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Advertising in health and medicine: using mass media to communicate with patients

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Background: Advertising-a marketing communications method involving the paid use of mass media to deliver messages to desired audiences-represents one of the most common and effective avenues for engaging current and prospective patients. Although late to proliferate in the health services industry due to tradition, the medium of communication is now firmly established and routinely deployed by health and medical organizations far and wide. Despite widespread use, healthcare providers must take opportunities, when and where possible, to stay abreast of the latest details concerning advertising and its associated applications, increasing the likelihood of successful audience engagements. Discussion: Maintaining an awareness of current developments in health services advertising can be facilitated by acquiring operational perspectives and practices from peer institutions. Most any healthcare provider can benefit from experiential views as they can shape and hone advertising approaches. Gaining such insights can be difficult, given competitive sensitivities, but occasionally healthcare institutions are compelled to share knowledge in published accounts, with this particular article following suit. Specifically, insights and experiences from Willis-Knighton Health System's extensive and historic use of advertising are shared, bolstering the experiential accounts available in the literature and supplying operational guidance for health and medical providers. Conclusions: Advertising, if well devised and deployed, offers healthcare providers opportunities to dramatically improve their fortunes by successfully engaging current and prospective patients, hastening exchange and building vital market share. In pursuit of advertising excellence, health and medical establishments can bolster associated endeavors by tapping into the experiences of other healthcare providers, permitting insights which might potentially be incorporated into communicative pathways. This account sheds light on the advertising operations of a major health system, supplying food for thought for the advancement of advertising acumen.
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D E B A T E Open Access
Advertising in health and medicine: using
mass media to communicate with patients
James K. Elrod
1
and John L. Fortenberry Jr.
1,2*
Abstract
Background: Advertisinga marketing communications method involving the paid use of mass media to deliver
messages to desired audiencesrepresents one of the most common and effective avenues for engaging current
and prospective patients. Although late to proliferate in the health services industry due to tradition, the medium
of communication is now firmly established and routinely deployed by health and medical organizations far and
wide. Despite widespread use, healthcare providers must take opportunities, when and where possible, to stay
abreast of the latest details concerning advertising and its associated applications, increasing the likelihood of
successful audience engagements.
Discussion: Maintaining an awareness of current developments in health services advertising can be facilitated by
acquiring operational perspectives and practices from peer institutions. Most any healthcare provider can benefit
from experiential views as they can shape and hone advertising approaches. Gaining such insights can be difficult,
given competitive sensitivities, but occasionally healthcare institutions are compelled to share knowledge in
published accounts, with this particular article following suit. Specifically, insights and experiences from Willis-
Knighton Health Systems extensive and historic use of advertising are shared, bolstering the experiential accounts
available in the literature and supplying operational guidance for health and medical providers.
Conclusions: Advertising, if well devised and deployed, offers healthcare providers opportunities to dramatically
improve their fortunes by successfully engaging current and prospective patients, hastening exchange and building
vital market share. In pursuit of advertising excellence, health and medical establishments can bolster associated
endeavors by tapping into the experiences of other healthcare providers, permitting insights which might
potentially be incorporated into communicative pathways. This account sheds light on the advertising operations
of a major health system, supplying food for thought for the advancement of advertising acumen.
Keywords: Advertising, Marketing communications, Promotion, Hospitals, Healthcare
Background
Health and medical establishments provide arguably the
most essential services offered in any given community.
From quality-of-life enhancements to life-saving inter-
ventions, the services provided by healthcare organiza-
tions are without parallel, making these entities key
community assets [13]. But despite the skill of
physicians, the magnitude of medical technologies, the
compassion of nurses, or the benefit of any other associ-
ated investment, healthcare serviceseven those of ex-
ceptional qualitypossess very little impact potential
unless they are communicated effectively to current and
potential patients [411].
In their quests to engage audiences, healthcare institu-
tions generally turn to the marketing communications
mix, a collection of pathways for directing messages to
desired groups [7,12,13], with advertising being one of
the most commonly utilized and successfully pursued
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* Correspondence: john.fortenberry@lsus.edu
1
Willis-Knighton Health System, 2600 Greenwood Road, Shreveport, LA
71103, USA
2
LSU Shreveport, 1 University Place, Shreveport, LA 71115, USA
Elrod and Fortenberry BMC Health Services Research 2020, 20(Suppl 1):818
https://doi.org/10.1186/s12913-020-05599-3
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
avenues for doing so [4,7,12]. Advertising uses mass
media (e.g., television, radio, newspaper, billboard) to de-
liver messages to current and prospective customer pop-
ulations, with these communications being paid for by
the advertising party [7,8,13]. Although late to prolifer-
ate in the health services industry due to tradition, this
medium of communication is now firmly established
and routinely deployed by health and medical organiza-
tions far and wide [4,6,14,15].
Advertising offers great potential for establishing ef-
fective dialogues with customers, but care must be taken
to devise and deploy it effectively, something which re-
quires a keen understanding of its characteristics and ex-
ceptional attention to detail on operational fronts. As
such, healthcare providers must take opportunities,
when and where possible, to stay abreast of the latest de-
tails concerning advertising and its associated applica-
tions and strategies, increasing the likelihood of
successful audience engagement endeavors [8,9,15].
Maintaining an awareness of current developments in
health services advertising can be facilitated by acquiring
operational perspectives from peer institutions. Gaining
such insights can be challenging, given competitive sen-
sitivities, but occasionally healthcare establishments are
compelled to share associated knowledge in published
accounts, with this particular article following suit. Spe-
cifically, insights and experiences from Willis-Knighton
Health Systems extensive and historic use of advertising
are shared, bolstering the experiential accounts available
in the literature and supplying operational guidance for
health and medical providers.
Definition and overview
To best understand advertising, it is helpful to first gain
an awareness of its context and placement in the greater
discipline of marketing. Formally defined, marketing is
a management process that involves the assessment of
customer wants and needs, and the performance of all
activities associated with the development, pricing,
provision, and promotion of product solutions that sat-
isfy those wants and needs[7], p. 288. As presented in
this definition, promotion is a prominent component of
marketing, something further illustrated by its inclusion
as one of the Ps in the classic expression known as the
four Ps of marketing (i.e., Product, Price, Place, Promo-
tion). The promotion aspect of marketing essentially en-
tails any and all elements associated with engaging
audiences, with the core pathways for engagement being
depicted in a descriptive model known as the marketing
communications (or promotions) mix [7,16].
