{"title":"Big fish in a small pond: advantages and disadvantages of a first-mover strategy.","authors":"D A Fuller, D L Scammon, R T Davis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case of a free-standing psychiatric hospital moving into a small rural market as the sole provider of hospital-based psychiatric services is examined as an example of a first-mover strategy. The theoretical bases for a first mover advantage are considered together with an analysis of the situational factors necessary to the strategy's success. The case study illustrates some of the potential consequences of success, namely the attraction of a new competitor with a broader scope of services. The case also illustrates other lessons for market niche competitors in enhancing their likelihood of survival and success in their selected market.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"6 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21042441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attribute correlates of hospital outpatient satisfaction.","authors":"H F Krueckeberg, A Hubbert","doi":"10.1300/j273v06n01_02","DOIUrl":"https://doi.org/10.1300/j273v06n01_02","url":null,"abstract":"<p><p>Customer satisfaction (patient satisfaction) with hospital outpatient or ambulatory services is an important factor in influencing patient patronage and loyalty. Based on an empirical study, this article examines the attributes of the ambulatory care experience which were significantly associated with the level of satisfaction resulting from the most recent hospital ambulatory visit. This study focuses on identifying attributes of ambulatory services. This article brings to the health care marketing literature information on ambulatory satisfaction comparable to that which has been contributed to the literature regarding satisfaction with physician and hospital experiences.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"6 1","pages":"11-43"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21042443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of \"free\" mammograms in motivating first-time screening: a community experiment.","authors":"D L Scammon, J A Smith, T Beard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the fact that many women understand the value of preventive screenings in the early detection of breast cancer, and despite the fact that some women \"know\" the recommended guidelines for timing and frequency of screenings over a woman's life, less than 2/3 of the eligible women have ever had a mammogram. Among several factors that may inhibit women's adherence to recommended screening regimens, the cost of such screenings is often cited as a major problem, especially for low-income women and women from ethnic minorities. This study reports the results of a survey conducted with women who received a \"Gift Certificate\" for a no-cost mammogram at a hospital-based breast care center or its affiliated mobile mammography van. Data point to some important--both positive and negative--\"side effects\" of a no-cost screening. Implications for communications encouraging women to receive mammograms, for pricing and incentives, and for insurance reform are discussed.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"6 1","pages":"59-71"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21042448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The use of contextual cues for improving pharmacist consultation services.","authors":"J C Schommer","doi":"10.1300/j273v06n01_05","DOIUrl":"https://doi.org/10.1300/j273v06n01_05","url":null,"abstract":"<p><p>The objective of this study was to assess the proportion of patients who initiate consultation or ask questions during consultation with their pharmacist depending upon whether or not they viewed a programmable electronic display (message box) in a community pharmacy environment. Using observation and exit interviews within a modified separate-sample pretest-posttest design, data were collected from a random sample of 192 patients who purchased prescriptions at the study sites. Six months after the message box was installed, patients who reportedly had viewed it were more aggressive seekers of information from their pharmacist.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"6 1","pages":"73-86"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21042450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The uninsured consumer and hospital choice: an assessment of emergency department utilization.","authors":"D B Smith, S S Gooding, J H Hebb","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The term \"choice\" has played an important role in the ongoing debate over health care reform in the United States. One of the major assumptions underlying reform efforts is that affordability drives consumers' choice of health care providers, particularly for the uninsured. In the state of Maryland, the issue of affordability is addressed by an \"all-payor\" system. In such a scenario, where enhanced choice opportunities are available for the uninsured, such consumers seem to be making choices which lead to the use of hospitals other than those which would be predicted based upon convenience or closeness of location alone.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"6 1","pages":"87-98"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21042451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving client satisfaction and clinic revenues through systems simulation: the case of a university nutrition clinic.","authors":"R C Thompson, D L Scammon","doi":"10.1300/j273v05n02_02","DOIUrl":"https://doi.org/10.1300/j273v05n02_02","url":null,"abstract":"<p><p>A client-responsive strategy was developed based upon input from nutrition clinic personnel, administrators, and clients. Systems simulation identified the strategy most likely to lead to client satisfaction while also meeting the needs of clinic personnel and administration. The strategy was subsequently introduced into the clinic and patient satisfaction and operating revenues were monitored following implementation. Both measures of impact demonstrated significant improvement.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"5 2","pages":"11-25"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21036802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding physicians' decisions to practice in rural areas as a basis for developing recruitment and retention strategies.","authors":"D L Scammon, S D Williams, L B Li","doi":"10.1300/j273v05n02_08","DOIUrl":"https://doi.org/10.1300/j273v05n02_08","url":null,"abstract":"<p><p>The shortage of providers in rural areas is threatening the quality and availability of health care in many communities. The causes of the provider shortage are many and varied-from economic to social to personal. Government programs have addressed the issue of provider supply by offering scholarships and loan repayment programs for medical students who then must fulfil service obligations in underserved settings, among which are rural areas. Experience has shown that once providers complete their obligations under these grant programs, retention of providers in rural areas becomes an even more critical issue. Using focus group research, this study explores the practice setting choices of a group of physicians currently practicing in rural areas. The discussion reveals that personal values are one of the primary motivators for choosing to practice in rural settings while lack of availability of career opportunities for spouses and educational opportunities for children are major obstacles. The health care system poses barriers to success for providers in rural settings. The key rewards from rural practice are the ability to become integrated into the local community and the provider/patient relationships that develop in such settings. These findings are used as the basis for proposing recruitment and retention strategies for providers to improve access to medical care by patients in rural areas.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"5 2","pages":"85-100"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21036814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tailoring home care services to meet physician and patient needs: a market-based approach.","authors":"S A Wise, R L Herman, G L Wise, J K Frantz","doi":"10.1300/j273v05n02_01","DOIUrl":"https://doi.org/10.1300/j273v05n02_01","url":null,"abstract":"<p><p>The services offered by the home care division of a medical center should correspond to the needs of both physicians and patients who are to be served. This study addresses the physician segment, the primary referral source for home care. It measures both the absolute and the relative importance of a range of offerings which a home care services division provides in a mid-sized, full service, medical center.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"5 2","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21036800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Poverty and prenatal health care in America: trends, costs, and recommendations.","authors":"C J Shultz, K A Shultz","doi":"10.1300/j273v05n02_12","DOIUrl":"https://doi.org/10.1300/j273v05n02_12","url":null,"abstract":"","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"5 2","pages":"149-59"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21036805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health care cost containment: rationing medical technology.","authors":"J Nihom, T R Gillpatrick, V R Wood","doi":"10.1300/j273v05n02_05","DOIUrl":"https://doi.org/10.1300/j273v05n02_05","url":null,"abstract":"<p><p>Effective and efficient delivery of health care is one of the critical issues facing the nation today. Currently, nearly 13% of the nation's GDP in spent on Health Care. Perhaps one-half of the increase in health care costs have been linked to the acquisition of new medical technology. This paper examines some of the issues relating to the acquisition and dissemination of the use of medical technology by acute care and outpatient facilities and discusses the rationing of medical technology. The paper concludes by identifying some of the approaches to controlling health care costs through the rationing of technology that have been presented in the literature and outlines the evolving new paradigm that is being advanced to address the issues of cost containment and access to health care.</p>","PeriodicalId":79661,"journal":{"name":"Journal of ambulatory care marketing","volume":"5 2","pages":"57-68"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21036811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}