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is social media the answer to the support desired by people with rheumatoid arthritis a qualitative exploration

is social media the answer to the support desired by people with rheumatoid arthritis a qualitative exploration | Social Media and Healthcare | Scoop.it

Rheumatoid Arthritis (RA) typically affects small joints of the hands and feet in a symmetrical pattern [1], causing synovial inflammation and joint destruction, muscle atrophy and loss of function [1,2]. The pain and joint deformity are often associated with disability, depressive symptoms, a negative impact on social relationships and poorer health related quality of life [3-5]. Key to more successful outcomes in chronic disease are effective self-management strategies [6], particularly as long-term conditions such as RA have been associated with poor treatment adherence and less positive outcomes [7]. 

Social media encompasses services including blogs, wikis, virtual worlds and social networking sites that utilise platforms to integrate participation, communication, user-centerdness, collaboration and openness [8]. Social media usage continues to grow worldwide with a projection of 2.77 billion users by 2019, up from 2.46 billion in 2017 [9]. In the UK, almost three quarters of adults use mobile devices for internet access, more than double the number reported in 2011 [10]. Social media is now part of daily life for many, routinely used for entertainment, education, financial management, and increasingly for health information and support [11]. 

Those with chronic disease are more likely to use social media to access health literature and aid self-management [12]. Users create and link networks of people with shared interests/experiences in a user-centric and collaborative manner, which could play an important role in patient-centred care [9,11,13]. Virtual worlds and online discussions have facilitated the creation of a collective forum of knowledge about chronic medical conditions that was seldom previously accessed [12]. Using social media to access information can empower and support those with RA and provide an alternative resource that will reduce the burden of treatment and ease social pressures [12]. In chronic disease management where lifestyle behaviours can have an impact upon people’s wellbeing, this approach is valuable [11,14]. Social media may not only ease the burden of self-management in chronic disease, but also offer opportunities to meet patients’ needs that are not met in traditional face-to-face clinical encounters [15]. Potentially, health professionals could share accurate, real-time health information while maintaining professional boundaries and patients’ privacy rights [11, 14-16], the latter being a particular concern for patients and professionals alike [17]. 

Software applications (apps) are computer programmes designed to run on mobile devices (smartphones, tablets or smartwatches). The use of apps on mobile phones has increased considerably, and varies with the user’s context, location and the time of day [18,19]. In healthcare, many apps can assist practitioners with day-to-day tasks (time management, e-records, consultations, information gathering, patient monitoring, and so on) [19], and in some chronic diseases, such as diabetes, apps currently exist to aid self-management [18,19]. A recent systematic review concluded that mobile devices with enabled apps could perform important roles in patient education, self-management, and remote monitoring [20]. 

In RA, disease activity calculators [20] and forums for symptom reporting [21] do exist, but there is limited evidence of social media usage, or of professionals recognising the potential role of apps in the self-management of inflammatory arthritis. 

This study aimed firstly to explore the use of social media and of apps by people with rheumatoid arthritis. Secondly to determine whether current technologies are used to manage health and wellbeing, as relatively little is known about patients’ perspectives and motives for social media usage in this chronic condition. 

  1. Materials and Methods 

3.1.  Study Design 

A qualitative exploration was implemented using semi-structured, face-to-face and telephone interviews with people with RA. A modified Interpretative Phenomenological Approach (IPA) was adopted, [22,23] allowing for a rigorous exploration of idiographic subjective experiences as applied to practice [24-27]. 

3.2.  Interview Schedule Development 

The draft interview schedule was developed following an Arthritis Research UK (ARUK) Stakeholders’ Education Day in which the researcher [SP] facilitated a group discussion entitled ‘Delivery of patient information in the 21st Century: opportunities and challenges’. In that discussion, expert patients, consultant rheumatologists, podiatrists, specialist nurses, physiotherapists and members of the ARUK directorate covered topics including social media, education and patient experience. Field notes and a transcribed recording of the discussion were utilised to inform the interview schedule. In line with methods adopted by Turner and Coyle [28], findings from our review of the literature surrounding social media and RA were also employed to inform the interview schedule. The key areas for exploration included: perception and experience of rheumatoid arthritis, use of social media, and the role of software applications in disease self-management. 