Classically illustrated, the marketing communications
mix contains five principal avenues of communication;
namely, advertising (i.e., the paid use of mass media to
deliver messages), personal selling (i.e., the use of sales
agents to personally deliver messages), sales promotion
(i.e., the use of incentives, such as contests and free give-
aways, to encourage patronage), public relations (i.e., the
use of publicity and other unpaid promotional methods
to deliver messages), and direct marketing (i.e., the deliv-
ery of messages via mail, the Internet, and similar routes
directly to consumers) [7,8]. Healthcare institutions
evaluate each option and select one or more believed to
be most capable of reaching target audiences, all for the
purpose of enticing patronage or compelling some other
form of meaningful exchange [7,13].
Of the avenues identified in the marketing communi-
cations mix, advertising is perhaps the best known and
first method to come to mind when considering promo-
tions opportunities. This should not come as a surprise
as advertisingformally defined as a promotional
method involving the paid use of mass media to deliver
messages[7], p. 219is the most public of communica-
tive avenues. Television commercials promoting the lat-
est offerings of an urgent care center, magazine
advertisements communicating the grand opening of a
medical clinic, billboard advertisements presenting the
current wait time at a hospitals emergency department,
and other open conveyances appear prominently and
frequently across scores of communities, making adver-
tising a familiar and robust influence easily recognized
by most anyone [15,16].
While advertising is now a mainstay of the health ser-
vices industry, this was not always the case. Prior to the
1980s, advertising was viewed to be beneath the dignity
of medical providers, with some also fearing its potential
to impact referrals between and among caregivers, the
time-honored method of patient acquisition. Further, the
American Medical Association prohibited its members
from engaging in advertising. During this era, the health-
care industrys stance was quite unusual as other indus-
tries had been using advertising for decades, benefiting
from its deployment. In the 1980s, however, resistance
against health services advertising diminished, aided by
the US Federal Trade Commissions scrutiny of the
American Medical Associations ban on its members
use of advertising, something which ultimately led to its
relinquishment. Going forward, health services advertis-
ing began to flourish, and today, it thrives, having be-
come a foundation of healthcare industry operations and
an established component of the communications ar-
senal of most any health services organization [4,6,7,
12,15].
Institutional background and deployment history
With origins dating back nearly a century, Willis-
Knighton Health System has faced and continues to face
all of the challenges associated with delivering healthcare
services, one of which involves communicating
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effectively with customer groups. Based in Shreveport,
Louisiana and situated in the heart of an area known as
the Ark-La-Tex where the states of Arkansas, Louisiana,
and Texas converge, Willis-Knighton Health System
holds market leadership in its served region where it de-
livers comprehensive health and wellness services
through multiple hospitals, numerous general and spe-
cialty medical clinics, an all-inclusive retirement com-
munity, and more. The prized position of market
leadership did not occur overnight; it instead resulted
from painstaking efforts on multiple fronts, with associ-
ated growth pursuits largely beginning in the 1970s as
part of a comprehensive expansion initiative.
During this era, myriad growth-fueling innovations
were pursued, including adoption of the hub-and-spoke
model [17,18], establishing centers of excellence [19],
expanding physical space via the practice of adaptive re-
use [20,21], and more. Of these, one most integral to
building patient volume was on the marketing commu-
nications front; namely, the early embracement of adver-
tising as a means of engaging audiences [1416]. Willis-
Knighton Health Systems use of advertising happens to
be one of the most enduring in the health services in-
dustry, as the establishment adopted the medium of
communication nearly a decade prior to the industrys
broad acceptance of such in the 1980s [9,14,15]. Its
adoption primarily was compelled by Willis-Knighton
Health Systems desires to more effectively and reliably
communicate its offerings to the public, something that
the primary communications vehicle of the day, public
relations, routinely fell short of achieving. As a result of
this early experimentation, Willis-Knighton Health Sys-
tem gained advertising proficiencies which advanced its
strategic and tactical communicative prowess. This
afforded an enduring competitive advantage, which even
today, years after advertisings arguably universal accept-
ance in the health services industry, continues to amplify
the institutions marketing communications efforts [14,
15].
Context within marketing communications
In engaging current and prospective patients, Willis-
Knighton Health System makes use of the full range of
the marketing communications mix. Of the components
of the mix, advertising constitutes the institutions most
significant communications investment [15], and gener-
ally is the first component to be considered whenever
promotions needs arise. Several examples of recent
newspaper and billboard advertisements, these promot-
ing Willis-Knighton Health SystemsHealthcare Her-
oescampaign, are presented in Figs. 1and 2, and
related television commercials are available at the fol-
lowing link: https://www.wkhs.com/video/commercials.
Core advertising opportunities classically have been
placed into three categories: print, electronic, and out-
door. Notable categories within print include newspaper
and magazine advertising; within electronic, they include
television, radio, and Internet advertising; and within
outdoor, they include billboard, street furniture, and
transit advertising. Although the particular communica-
tion routes differ in form and delivery, they each share
the common bond of using mass media, permitting large
Fig. 1 A newspaper advertisement promoting Willis-Knighton Health SystemsHealthcare Heroescampaign
Elrod and Fortenberry BMC Health Services Research 2020, 20(Suppl 1):818 Page 3 of 8
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
(i.e., mass) audiences to be exposed to messages carried.
This, of course, is a key requirement of advertising, with
paid use of mass media being its most distinguishing fea-
ture, differentiating it from other components of the
marketing communications mix [7,15,2224].
For advertisings part of the marketing communica-
tions mix, Willis-Knighton Health System relies on a
particular combination of media. Recently, the institu-
tion has been concentrating the bulk of its advertising in
print media (41% of advertising expenditures), with the
majority of expenditures being directed toward news-
paper advertising, followed by magazine advertising.
