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Study Protocol

Assessing the impact of hospital marketing in attracting the patient for service consumption in tertiary care hospital in central India.

[version 1; peer review: 2 not approved]
PUBLISHED 31 Aug 2023
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This article is included in the Datta Meghe Institute of Higher Education and Research collection.

Abstract

Background:  Hospital service is a field that is constantly changing, with the availability of creativity, opportunities motivating passion, and allowing experts to thrive. Healthcare marketing is a scientific discipline since it uses concepts, plans, and methods that are exclusive to both conventional and social marketing. The importance of this study is to build up the bridge and relationship between the hospital and the patient. To introduce the healthcare services to the patient to let them know what services the hospital provides and what advantages they will receive for their health betterment. With the help of this study, we can track the flow of the patient from which median they are coming, for example, traditional marketing or digital marketing. This study will promote and analyse where the marketing strategies are lacking and where they need to be improved with the help of recommendations of this study. The objectives of this study to bridge the gap by providing the corrective information and developing the relationship between patient and hospital, to create a leadership position and differentiate from competitors.
Methods: A retrospective study approach will be adopted in the study. It includes a collection of data and information direct from the marketing department. Study will be conducted in the tertiary care hospital of central India. Secondary type of data will be collected from the Hospital Management Information system.
Expected Result: The expected result of the study will be to bridge the gap by providing the corrective information and developing the relationship between patient and hospital, to create a leadership position and differentiate from competitors to know where the institute is standing in the market.

Keywords

Healthcare, Marketing, Patient, Services, Quality, Hospital, Customers, Branding.

Introduction

Hospital service is a field that is constantly updating, with the availability of creativity, chances motivating passion, and allowing experts to thrive. Hospital marketing is a scientific discipline since it uses concepts, plans, and methods that are exclusive to both conventional and social marketing. There are marketplaces and services, but there are no monetary equivalents in healthcare marketing, which makes it unique. The depiction of a healthy community, the identification of a group of chronically ill individuals, the certainty that sick individuals receive adequate medical care by undergoing the entire rehabilitation program, the professional and social reintegration of patients, etc., are examples of how its application is practical. The need for marketing in the healthcare industry originated from worries about society's health. An effective marketing plan includes a detailed analysis of the patient's needs, the identification of latent expectations, and introducing novel healthcare services that sick people have not directly requested. Healthcare professionals may help to develop their target market, engage with it, and provide value to it. New marketers begin with the client rather than the goods or facilities. They focus more on creating a long-lasting connection than completing a single transaction. They aim for excellent customer satisfaction because they want customers to continue doing business with the same provider. Marketers have traditionally employed various techniques, such as promotional products, market analysis, pricing, product creation, advertising, and distribution.1

Marketing tools are an essential consideration in this situation. The effectiveness of the healthcare system as a whole is significantly impacted by marketing. For instance, branding a hospital as a supplier of specialized services signals a change in focus for customers. Still, it also impacts the executives, doctors, and staff that make the hospital run and its role in the community. Promotional initiatives also impact healthcare systems by affecting how the general public views healthcare issues and objectives. Marketing may have a significant effect on the medical system by serving as a crucial conduit linking customers and healthcare providers and encouraging the dissemination of health information. Healthcare marketing really affects costumer’s behaviour and significantly affects how well the healthcare system runs.2

Quality of service in healthcare is characterized as a discrepancy between patient views and standards. The definition of service quality is the customer's total perception or appraisal of the business and its services relative inadequacy or superiority. It may be calculated by comparing consumers' hopes with their views of the real performance of the service. Before using the services, customers build their expectations. Individuals form impressions during the service delivery process, and when assessing the conclusion of the service encounter, they contrast their views with their expectations. Service quality implies that the customer's needs and expectations should be met during service delivery and suggests that patients judge a hospital's service quality based on its service output, service procedure, and physical surroundings. This is because service quality is thought to satisfy patients' demands.3

Novel marketing tactics used by private hospitals to promote their facilities are explored, as are sample hospitals managed by various corporate managements, using the 7Ps of marketing, which stand for place, product, promotion, people, physical evidence, pricing, and process.

  • 1) Product: Inpatient services, outpatient, and healthcare promotion comprise the three product lines that comprise the length of the healthcare product mix.

  • 2) Pricing: The term ‘pricing’ is most of the time used to refer to the actual price that an institute makes. Pricing for healthcare services is often done while considering factors such as bed occupancy, service quality, the value of infrastructure, overhead, wages of the medical staff, nursing staff, administrative personnel, and others.

  • 3) Place: A crucial component of a hospital is its location. The hospital should be conveniently located for patients and have proper pollution protection. Each hospital will work to make services accessible and convenient for its intended clients.

