authors":"W. Gombeski, D. Konrad, G. Kanoti, S. Ulreich, J. Skilogianis, J. Clough","doi":"10.1300/J043V12N01_04","DOIUrl":"https://doi.org/10.1300/J043V12N01_04","url":null,"abstract":"OBJECTIVE\u0000This study investigates the reasons for hospital transfers and the role patients, their families, physicians, and payers play in the choice of a referral center.\u0000\u0000\u0000DATA SOURCES\u0000A thirty-three item questionnaire and clinical data from the hospital's discharge database.\u0000\u0000\u0000STUDY DESIGN\u0000A study of all 307 hospital transfer patients admitted between November 9 and December 3, 1993 was conducted to understand the factors contributing to the increase in transfers and the reasons patients were sent to CCH. Data on the transfer decision were collected by interviewing patients 48 hours after admittance to the hospital or by telephone if they were discharged before an interview could be completed. Two hundred and sixty-two (85%) patients were interviewed.\u0000\u0000\u0000PRINCIPLE FINDINGS\u0000(1) Almost 58% of transfers were patient-initiated or -influenced; the remainder were physician- (38%) or payer-directed (4%); (2) More than 78% of the patients identified lack of clinical expertise/technology at originating hospital as the main reason for transferring. Other reasons included: established CCH patient status (43%), CCH marketing (31%), and concerns regarding quality of care at originating hospital (10%). Financial and quality dumping were not identified as reasons for the transfer. New patients to CCH were more likely to indicate that marketing and lack of clinical resources at originating hospital were reasons for selecting CCH than previous patients.\u0000\u0000\u0000CONCLUSIONS\u0000Patients significantly influenced the transfer decision and the transfer decision-making process can be influenced by marketing. The opinions of the consumer should not be underestimated, especially by those seeking non-marketing solutions to health care reform.","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"12 1 1","pages":"61-77"},"PeriodicalIF":0.0,"publicationDate":"1998-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J043V12N01_04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66277363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stewardship and managed care.","authors":"R L Goldman, R Dunn, D L Weinberg","doi":"10.1300/J043v12n02_01","DOIUrl":"https://doi.org/10.1300/J043v12n02_01","url":null,"abstract":"","PeriodicalId":79671,"journal":{"name":"Journal of hospital marketing","volume":"12 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J043v12n02_01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21057505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}