Electronic media options consume 31% of advertising
expenditures, with television being the predominant
media expenditure in the category, followed by Internet
advertising. Outdoor media, almost exclusively billboard
advertising, consumes 28% of advertising expenditures,
rounding out the allotment. The noted array of advertis-
ing media tapped for promoting the institution and its
services was devised based on a combination of educa-
tion and experience, yielding keen insights on media
effectiveness.
Of course, the formulation of Willis-Knighton Health
Systems media mix is not static. Instead, it changes as
media, markets, and people change in an effort to ensure
that communications are properly tailored to current
conditions. While alterations of the institutions media
mix historically have been subtle, environmental circum-
stances occasionally require more comprehensive modi-
fications. One such environmental change, occurring
gradually in recent years and continuing to evolve, in-
volves the proliferation of computer tablets and smart-
phones in society. This change has dramatically altered
historic patterns of information consumption, bolstering
demand for electronic content, typically at the expense
of print content [2528]. This prompted Willis-
Knighton Health System to begin increasing its invest-
ment in electronic advertising, most notably, Internet
placements, while diminishing print advertising expendi-
tures in concert with media trends noted in the
marketplace.
Despite the clear trend toward electronic communica-
tions, the institution has proceeded cautiously in adjust-
ing its media mix. As a comprehensive health services
provider, Willis-Knighton Health Systems services ap-
peal to virtually every segment of the population, with
some groups having greater tendencies for innovation
adoption than others. As such, media mix alterations
have been gradual to ensure that those customer groups
who are less receptive to electronic content are not
neglected even as increasing numbers of people shift
away from once dominant print media preferences. This
particular scenario illustrates the need for healthcare
providers to closely monitor environmental trends in the
context of their customer populations, ensuring that
findings are taken into account when formulating adver-
tising budgets and making associated selections from
among media options.
Strengths
After decades of use, Willis-Knighton Health System has
found advertising to be a highly capable avenue of com-
munication, prompting its continued deployment as part
of the institutions overall strategy for audience engage-
ment. Deployment justifications can be numerous, with
these being dependent on the needs and desires of given
healthcare organizations, but in Willis-Knighton Health
Systems experience, three particular characteristics
Fig. 2 Billboard advertisements promoting Willis-Knighton Health SystemsHealthcare Heroescampaign
Elrod and Fortenberry BMC Health Services Research 2020, 20(Suppl 1):818 Page 4 of 8
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
serve as primary motivations for the establishments use
of advertising. These characteristics are as follows.
High performance
Advertising is an age-old communicative method, argu-
ably dating back in primitive form to the earliest days of
trade. Evolving continually, its modern day proliferation
is undeniable, evidenced by simple exposure to and ob-
servation of most any commercial environment. Thanks
to many decades of scholarly attention, the medium of
communication has been studied extensively, with find-
ings routinely confirming its ability to effectively engage
audiences. Further, its extensive and continued use by
business and industry provides additional validation of
the effectiveness of advertising [9,14,22,23,29]. Willis-
Knighton Health Systems own experiences, some of
which have been published in the scholarly literature [9,
15,16,30], support accounts attesting to the prowess of
advertising to generate awareness and convey informa-
tion effectively to current and prospective customers,
giving advertising a firm place in the institutions com-
munications arsenal.
Significant control
Advertising, as a paid medium of communication, is
largely under the control of the advertising entity, per-
mitting the advertiser to determine creative treatment,
timing and frequency of promotion, and other attributes
of given advertisements. This stands in contrast to pub-
lic relations efforts which rely on press releases being ac-
cepted for presentation by media outlets, something
which offers no guarantees of circulation and, even if
carried, intended stories may not be communicated as
desired. Ultimately, advertising, courtesy of paid place-
ments, provides assurances that messages will be deliv-
ered as intended to desired audiences on desired
timetables [15,22,23,29]. As noted earlier, this particu-
lar attribute served as the primary impetus for Willis-
Knighton Health Systems early embracement of adver-
tising [14,15].
Exceptional variety
Advertising is available in a variety of formatsprint,
electronic, and outdoor, with multiple communicative
avenues within these broad categoriesallowing adver-
tising entities to select routes deemed most capable of
reaching sought audiences. This extensive variety also
permits a wide range of creative treatments and informa-
tion conveyance options, affording flexibility in message
assembly and presentation, yielding practically infinite
opportunities for developing advertisements specifically
tailored to attract and impact desired groups [7,15,22
24,29].
Limitations
Despite its many attributes, contexts of use, applications,
and the like, advertising carries a range of limitations
which must be factored into any decision regarding its
deployment. These limitations are as follows.
High cost
As advertising entails the paid use of mass media, obvi-
ously, costs are involved with its deployment. Such ex-
penses can be significant, with costs generally rising as
audience exposures increase. Generally, advertisements
placed in larger markets are pricier than those placed in
smaller markets, given audience size differences [8,22,
23,29]. Even in particular markets, pricing variation typ-
ically exists when circulation differs between placements.
A billboard advertisement situated on a roadway with a
low traffic count, for example, will usually cost less than
an equivalently-sized one located on a heavily-traveled
route in a given city. But beyond the quantity of individ-
uals exposed to a given advertisement (i.e., reach), adver-
tising impact is also influenced by the number of times
individuals are exposed to the associated advertisement
(i.e., frequency), with this also acting to increase adver-
tising expenditures [7,8]. Despite associated costs, ad-
vertising should be considered to be an investment and,
with proper planning and implementation to ensure that
prudent advertising decisions are made, generating a de-
sired return on investment is entirely possible.
Engagement constraints
Advertising generally is considered to be one-way
communication; the advertiser sends a message to au-
diences via a given channel of communication, but
the audience cannot respond directly via that particu-
lar channel [7,8,12,15,22,23,29]. A television
commercial or billboard advertisement, for example,
can convey a promotional message, but message re-
cipients cannot, in turn, use the given communica-
tions pathway to ask questions, indicate interest, or
forward patronage decisions. (It should be noted that
advertising is sometimes confused with direct market-
ing of which some forms do permit two-way commu-
nication, such as telemarketing, but these pathways
do not meet the technical definition of advertising.)