  • 4) Promotion: Promoting the goods and facilities as a marketing strategy facilitates communication between the dealer and client. The vendor hopes to convince and influence the people to buy their goods or facilities by doing this.

  • 5) People mix: Hospitals are a knowledge-based sector; thus, people are essential. Patients and employees are included in this population.

  • 6) Physical evidence: proof of physical is the setting where the facilities are provided using intangible or physical goods and where the business and the client interact.

  • 7) Process: In the services marketing sector, it is called ‘interactive marketing’. One of the critical seven aspects of services marketing. According to one definition, customer engagement is the “performance of the implemented through which a sequence of connections between vendors of services and consumers are designed to facilitate efficient involvement in both service manufacturing and consumption that meets the needs and desires that consumers have and generates positive perceived quality”.4

By creating guiding principles and moral standards, bioethics aims to define the therapeutic activity and any other associated activity required to keep a healthcare institution operating. The field of bioethics is quite broad and has a history encompassing several academic fields, including sociology, theology, law, philosophy, and medicine. The approach to build and sustain connections with the target customer includes advertising and marketing (patients). It was required to create ethical guidelines for healthcare marketing in order to control this activity. Promotional messaging needs to be truthful and avoid setting up false expectations. The hospital or the doctor must be able to provide the services listed in the advertisement. While marketing information aims to draw attention to more intriguing topics, it should still be more grounded in reality. In this context, it is important to identify the groups and subcategories that are more receptive to different aspects of the advertising message. A client who is in severe pain will be easily swayed and have a great motive to get better. The information presented must not misrepresent reality or offer patients false hope to be ethical.5 New, creative applications are giving branding a newfound prominence. Even though there have been times when branding hasn't worked, marketers are starting to identify the right situations where it operates. The choice of a brand name is one of today's branding strategy issues and concerns. The effectiveness of a branding plan will be impacted by this underlying problem.6 Since these communities may aid in understanding customer requirements and in fostering brand loyalty and involvement, they have developed into a potent tool for marketers. This paper attempts to investigate how consumers can be persuaded to participate in online communities in this regard by analysing the impact of involvement in virtual communities on consumer commitment.7 Branding is the process by which a firm or organization becomes unique in the eyes of its customers. The achievement of any business depends on its ability to create and manage a brand, encompassing its name, reputation, and identity. A firm's branding and the degree to which customers connect to its brand dictate how, where, and when it engages with its customers. The company's most robust differentiation in the market now is its branding.8 There is no evidence indicating that using advertising campaigns to influence the worldwide public's views of an entire city, region, or country is anything more than a vain and irrational waste of taxpayers' money. Marketing communications are acceptable when the task is simply one of selling a product, and the product can just as easily be the vacation resorts or potential investment possibilities of a nation as the goods of a corporation.9

Rationale

The importance of the study ‘Impact of hospital marketing in attracting the patient for service consumptions in tertiary care hospital in central India’ is to build up the bridge and relation between the healthcare industry and the patient. To introduce the healthcare services to the patient to let them know what services the hospital is providing and what advantages they are going to receive for their health betterment in an easy manner. With the help of this study, we can track the flow of the patient from which median they are coming, for example tradition marketing or digital marketing. The patient is getting information from the radio, social media, pamphlet, or other sources (ATL-above the line, BTL-below the line). delivering exceptional consumer experiences and creating a strong, prosperous, and dominant reputation on markets for healthcare services. To understand how the patient’s, feel about the effectiveness and consequences of their interactions with the medical institution. We can track which median of marketing is affecting more in the mind of customers and which are the target population, and on which source the hospital has to work more for analyzing the gap between the patient’s expectations and the services the hospital is providing. This study may help the hospital to improve or enhance its services or the marketing strategies by analysing the data.

Objectives

  • 1) To bridge the gap by providing the corrective information and developing the relationship between patient and hospital.

  • 2) To create a leadership position and differentiate from competitors.

Methods

This will be a quantitative cross sectional retrospective study. It includes a collection of secondary data and information direct from the marketing department and software of marketing department. This study will be conducted in the tertiary care hospital of central India. Duration of this study will be three months.

Sample size and sample technique

As all the data of this study is going to be collected directly from the marketing department’s software so sample size and sample techniques will be not applicable in this study.

Criteria of sample collection

The inclusion of this study is the software of the marketing department. This study will be based on secondary data and will be collected form the marketing department under the guidance of marketing administrative officer, head of the department and the manager of that department from the software of hospital that is HMIS and secondary data. Exclusion of this study will be the hospital staff, healthcare workers and patient and patient’s relatives

Data collection

The procedure of the data collection will be conducted in the tertiary care hospital of central India which is highly reputed hospital. Type of the data of this study is secondary data which will be directly collected from the software. Primarily data of this study will be collected from the Hospital Management Information system (HMIS) software version 2.08 (version 2 and patch.08) which was installed on 10th March 2022.