A draft schedule was distributed amongst the research team and amended prior to the pilot study, then piloted in two telephone interviews to ensure face and content validity. Following these pilot interviews, it was further refined by including additional questions and prompts. These modifications were made in an attempt to capture a complete illustration of the disease and its impact on the lives of the respondents, from diagnosis to the present day. The initial interview schedule formed the basis for conversation, with minimal additional prompts [22]. It was used to facilitate the gathering of verbatim participant accounts; a central premise of IPA [23]. Open-ended questions were posed to allow for the introduction of new topics [29] and to ensure that participants’ observations on the subject were not restricted. 

3.3.  Subjects and setting 

The University of Brighton granted ethical approval. A purposive sample of people with RA, aged over 18, with a positive diagnosis of RA and an existing interest in, or knowledge of, social media were invited to participate via email, tweet and Facebook post from the National Rheumatoid Arthritis Society (NRAS) and Arthritis Research UK (ARUK). Those interested opted to participate and information about the study were emailed in order to gain informed consent. Interviews (either face-to-face or telephone) used the same interview schedule by one researcher (SP), throughout (Table 1).

Interview Schedule

3.4.  Data Analysis 

Each interview was audio taped and transcribed verbatim independently, pseudonyms were applied to maintain anonymity [30]. Data were firstly analysed using NVivo (v11) and indexed according to nodes and clusters [31]. Secondly, close reading and re-reading of the transcripts ensured familiarity with the text [22,32]. Preliminary themes were identified, followed by groups of themes and clusters. Themes were selected based on their prevalence within the transcripts. Similarities, differences, articulacy and eloquence of the participants in their explanations were noted in an attempt to reduce bias when selecting themes [33,34]. Collating the data from both analyses (NVivo and close reading) resulted in the final themes [33]. A final re-reading of the original transcripts was made to ensure that interpretations were grounded in the participants’ narratives [35]. Once the themes were formulated, these were checked by one of the research team [SO] to ensure the credibility and trustworthiness of the data [36,37]. The use of verbatim quotes is central to IPA [28] and exemplars have been included (using pseudonyms) to articulate each theme [29].

  1. Results 

Of the 25 people recruited, 14 participated (8 telephone interviews, 6 face-to-face interviews). All participants were female (mean age 38.5 (SD 9.9)), and mean disease duration was 12.2 (SD 15.9) years. The demographic data is detailed in (Table 2).

In total, four major themes were identified, which are described in detail below and illustrated with verbatim interview extracts. 

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Social Media Implementation Checklist

Social Media Implementation Checklist | Social Media and Healthcare | Scoop.it

Set goals first. If traffic, leads and sales are part of the goal, then gotta have the next focus be on content creation. Then, using social to share. Can't get much value out of social unless you're actively creating, publishing and sharing content. 

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Social Media Memes are a new rage in Digital Healthcare 

Social Media Memes are a new rage in Digital Healthcare  | Social Media and Healthcare | Scoop.it

By their nature, hospitals are fast-paced environments that can induce some stress in the people who work there. Often, the roles taken on by people saving others' lives are somewhat thankless.

 

For this reason, Penn Medicine's Center for Digital Health created "High Five," a web-based recognition system that enables staff members to easily use social media-style memes and humor to compliment each other on anything from the routine to the extraordinary.

 

The Center for Digital Health -- which studies how things like the internet and other digital technology affect our health -- began exploring whether a web-based platform would be feasible in health care in 2016.

 

The designers believed that making it easy for staff to quickly send out a nice message in a way that is now second instinct to many would increase positive interactions and potentially serve as a tool to combat burnout.

 

"Keeping it fun and light was us trying to build on what folks already do naturally on social media and via texting," Lee explained. "Humor and levity can organically incentivize folks to connect and support each other. So we thought it made sense to capitalize off of that natural inclination when we were trying to build an opt-in recognition system."

 

High Five, named for the congratulatory gesture, is usable across multiple devices and easily accessible through a webpage that clinicians could reach as if they were working on electronic health records. Each person can search for and select a colleague from the health system, then pick from a variety of memes or GIFs containing positive phrases that were congratulatory or humorous. 

 

The images draw from pop culture or are health-themed and some are the same as memes used commonly on social media. In addition to the images, each message could also be personalized by an accompanying text written by the user. A reply function was also added shortly after launch.