The unidirectional communication weakness of adver-
tising, however, can be resolved by including response
avenues, such as toll-free telephone numbers, website
addresses, and other response mechanisms in given
promotional messages. This, however, must remain at
the forefront of the minds of those charged with as-
sembling advertisements in order to maximize en-
gagement opportunities.
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Potential for intrusiveness
If well planned and implemented, health services adver-
tising can provide invaluable assistance to target audi-
ences, advancing their awareness of medical offerings,
educating them on healthy practices, and encouraging
them in other positive manners [7,8,1416]. But occa-
sionally healthcare establishments make poor advertising
decisions, selecting highly disruptive avenues which have
the potential to generate animosity among message re-
cipients. Willis-Knighton Health System is particularly
vigilant in ensuring that media selected, messages con-
veyed, and contexts delivered are as unobtrusive as pos-
sible so as to avoid generating ill will among audiences.
The institutions extensive use of billboard advertise-
ments illustrates this quite well. Billboards are highly ef-
fective, yet generally free of disruptive influences.
Passersby can choose to consume the information or
simply look away. Contrast this with some Internet ad-
vertisements which overtake web browsers, forcing
viewers to wait until the message concludes or take ac-
tion (e.g., clicking a button to close advertisements) to
get back to their intended pursuit, generating negative
feelings which can be attributed not only to the type of
advertisement, but also the establishments featured in
them. Willis-Knighton Health System has a long-
standing tradition of making media selections which are
respectful of audiences, factoring their tastes and prefer-
ences into each and every promotions decision, some-
thing advised for any healthcare establishment engaged
in advertising.
Operational reflections
Operationally, advertising requires foundational assets
similar to those required by most any intensive
organizational undertaking. These resources include (1)
top leadership support and commitment, (2) financial re-
sources sufficient for funding endeavors, (3) competent
personnel charged with effecting given initiatives, and
(4) formal processes permitting effective planning, im-
plementation, and evaluation of initiatives. As the viabil-
ity of advertising endeavors largely depends on the
availability and adequacy of foundational assets, health-
care establishments must take steps to secure them prior
to engaging in advertising pursuits. Communicative
needs can arise at any time, so health and medical pro-
viders, even those not currently engaged in advertising,
should ensure that capable resource frameworks are de-
veloped and available on demand. With these resources
in place, the stage is set to effect advertising proficiently,
generating desired communications utility that fosters
interest and attention on the part of target audiences,
leading to all-important exchange, and potentially, long-
term loyalty. Willis-Knighton Health Systems leader-
ship, well known for pursuing innovations [31], initiated
the establishments foray into advertising, with this en-
suring the availability of foundational resources. Indeed,
if top leadership support and commitment can be ac-
quired, procurement of the remaining resources required
for advertising success becomes entirely possible.
Beyond securing foundational resources and following
the advisories presented elsewhere in this article, oper-
ationally Willis-Knighton Health System recommends
the use of triangulation to ascertain advertising value.
Advertising, of course, is a means to an end, with its goal
being to generate some form of desired action on the
part of target audiences. That said, the ultimate question
emerging from a healthcare organizations associated
pursuits is whether its given advertisements actually de-
livered value (i.e., Did our ads work?). This might ap-
pear to be a problem-free inquiry, but determining
advertising return on investment with any degree of cer-
tainty actually is quite difficult [32,33]. This is due to
the fact that many externalities exist which influence pa-
tronage decisions.
Assume that an urgent care center decided to initiate
a 1-month advertising campaign and, by the months
conclusion, observed a 10% increase in patient volume.
The advertising campaign might have been the source of
the increase, but other environmental circumstances,
too, could have played a role. Suppose the urgent care
centers top competitor happened to be located on a
roadway that was being widened at the time, creating ac-
cess difficulties for patients. Suppose a sporting venue
near the center was hosting a major event, drawing pop-
ulations from outside of the market, some of whom
might have had urgent care needs and patronized the
center simply due to its convenience. Suppose a highly-
regarded physician had been hired by the center at the
advertising campaigns initiation and immediately began
drawing his clientele, bolstering volume, accordingly.
Such events and occurrences obviously hardship adver-
tising performance assessments. Even direct inquiries
forwarded to patients querying them on advertising im-
pact can be unreliable due to mistakes, memory lapses,
and other distortions leading to inaccuracies. Difficulties
in ascertaining advertising effectiveness prompted
Willis-Knighton Health System very early in its associ-
ated endeavors to adopt an approach best described as
triangulation, whereby a number of metrics are studied,
giving indications of advertising performance.
In the case of the urgent care center promoting its ser-
vices, in order to assess advertising impact, the establish-
ment might, for example, monitor telephone, email, and
in-person inquiries, assessing volume and asking parties
how they heard about the center. The same could be
done for actual patient encounters. Further, mechanisms
could be planted within advertisements which could help
determine campaign effectiveness. For example, a
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particular telephone number could be featured in adver-
tisementsone unique to the given campaign and un-
used for other purposesgiving reasonable assurances
that those inquiring via that telephone number had been
exposed to the advertising message. Similarly, audiences
could be prompted by given advertisements to take a
particular action revealing their exposure (e.g., Be sure
to mention this ad when you make your appointment!
or Mention this ad when you visit to receive a free
gift!). Further insights could be achieved by conducting
a community survey, assessing degree of awareness of
the center, providing yet another indication of the power
of the noted advertising campaign. Importantly, the cen-
ters personnel, especially its leadership, must carefully
monitor the environment in an effort to detect external-
ities which might impact metrics, warranting their con-
sideration when evaluating advertising performance.
These and similar mechanisms can shed significant light
on advertising effectiveness, helping to ascertain value,
justify expenditures, and bolster knowledge which can
help improve future advertising campaigns.
Triangulation indeed affords Willis-Knighton Health
System with valuable intelligence, permitting access to a
range of indicators that aid in determining the return on
investment generated by its advertising. This approach
also carries another benefit that should not be over-
looked. Beyond providing indicators of effectiveness at
the conclusion of campaigns, triangulation, courtesy of
active monitoring, can be used to assess advertising ef-
fectiveness in real-time, as campaigns progress. This is
especially helpful for lengthy campaigns running over
many months. If active advertising campaigns are found
to be successfully delivering value, they can be contin-
ued. If not, the campaigns can be modified in an effort
to elevate performance to desired levels. Active monitor-
ing, coupled with expedient alterations, when and where
warranted, can effectively diminish the prospects of real-
izing failed campaigns. Mastery of triangulation goes
hand-in-hand with mastery of advertising.