Dissemination

The study will be published in an institutional indexed journal and the data will be publicly available after publication.

Results

The expected result of the study will be to bridge the gap by providing the corrective information and developing the relationship between patient and hospital, to create a leadership position and differentiate from competitors.

Discussion

In their study, Mark J. Kay in the USA, stated that to compare and contrasts the customer (or patient) viewpoint with the organizational perspective to generate a view on what is ‘salient’ or vital to the healthcare marketing’s sector.2 The structural issues in healthcare, such as social service systems, technological advancements in medicine, and rising healthcare expenses, aggravate this ‘salience dilemma’. The report reviews a few studies and examines how customers face more challenging health decisions.2

According to the Chao-Chan Wu study, their findings show that patient loyalty is influenced by hospital brand image both directly and indirectly.3 This indicates that a strong hospital brand not only fosters customers’ loyalty directly but also boosts patient happiness by elevating the perceived quality of service, encouraging patients to repeat. Moreover, a hospital's brand image is a leading determinant in patient experience, improving service quality, and patient loyalty. The results also point to the importance of the link between service quality and patient satisfaction in influencing patient loyalty to healthcare institutions. This study suggests that to improve loyalty, service quality and patient happiness, hospital management should work to establish and maintain a positive brand image of the healthcare institute. This study also makes some recommendations about the development and upkeep of a positive hospital brand image.3

According to Garnick et al., the study stated that an example can be used to show the varied definitions of hospital market areas.10 As a single-county, Fresno County, where Fresno Community Hospital is located, has 12 additional hospitals inside its borders. Seven hospitals can be found within a 15-mile range of Fresno Community Hospital. Five healthcare institutions admit at least 5% of their patients from the census tracts that make up to 60% of admissions to the Fresno Community. All five hospitals fall within a 15-mile radius. The area of that organization, the 15-mile group, and the able to-share origin cluster each has 12–14 hospitals from a commercial standpoint.10

According to the Wani et al., study, despite efforts to improve the healthcare of the Indian populace, the circumstances wasn’t same as before.11 It is ironic that while spending a disproportionately significant portion of its gross domestic product (GDP) on health, India's results are average. The Declaration and Fundamental Principles of the Indian Constitution constantly stress the need for an ‘equal society’, which includes the government's obligation to provide basic healthcare.11

Ethical considerations

The synopsis for this study has been sent to the Internal Ethical Committee in the Datta Meghe Institute of Higher Education and Research for ethical approval and is currently under consideration.

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Sheikh Y and Kanyal D. Assessing the impact of hospital marketing in attracting the patient for service consumption in tertiary care hospital in central India. [version 1; peer review: 2 not approved]. F1000Research 2023, 12:1065 (https://doi.org/10.12688/f1000research.135189.1)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Open Peer Review

Current Reviewer Status: ?
Key to Reviewer Statuses VIEW
ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 1
VERSION 1
PUBLISHED 31 Aug 2023
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Reviewer Report 20 Dec 2023
Babatunde Abiodun Balogun, Australian Institute of Health Service Management, University of Tasmania, Hobart, Tasmania, Australia 
Not Approved
VIEWS 4
1. Abstract
The 267-word abstract of the protocol provides a broad overview on hospital service and healthcare marketing, the research design of the study and the resultant potential outcome. Clarity is needed on the two major concepts on which ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Abiodun Balogun B. Reviewer Report For: Assessing the impact of hospital marketing in attracting the patient for service consumption in tertiary care hospital in central India. [version 1; peer review: 2 not approved]. F1000Research 2023, 12:1065 (https://doi.org/10.5256/f1000research.148293.r227882)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
Views
9
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Reviewer Report 05 Oct 2023
Manoja Das, The INCLEN Trust International, New Delhi, Delhi, India 
Not Approved
VIEWS 9
The study protocol aims to document the effect of the business promotion efforts at a tertiary care private hospital. There are some critical observations.
  1. Rationale

    The rationale and objectives need to
... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Das M. Reviewer Report For: Assessing the impact of hospital marketing in attracting the patient for service consumption in tertiary care hospital in central India. [version 1; peer review: 2 not approved]. F1000Research 2023, 12:1065 (https://doi.org/10.5256/f1000research.148293.r202722)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

Comments on this article Comments (0)

Version 1
VERSION 1 PUBLISHED 31 Aug 2023
Comment
Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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