skip to main content


Title: Patient-Centered Care and Healthcare Consumerism in Online Healthcare Service Advertisements: A Positioning Analysis
Patient-centered care and healthcare consumerism are the two most dominant ideas about the relationship between patients and providers in the United States. To identify providers’ positions between the two perspectives, we analyzed the content of direct-to-consumer healthcare service advertisements. The advertisements were collected in the state of Nevada ( N = 323) and their landing pages were analyzed for provider attributes, patient experience features, and terms referring to patients and providers. The results showed that the advertisements fully embraced the notion of patient-centeredness by commonly claiming patient-centered care and frequently using the term “patient.” The advertisements also contained multiple indicators of healthcare consumerism, although they avoided using the terms “consumer/customer/client” closely associated with consumerism. Contrary to the prominence of patient experience features, provider attributes were not common. An additional analysis of inter-specialty differences in advertising features confirmed the strong consumerism position of cosmetic surgery providers. Application of the healthcare service advertising analytic scheme developed for this study could help providers and healthcare administrators recognize how their advertising messages may reflect their values.  more » « less
Award ID(s):
1759113
NSF-PAR ID:
10427909
Author(s) / Creator(s):
; ; ; ;
Date Published:
Journal Name:
Journal of Patient Experience
Volume:
9
ISSN:
2374-3735
Page Range / eLocation ID:
237437352211336
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
More Like this
  1. Direct-to-consumer advertisements for healthcare services constitute a rare channel of public communication where consumers see and hear directly from their local providers and healthcare organizations. Although spending on these advertisements has increased drastically during the past decades, research on their content and effects remains rare. To fill this gap, we analyzed primetime television advertisements for healthcare services directly targeting consumers. The advertisements were collected from the two largest media markets in Nevada for one month. In total, 795 advertisements were identified, and 106 of them were non-duplicates. Analysis revealed that the advertisements focused on patients’ good health outcomes by showing them smiling, going out and about, having fun with others, and enjoying rigorous physical activities. On the other hand, the advertisements focused less on the providers. Although the advertisements often showed providers in clinical settings, basic information about their professional degrees was often missing. Mentions of providers’ other qualifications and professional experiences were even scarcer. Also, a substantial number of advertisements failed to show providers interacting with patients. Additional analysis of patient and provider characteristics revealed under-representation of racial or ethnic minority and older adult patients. Representation of women and minorities as providers was even more uncommon. We discussed the implications of these findings from the perspective of patient expectation and made suggestions to help providers improve their direct-to-consumer advertisements. 
    more » « less
  2. Purpose With the increasing dependence on market-based distribution of health-care resources in the USA, spending on health-care service advertisements directly targeting consumers has also increased. Previous research has shown that the ads fail to deliver information deemed essential by regulators. Nevertheless, the attitude of consumers toward health-care service advertising has been more positive than negative. The purpose of this study is to create a taxonomy of advertising information features to better describe the relationships between information features in the advertisements and consumer attitudes toward them. Design/methodology/approach A cross-sectional survey was conducted with 128 health-care consumers in a western state in the USA. Findings Factor analysis generated seven groups of information features. Among them, information features about access, cost and quality of care were rated as most helpful, whereas providers’ clinical qualifications and communication were rated least helpful. The advertising attitude measure was validated to contain two subscales, one regarding health-care service advertising and the other regarding physicians who advertise. People who highly rated the consumerism features had more positive attitudes toward health-care service advertising and people who highly rated provider clinical qualification features had more negative attitudes toward advertising physicians. Originality/value This study made methodological improvements in health-care service advertising research that would be crucial for its theoretical development. It also shed light on consumer characteristics and perceptions about information features that could influence their attitudes toward health-care service advertising. 
    more » « less
  3. null (Ed.)
    Background In the 1970s, the Federal Trade Commission declared that allowing medical providers to advertise directly to consumers would be “providing the public with truthful information about the price, quality or other aspects of their service.” However, our understanding of the advertising content is highly limited. Objective To assess whether direct-to-consumer medical service advertisements provide relevant information on access, quality and cost of care, a content analysis was conducted. Method Television and online advertisements for medical services directly targeting consumers were collected in two major urban centres in Nevada, USA, identifying 313 television advertisements and 200 non-duplicate online advertisements. Results Both television and online advertisements reliably conveyed information about the services provided and how to make an appointment. At the same time, less than half of the advertisements featured insurance information and hours of operation and less than a quarter of them contained information regarding the quality and price of care. The claims of quality were substantiated in even fewer advertisements. The scarcity of quality and cost information was more severe in television advertisements. Conclusion There is little evidence that medical service advertising, in its current form, would contribute to lower prices or improved quality of care by providing valuable information to consumers. 
    more » « less
  4. Covid-19 outbreak represents an exceptional test of the flexibility and the efficiency of patient medical records transfer among healthcare providers which ended up in boundless interruption to the healthcare industry. This public crisis has pushed for an urgent innovation of the patient medical records transference (PMRT) system to meet the needs and provide appropriate patient care. Moreover, the drawback effects of Covid-19 changed the healthcare system forever, more patients are requesting more control, secure, and smoother experience when they want access to their health records. However, the problems stem from the lack of interoperability among the healthcare system and providers and the added burden of cyber-attacks on an already stressed system call for an immediate solution. In this work, we present a secured blockchain framework that ensures patients full ownership over their medical data which can be stored in their private IPFS and later can be shared with an authorized provider. The analysis of the proposed security and privacy aspects shows promising results in providing time savings and resulted in enhanced confidentiality and less disruption in patient-provider interactions. 
    more » « less
  5. Patient health records(PHRs) are crucial and sensitive as they contain essential information and are frequently shared among healthcare entities. This information must remain correct, up to date, private and accessible only to the authorized entities. Moreover, access must also be assured during health emergency crises such as the recent outbreak, which represents the greatest test of the flexibility and the efficiency of PHR sharing among healthcare providers, which ended up an immense interruption to the healthcare industry. Moreover, the right to privacy is the most fundamental right for a patient. Hence, the patient health records in the healthcare sector have faced issues with privacy breaches, insider outside attacks, and unauthorized access to crucial patients’ records. As a result, it pushes more patients to demand more control, security, and a smoother experience when they want to access their health records. Furthermore, the lack of interoperability among the healthcare system and providers and the added weight of cyber-attacks on an already overwhelmed system have called for an immediate solution. In this work, we developed a secured blockchain framework that safeguards patients’ full control over their health data which can be stored in their private IPFS and later shared with an authorized provider. Furthermore, the system ensures privacy and security while handling patient data, which can only be shared with the patients. The proposed Security and privacy analysis show promising results in providing time savings, enhanced confidentiality, and less disruption in patient-provider interactions. 
    more » « less