Conclusions
Advertising, if well devised and deployed, offers health-
care providers opportunities to dramatically improve
their fortunes by successfully engaging current and pro-
spective patients, hastening exchange and building vital
market share. As such, health and medical establish-
ments must strive to develop proficiencies in using ad-
vertising, something especially important, given the
competitive intensity which characterizes the health ser-
vices industry. Beyond intensive study of advertising and
experience gained through its deployment, healthcare
providers can bolster their advertising skills and abilities
by tapping into the experiences of other healthcare pro-
viders, permitting insights which might potentially be
incorporated into communicative pathways. This par-
ticular account shed light on the advertising operations
of Willis-Knighton Health System, supplying food for
thought for the advancement of advertising acumen.
Acknowledgments
A special note of thanks is extended to Marilyn Joiner, Darrell Rebouche,
Mary Jane Ward, Nancy Wilburn, and the greater Willis-Knighton Health Sys-
tem family for their helpful assistance throughout the development and pub-
lication of this article.
About this supplement
This article has been published as part of BMC Health Services Research
Volume 20 Supplement 1, 2020: Marketing communications in health and
medicine: perspectives from Willis-Knighton Health System. The full contents
of the supplement are available online at http://bmchealthservres.biomed-
central.com/articles/supplements/volume-20-supplement-1.
Authorscontributions
The authors jointly developed the submitted manuscript, with each
performing critical roles from early conceptualization through to the
production of the full manuscript. The manuscript resulted from a
collaborative effort. Both authors read and approved the final manuscript.
Authorsinformation
JKE is President and Chief Executive Officer of Shreveport, Louisiana-based
Willis-Knighton Health System, the regions largest provider of healthcare ser-
vices. With over 55 years of service at the helm of the institution, JKE is
Americas longest-tenured hospital administrator. A fellow in the American
College of Healthcare Executives and honoree as a Louisiana Legend by
Friends of Louisiana Public Broadcasting, he holds a bachelors degree in
business administration from Baylor University, a masters degree in hospital
administration from Washington University School of Medicine, and an hon-
orary doctorate of science and humane letters from Northwestern State Uni-
versity of Louisiana. He is the author of Breadcrumbs to Cheesecake, a book
which chronicles the history of Willis-Knighton Health System.
JLF Jr. is Chair of the James K. Elrod Department of Health Administration,
James K. Elrod Professor of Health Administration, and Professor of Marketing
in the College of Business at LSU Shreveport where he teaches a variety of
courses in both health administration and marketing. He holds a BBA in
marketing from the University of Mississippi; an MBA from Mississippi
College; a PhD in public administration and public policy, with
concentrations in health administration, human resource management, and
organization theory, from Auburn University; and a PhD in business
administration, with a major in marketing, from the University of Manchester
in the United Kingdom. He is the author of six books, including Health Care
Marketing: Tools and Techniques, 3rd Edition, published by Jones and Bartlett
Learning. JLF Jr. also serves as Vice President of Marketing Strategy and
Planning at Willis-Knighton Health System.
Funding
Article processing charges were funded by Willis-Knighton Health System.
Availability of data and materials
Not applicable.
Ethics approval and consent to participate
Not applicable.
Consent for publication
Figures 1 and 2 are published with permission of Willis-Knighton Health
System. All required approvals for publication were obtained.
Competing interests
JKE and JLF Jr. are both employed with Willis-Knighton Health System.
Elrod and Fortenberry BMC Health Services Research 2020, 20(Suppl 1):818 Page 7 of 8
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
Published: 15 September 2020
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... Healthcare professional endorsements further affirmed the appropriateness and feasibility of showcasing how PainChek ® can aid in the improved understanding and management of pain in family members with dementia. This aligns with literature suggesting the impactful role of multimedia and professional endorsements in health interventions (Elrod & Fortenberry Jr, 2020;Grieve et al., 2019;Shu & Woo, 2021). However, traditional modes of delivery such as mass media (television and radio), advertising in medical centres, and posters in hospitals and clinics, were identified as not feasible, despite their impact in healthcare promotion (Elrod & Fortenberry Jr, 2020), and both family caregivers and healthcare professionals considering them appropriate. ...
... This aligns with literature suggesting the impactful role of multimedia and professional endorsements in health interventions (Elrod & Fortenberry Jr, 2020;Grieve et al., 2019;Shu & Woo, 2021). However, traditional modes of delivery such as mass media (television and radio), advertising in medical centres, and posters in hospitals and clinics, were identified as not feasible, despite their impact in healthcare promotion (Elrod & Fortenberry Jr, 2020), and both family caregivers and healthcare professionals considering them appropriate. This discrepancy prompts further investigation, as it suggests a potential shift in the perception of the effectiveness of these modes of delivery. ...
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Despite its established use in aged care facilities, PainChek®, an approved medical application for assessing pain in individuals with advanced dementia, has not been utilised in community settings by family caregivers. This study aimed to determine effective modes of delivery for the key intervention functions—of education, training, enablement, persuasion, and modelling, for the implementation of PainChek® in community-dwelling individuals with dementia. Step 8 of the Behaviour Change Wheel process was followed. To identify appropriate modes of delivery, family caregivers of people living with dementia and healthcare professionals participated in idea generation surveys and two rounds of a modified RAND/UCLA Appropriateness Method. PainChek® Ltd staff then rated the final list of modes of delivery for feasibility. Nine family caregivers, eight healthcare professionals, and thirteen PainChek® Ltd staff participated. In total, 44 delivery modes were assessed as both appropriate and feasible, with digital methods emerging as highly viable. The findings offer valuable insights for implementing PainChek® in community settings, improving pain management for people living with dementia.
... If well devised and deployed, promotion offers healthcare providers opportunities to dramatically improve their fortunes by successfully engaging patients and building market share (19) . According to the MRs' overviews of the determinants influencing relationships between the physician and MR, forty percent indicated that the brand company would contribute to improving their relationship. ...
