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More About This Title Strategic Marketing For Health Care Organizations: Building A Customer-Driven Health System
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THE AUTHORS
Philip Kotler is the S.C. Johnson Distinguished Professor of International Marketing at Northwestern University's Kellogg School of Management and the author of more than thirty books.
Joel Shalowitz is Professor of Health Industry Management and director of the Health Industry Management Program at the Kellogg School of Management and Professor of Medicine and Preventive Medicine, Feinberg School of Medicine, Northwestern University.
Robert J. Stevens is president of Health Centric Marketing in Durham, North Carolina and an Adjunct Professor at the School of Public Health at the University of North Carolina at Chapel Hill.
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Tables, Figures, and Exhibits xi
Preface xv
Acknowledgments xvii
The Authors xix
Part One
One: The Role of Marketing in Health Care Organizations 3
Overview: Marketing is Pervasive in Health Care 4
The Elements of Marketing Thought 6
Two: Defining the Health Care System and Its Trade-Offs 13
Overview: Defining a Health Care System 15
A Framework for Understanding Health Care Systems 16
Strategic Choice Model for Organizations and Health Care Systems 25
Strategic Implications for Health Care 29
Three: The Health Care Industry and Marketing Environment 41
Overview: The U.S. Health Care System Needs Improvement 43
Defining a Well-Designed Health Care System 45
Major Participants in the Health Care System 48
Key Managed Care Trends 56
Dynamic Relations among Health Care Stakeholders 71
The Changing Health Care Environment 73
Four: Determinants of the Utilization of Health Care Services 85
Overview: Why People Seek Health Care 86
Multiple Factors Influence Health-Seeking Behavior 95
Local (Small Area) Variations 104
Part Two
Five: Strategy and Market Planning 109
Overview: Defining the Organization’s Purpose and Mission 111
Strategic Planning 111
Marketing Strategies 135
Reassessment of Mission Statement 139
Strategic Alliances 141
Marketing Planning 141
Six: How Health Care Buyers Make Choices 145
Overview: Key Psychological Processes 147
The Buying Decision Process: The Five-Stage Model 155
Organizational Buying and Decision Making 163
Seven: Using Market Information Systems and Marketing Research 177
Overview: The Need for Market Information 179
The Components of a Modern Marketing Information System 180
Internal Records System 181
Health Care Services: The Clinical and Financial Systems 182
Health Care Products: The Order-to-Payment Cycle 182
The Marketing Intelligence System (MIS) 182
Marketing Research System 188
The Path Model: Understanding the Health Care Consumer 197
Marketing Decision Support System 201
Developing a Marketing Research Plan: Application and Example 203
Forecasting and Demand Measurement 206
Appendix: Secondary-Data Sources 213
Eight: Market Segmentation, Targeting, Positioning, and Competition 217
Overview: Market Segmentation 219
Segmentation of Consumer Markets 222
Market Targeting 231
Market Positioning 235
Competitive Forces and Competitors 245
Part Three
Nine: Shaping and Managing Product and Service Offerings 261
Overview: Distinguishing Product Types and Levels 263
The Nature of Services 266
Viewing the Product Mix 271
Managing Product Lines 272
Ten: Developing and Branding New Offerings 281
Overview: The New Offering Development Process 283
Building the Brand 296
Managing the Stages of the Product Life Cycle 304
Building, Maintaining, and Terminating a Brand 313
Eleven: Pricing Strategies and Decisions in Health Care 317
Overview: Understanding Pricing 318
Consumer Payers 320
Government Payers 341
Private Payers 344
Twelve: Designing and Managing Health Care Marketing Channels 351
Overview: Marketing Channels and Value Networks 353
The Role of Marketing Channels 356
Channel Functions and Flows 358
Channel Levels 360
Service Sector Channels 360
Channel-Design Decisions 361
Identifying Major Channel Alternatives 362
Evaluating the Major Alternatives 364
Channel-Management Decisions 365
Modifying Channel Arrangements 368
Channel Dynamics 369
Legal and Ethical Issues in Channel Relations 373
Thirteen: Designing and Managing Integrated Marketing Communications 375
Overview: The Role of Marketing Communications 377
Marketing Communications and Brand Equity 378
Communications Process Models 380
Developing Effective Communications 382
Advertising 397
Sales Promotion 411
Public Relations and Publicity 414
Events and Experiences 418
Factors in Setting the Marketing Communications Mix 423
Measuring the Communications Results 424
Managing the Integrated Marketing Communications Process 424
Coordinating Media 425
Implementing Integrated Marketing Communications 425
Fourteen: Personal Marketing Communications: Word-of-Mouth, Sales, and Direct Marketing 429
Overview: Personal Communication Channels 431
Word-of-Mouth Marketing 433
Designing the Sales Force 441
Health Care Sales to Hospitals and Physicians 454
Direct Marketing 458
Part Four
Fifteen: Organizing, Implementing, and Controlling Marketing 471
Overview: Organizing for Marketing 474
Helping the Hospital Become Patient-Oriented 477
Marketing Implementation 478
Evaluation and Control 479
Glossary 491
Notes 511
Index 531
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"This outstanding book not only delineates powerful conceptual frameworks and tools but is also studded with real-life, captivating examples in organizations that range from governments to biotech firms to Web portals, that illustrate how to make it happen. A tour de force."
—Regina E. Herzlinger, Nancy R. McPherson Professor of Business Administration, Harvard Business School
"This book is a first-rate introduction to the concepts and tools professional marketers use to develop cutting-edge value propositions for key target audiences in a range of health care arenas. It offers both frameworks for thinking about marketing strategy and insights into a range of tactical alternatives. It is a state-of-the-art volume for those in various health care fields who are eager to be better marketers, students who want to join their ranks, and those who simply are wondering what marketing is all about and how it might help their organizations."
—Alan R. Andreasen, professor of marketing, McDonough School of Business, Georgetown University
"Kotler, Shalowitz, and Stevens, in this important book, Strategic Marketing for Health Care Organizations, make many valuable contributions to our field, especially their discussion of tradeoffs among the three core aims of any health care system: cost, quality, and access. Students and professionals continually face this problem all the time."
—Lawton R. Burns, James Joo-Jin Kim Professor, professor of Health Care Systems and Management, the Wharton School of the University of Pennsylvania and director, Wharton Center for Health Management and Economics
"This work places marketing as a core activity impacting all of health care, from prevention to continuing care. It provides a comprehensive foundation for beginners and a valuable reference for experienced managers on a major and often overlooked aspect of management."
—John R. Griffith, Andrew Pattullo Collegiate Professor, Department of Health Management and Policy and director, Griffith Leadership Center, Department of Health Management and Policy, University of Michigan School of Public Health