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Pharmaceutical companies assign a budget for activities and promotions that aim to change the prescription habits of the physicians to choose the most suitable medications for their patients, which will eventually grow their sales. The study's objectives were to explore physicians' and medical representatives' perspectives on the criteria of impactful professional PP and the factors influencing the interaction between physicians and medical representatives. Qualitative in-depth interviews with flexible probing techniques were carried out in 2023. A semi-structured, open-ended interview questionnaire was used to interview physicians and medical representatives (MRs) from different private clinics in several governorates in Iraq. Ten physicians and ten MRs participated in this study. For physicians, pharmaceutical promotion was a beneficial profession. The number of patients in the clinic of patients and the obtained benefits of the medication were the most important factors interfering with physician acceptance of MR visits, and they usually refused the visit if the MR was from a new or unknown company. The majority requested to be updated about the advantages of the drug, the price, and recent studies about the medications. Regarding MR overviews, most MRs believed that PP enhanced the link between the physician and the patients. The scientific knowledge of the representative was the most important factor affecting the relationship between the physician and MR. For that, most MRs need the company to improve their scientific data about advertised medications and their communication skills. The nature of a company (brand or generic) was the most important factor that affected the decision to accept the visit by a physician. If the physician is busy or the company is new, this sometimes leads to the physician's rejection. Both the physicians and MRs acknowledged that MR could enhance physicians' knowledge of medications. However, some believe this role is limited to scientific MR rather than encompassing all MR. Finally, we can conclude that various factors and considerations may influence the nature of the physician-MR relationship. Some of these were associated with the company itself, which ought to have equipped MRs with proficient scientific expertise and effective communication skills. The increasing number of generic medications, the presence of numerous medical companies, and the inadequate training of MRs all contribute to the complexities of MR's job and potentially have a negative impact on the future of medical advertising.
... The pandemic has brought an increased focus on health awareness globally, especially after most countries implemented lockdowns (Joffe, 2021), restricting their population's movements, work, education, gatherings, and general activities to flatten the curve of COVID-19 cases (Elrod and Fortenberry, 2020). In this critical period, the responsibility of communication, raising health awareness, and combating the spread of the virus has become the media's responsibility. ...
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الأهداف: تناقش هذه الدراسة فعالية الإعلان التلفزيوني في تقوية وتعزيز حملات التوعية الصحية الموجهة للأطفال خلال جائحة كورونا. المنهجية: الدراسة اعتمدت على تحليل 11 إعلانا صحيا يتعلق بجائحة كورونا، تم الإعلان عنه من قبل قناة ال MBC3 خلال الفترة من مارس إلى أغسطس 2020 باستخدام تحليل الجرد الشامل. النتائج: أظهرت النتائج أن حملة التوعية الصحية استخدمت ثلاثة أنواع من المحتوى الإعلاني للتثقيف ضد الفيروس: المحتوى الخاص بتعليمات الوقاية، وقد حصل على أعلى نسبة (55%) ، يليه محتوى المعلومات الاحترازية الذي حاز على نسبه (35%). أما محتوى التعليمات العامة حول الحفاظ على العادات الصحية؛ فقد حصل على نسبه (10%). ركزت استراتيجية الترويج للحملة الصحية على إيصال رسالة الوقاية والحذر من الفايروس من خلال توضيح أساليب الوقاية من المرض عن طريق تقديم المعلومات العامة عن ماهية الفايروس وكيفية انتشاره والأعراض المصاحبة له. استخدمت الإعلانات خطوات بسيطة لتوجيه الأطفال، وشرحت طرائق ووسائل انتشار الفايروس. بالإضافة الى تعزيز أهمية الالتزام بالبقاء في المنزل والتباعد الاجتماعي. أشارت النتائج إلى عدم وجود فروق ذات دلالة إحصائية بين فعالية الإعلانات الطويلة والقصيرة في إيصال الرسالة إلى الأطفال. استخدمت الإعلانات شخوص كارتونية فعالة ومؤثرة لدى الأطفال والنصوص المؤثرة والموسيقى القوية. وحددت الدراسة وسائل الشرح الأكثر فعالية للأطفال، مثل استخدام الصور والرسومات وإدراج الصوت البشري. الخلاصة: استنتجت الدراسة أن قناة ال MBC3 نجحت في اختيار وتصميم إعلانات هادفة خلال مرحلة جائحة كورونا، كما أن استخدام لغة بسيطة وأحرف جذابة ووسائل شرح مناسبة يمكن أن يعزز فعالية إعلانات التوعية الصحية. إن لنتائج هذه الدراسة انعكاساتها على تصميم حملات التوعية الصحية المستقبلية، وخاصة تلك الموجهة للأطفال، لتعزيز فعاليتها في إيصال الرسائل المتعلقة بالصحة.
... Many organizations pay online search platforms advertising fees to promote content and attract patients, which can reach up to 31% of advertising expenditures. 7 Despite the low quality of online health information, patients derive benefit from online information. 6 Furthermore, patient trust and confidence in online orthopedic information has References and sources clearly listed with any copyright information disclosed Currency ...
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... Advertising, marketing is a method of communication that uses paid media to communicate the message to a wider audience, the method that is most effective for the engagement of current and potential patients (Elrod & Fortenberry, 2020). The scope of research has become very wide, pharmaceutical companies have promoted investment in radio marketing which has led to brand awareness, increased site traffic and uncertainty in sales Pharmaceutical companies are active in their brand awareness campaigns to strengthen their 136 AUDIENCE PERCEPTION OF MEDICAL ADVERTISEMENTS ON FM RADIO reputation (Fuld & Company) This case study illustrates that pharmaceutical FM radio campaigns can not only change the audience's perception but also create a strong demand for the items shown in the advertisement.Radio has a special importance among people due to advertisements that affect the adoption of medical and health care, the ability of radio, powerful media to influence the choice, it informs the yen about who and where they will get the necessary medical supplies or facilities. ...
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Many consumers use the medicines they need without consulting any doctor or health professional in Pakistan, due to which there is not only an unnecessary use and wastage of medicines but also these unnecessary medicines have serious effects on the health of consumers. FM radio is a popular medium among the people with low SES specifically. Medical advertisements can be frequently heard on almost any radio channel in Pakistan. The objectives of this study were to examine the audience perception of the medical/health advertisements on FM Radio, their perception and procurement behaviors. A thorough quantitative survey concluded that audiences not only consider radio as an authentic medium, also they believe that the content of medical advertisements is useful for them. They were willing to purchase the advertised drugs without any doubt in their mind and considered it safe as they believe in authenticity of the medium advertised on.
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The objective of this research is to study the health problems of the Thai population across diverse age cohorts and to utilize intelligent business systems and Marketing 5.0 to design and develop a preventive health system tailored to each age group. This qualitative research employs document analysis and in-depth interviews with key informants involved in preventive health systems, intelligent business systems, and Marketing 5.0 at both executive and operational levels in large private hospitals in Chonburi Province. The researcher selected a purposive sample of 20 participants and collected data through semi-structured in-depth interviews, followed by content analysis. The findings reveal that the top five chronic non-communicable diseases among the Thai population are hypertension, diabetes, cardiovascular disease, stroke, and chronic obstructive pulmonary disease. Intelligent business systems and Marketing 5.0 can manage data for analysis and forecasting of preventive health systems. Current marketing strategies must prioritize consumer data to analyze and design preventive health products that are suitable for each age group and individual. Preventive measures before the onset of disease are crucial for all age groups in Thailand. However, the existing preventive health check-up services in hospitals do not cover all diseases comprehensively, indicating a need for further development or improvement. The preventive health system model should allow users to choose the services themselves, ensuring suitability for disease screening for the Thai population across diverse age cohorts.
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Chapter
Knowledge arguably is the chief foundational asset required for successful pursuits within health and medicine. Knowledge drives virtually every process and operation within healthcare organizations, and especially when possessed broadly by staff members across given establishments, its impact potential is unparalleled. As such, knowledge acquisition, retention, and related educational endeavors must be prioritized by healthcare providers. This calls for intensive attention to be directed toward organizational learning, given its focus on knowledge management and all that it entails. Ideally, healthcare establishments should seek to become so proficient in knowledge management that they become known as learning organizations. This requires healthcare organizations to incorporate into operations a range of action steps known to foster institutional knowledge, elevating also organizational learning as a component of the given institution’s organizational culture. If this is done, the power of knowledge can be harnessed by healthcare establishments, with expectations of its continuation as an institutional asset for as long as organizations remain dedicated to ensuring that the tenets of organizational learning remain intact. These and related nuances of knowledge, learning, and development are the focus of this chapter.
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Background Marketing arguably is the most critical administrative responsibility associated with the pursuit and realization of growth and prosperity, making prowess in the discipline essential for any healthcare institution, especially given the competitive intensity that characterizes the industry. But in order to truly gain an advantage, healthcare establishments must tap into innovative pathways that their competitors have yet to discover. Here, thinking like an outsider can pay tremendous dividends, as health and medical organizations tend to focus inwardly, limiting their exposure to externally-derived innovations and advancements which often can supply differentiation opportunities. Discussion Some years ago, during a formative period in preparation for expanding its footprint, Willis-Knighton Health System opted to think like an outsider, peering beyond the walls of healthcare institutions in search of tools and techniques that would allow its growth ambitions to be realized. Associated pursuits and subsequent successes created a culture of challenging status quo perspectives, affording innovations and resulting competitive advantages. Marketing advancements, in particular, have been fueled by this outsider mentality, benefiting the institution and its patient populations. This article profiles several of these advancements, discusses the dangers of insular mindsets, and suggests avenues for encouraging broad perspectives. Conclusions Due to extreme competitive intensity and ever-increasing patient needs, health and medical establishments must perform at optimal levels, with marketing efforts playing a critical role in the achievement of such. By shedding status quo perspectives and peering beyond the walls of healthcare institutions, health and medical providers have opportunities to discover new and different marketing approaches for potential use in their own organizations, affording mutual benefits, including all-important competitive advantages.
Article
Full-text available
Background Healthcare establishments serve as key community resources, bringing into locales a wealth of resources aimed at enhancing and improving health and wellness. Without effective communications, current and prospective patients will remain unaware of available offerings, foiling opportunities for mutually beneficial exchange. Today, healthcare organizations engage audiences by selecting from among the components of the marketing communications mix, but this wasn’t always the case. There was a time not long ago when communications options were limited due to industry traditions, creating associated challenges. Discussion Willis-Knighton Health System faced a communications dilemma in the 1970s when, as a small healthcare provider desirous of growth, it could not achieve a satisfactory media presence via the usual and customary route of the day: submitting press releases to news media organizations, requesting conveyance of associated stories to their audiences. This forced the institution to explore other possibilities, ultimately leading it to experiment with and embrace advertising at a time period when its use was generally shunned in the industry. Willis-Knighton Health System’s pioneering deployment of advertising helped the institution achieve its intended promotions goals, supplying mutual benefits and affording insights which influence its communications approach to this day. Conclusions Deploying advertising years in advance of its widespread acceptance and use in the healthcare industry, Willis-Knighton Health System forged new pathways and acquired experience which fostered provider-patient engagement initiatives, affording an enduring marketing communications approach. Challenging situations are quite common in the healthcare industry and the one faced by Willis-Knighton Health System was no exception, but it supplied an immense opportunity to innovate, leading to communications prowess, resulting growth, informed audiences, and lasting mutual benefits.
Article
Full-text available
Background Healthcare communications directed toward the disadvantaged have the potential to elevate the health status of these underprivileged and highly-challenged individuals. From conveying advice which encourages healthy lifestyles to communicating the location and availability of various medical resources, healthier lives and communities can be realized. Success on this front first requires establishing an effective communications link, something that is made more difficult as communications options available to the disadvantaged are more limited than those available to advantaged populations. DiscussionOne avenue which shows exceptional promise for successfully engaging the disadvantaged is that of billboard advertising. Willis-Knighton Health System’s experiences and insights indicate that the characteristics and qualities of billboards, paired with the environmental circumstances typically faced by the less fortunate, create unique combinations which amplify consumption of billboard advertising content. Further, research suggests that the less privileged place greater reliance on the medium than do their more privileged counterparts, escalating the value and impact potential of billboard advertising directed toward the disadvantaged. Conclusions Given the value afforded by health and wellness information successfully reaching the disadvantaged, opportunities to better distribute content to targeted audiences could very well improve community health. Billboard advertising appears to be well suited to engage the less fortunate, providing a productive pathway for the conveyance of helpful, supportive details, yielding healthier populations, enhanced opportunities, and better communities.
Article
Full-text available
Background: Characterized by declining populations, high poverty, reduced employment opportunities, and high numbers of uninsured residents, rural communities pose significant challenges for healthcare providers desirous of addressing these medically underserved areas. Such difficult environments, in fact, have forced the closure of many rural hospitals across America, with scores facing the same threat, compelling intensive efforts to identify pathways which will yield an improved future. Discussion: Collaborations with stronger urban or suburban healthcare institutions offer a prudent avenue for rural hospitals to continue serving their patients. Such relationships can be structured in many different ways, but Willis-Knighton Health System found that its use of the hub-and-spoke organization design set the stage for the institution to cast a vital lifeline to neighboring rural hospitals, affording the relatively seamless integration and assimilation of partner facilities into its network, ensuring continuity of services in remote regions. This article supplies an overview of the hub-and-spoke network and discusses Willis-Knighton Health System's use of it to facilitate the establishment of productive partnerships with rural hospitals. Conclusions: The delivery of healthcare services in rural environments is essential, but with small community hospitals increasingly being under threat, the outlook is not particularly attractive. Partnerships with better positioned healthcare entities offer significant hope, but care must be taken to structure these arrangements optimally. Willis-Knighton Health System found utility and value in its hub-and-spoke organization design, with the insights presented in this account potentially offering a pathway for others to follow as they go about addressing the healthcare needs of rural populations.
Article
Full-text available
Background Challenges abound for healthcare providers engaged in initiatives directed toward disadvantaged populations, with financial constraints representing one of the most prominent hardships. Society’s less fortunate typically lack the means to pay for healthcare services and even when they are covered by government health insurance programs, reimbursement shortcomings often occur, placing funding burdens on the shoulders of establishments dedicated to serving those of limited means. For such charitably-minded organizations, efficiencies are required on all fronts, including one which involves significant operational costs: the physical space required for care provision. DiscussionNewly constructed buildings, whether owned or leased, are expensive, consuming a significant percentage of funds that otherwise could be directed toward patient care. Such costs can even prohibit the delivery of services to indigent populations altogether. But through adaptive reuse—the practice of repurposing existing, abandoned buildings, placing them back into service in pursuit of new missions—opportunities exist to economize on this front, allowing healthcare providers to acquire operational space at a discount. In an effort to shore up related knowledge, this article profiles Willis-Knighton Health System’s development of Project NeighborHealth, an indigent clinic network which was significantly bolstered by the economies associated with adaptive reuse. Conclusions Despite its potential to bolster healthcare initiatives directed toward the medically underserved by presenting more affordable options for acquiring operational space, adaptive reuse remains relatively obscure, diminishing opportunities for providers to take advantage of its many benefits. By shedding light on this repurposing approach, healthcare providers will have a better understanding of adaptive reuse, enabling them to make use of the practice to improve the depth and breadth of healthcare services available to disadvantaged populations.
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Background Centers of excellence—specialized programs within healthcare institutions which supply exceptionally high concentrations of expertise and related resources centered on particular medical areas and delivered in a comprehensive, interdisciplinary fashion—afford many advantages for healthcare providers and the populations they serve. To achieve full value from centers of excellence, proper assembly is an absolute necessity, but guidance is somewhat limited. This effectively forces healthcare providers to pursue establishment largely via trial-and-error, diminishing opportunities for success. Discussion Successful development of a center of excellence first requires the acquisition of a detailed understanding of the delivery model and its benefits. Then, concerted actions must be taken on a particular series of administrative and clinical fronts, treating them in prescribed manners to afford synergies which yield an exceptionally high level of care. To reduce hardships associated with acquiring this rather elusive knowledge, remedy shortcomings in the literature, and potentially bolster community health broadly, this article presents information and insights gleaned from Willis-Knighton Health System’s extensive experience assembling and operating centers of excellence. This work is intended to educate and enlighten, but most importantly, supply guidance which will permit healthcare establishments to replicate noted processes to realize their own centers of excellence. Conclusions Centers of excellence have the ability to dramatically enhance the depth and breadth of healthcare services available in communities. Given the numerous mutual benefits afforded by this delivery model, it is hoped that the light shed by this article will help healthcare providers better understand centers of excellence and be more capable and confident in associated development initiatives, affording greater opportunities for themselves and their patient populations.
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Background Healthcare providers operate in a unique industry characterized by pursuit of perhaps the most noble of missions: the delivery of vital health and medical services to those in need. Distinguishing features abound, differentiating the healthcare industry from others, with such facets having the potential to compel those serving in health and medical establishments to focus exclusively on their selected industry. But directing attention solely within can result in missed opportunities, especially regarding innovation. Many innovations which are well suited for healthcare establishments emerge externally, making at least some exposure beyond the healthcare industry essential for institutions desirous of operating on the innovation frontier. Discussion True innovation emerges from broad worldviews, allowing healthcare providers to comprehensively understand the current state of the art. With such an understanding, novel tools, techniques, and approaches, regardless of industry of origin, can be examined for their potential to elevate the status and stature of efforts within health and medical establishments. It is this very open, inquisitive mindset that permitted Willis-Knighton Health System to identify and incorporate a range of innovations which originated outside of the healthcare industry. Its embracement of and associated successes with the repurposing approach known as adaptive reuse, the delivery of complex medical services via centers of excellence, and the structuring of operations using the hub-and-spoke organization design, for example, would never have occurred had executives not directed attention externally in search of innovations that could be used within. Conclusions Innovations offer key pathways for healthcare providers to enhance the depth and breadth of health and medical services offered in their establishments and communities. By peering beyond the walls of healthcare institutions, providers amplify opportunities to discover novel methods and approaches that potentially can be transferred into their own organizations, benefiting themselves and their patient populations.
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