 

High Five has expanded since it was launched in 2016 into several different areas at Penn Medicine such as other emergency departments, Women's Health, Pharmacy, and an intensive care nursery, among others.

 

Users now hail from all 20 academic departments within Penn Medicine, and 32 percent of hospital employees have exchanged 28,808 communications expressing courteous interpersonal behaviors, ranging from appreciation and recognition to specific feedback.

 

A new study published in NEJM Catalyst Innovations in Care Delivery led by Kathleen Lee, MD, an assistant professor of Clinical Emergency Medicine and director of Clinical Implementation in the Center, showed that this system was adopted by the vast majority of those within the Department of Emergency Medicine at the Hospital of the University of Pennsylvania (HUP) -- the first department it was fully integrated into.

 

"The status quo expectation in many settings in medicine is perfection without recognition, Medical errors can result in harsh consequences, while successes are not often not recognized to the same extent. This imbalance is thought to be a key contributor to clinician burnout," said Lee, who led the research with David Do, MD, an assistant professor of Clinical Neurology, and Ian Oppenheim, MD, a fellow at the Johns Hopkins School of Medicine, who helped to launch "High Five" while he was a resident at Penn Medicine.

 

Moving forward, the team involved with High Five hopes to expand it across the health system completely, especially with the installment of display monitors.

 

"We want to continue to partner with departments and groups to help further harness the workplace civility and positivity that High Five enables," Lee said.

 

Read More: https://www.eurekalert.org/pub_releases/2019-12/uops-pmu121019.php

 

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Healthcare Media: Review 2019

Healthcare Media: Review 2019 | Social Media and Healthcare | Scoop.it

''Media” has long been part of our moniker here at MM&M – it is, quite literally, the third M of a brand that started its life and remains, at its heart, Medical Marketing and Media – but 2019 marked the first year in quite some time that we attempted to cover it on more than a semi-regular basis.

 

Frankly, we picked a fortunate time to start, given the flood of transformative news during the year.

 

But don’t take our word for it. For the final Third M dispatch, before we change calendars, MM&M asked several of the smartest folks in and around health media to answer a few questions about the people and trends that stood out during 2019. Their responses did not disappoint.

 

Here’s hoping for a similarly scintillating 2020.

 

What was the most important, most welcome, weirdest, coolest or otherwise most interesting trend or event in health media during 2019, and why?

The physicians who embraced TikTok. There are about 20 doctors (as well as residents and medical students) who are using the popular video platform to share health information. What I find jarring is the juxtaposition of medical topics with the informal nature of the videos. However, I am far from the Gen-Z audience that makes up a significant portion of the TikTok demographic.

 

“The value of the platform for health education was highlighted by Dr. Rose Marie Leslie in September when she created a video on the dangers of vaping. It amassed millions of views and led to mainstream media attention from ABC News, among others. Clearly these physicians are doing something right because many of them have gained tens of thousands of followers on TikTok. We’ll be watching.” – Eileen O’Brien, managing director, social media, W2O

 

“Authenticity. From UX design to chatbots, the bar for creating an authentic experience for the consumer has been elevated this year. Authenticity in 2019 evolved beyond the selection of a credible spokesperson for messaging—it’s about infusing it into every brand attribute, using a variety of elements (e.g., voice and visuals) to create an inimitable and trustworthy consumer experience.” – Tabytha Gil, linguistic insights analyst, Ogilvy Health

 

“The rise of voice search, which essentially means two things. First, with respect to the voice search queries input via your mobile phone or tablet: There are a variety of different statistics out there, but most analysts estimate that approximately 30% to 55% of all U.S. search traffic is being driven by voice search at the moment. This means that both your SEO and SEM strategies need to evolve. This is especially so for health, as voice search is already prompting many more long-tail keywords. The specificity of these keywords is an important point to note, with patients more likely to speak complicated clinical search terms rather than trying to type them.

 

“Second, there is an entirely different type of voice search playing out across AI-powered smart speakers, like Amazon’s Echo or Show, or the Google Home and Nest Hub. In these scenarios, particularly when there is zero UI or no screen, how can a brand take advantage of voice-driven search queries? One can easily envision this working in an unbranded example, but the billion-dollar question is how can branded search results populate in a compliant manner? The entire voice search economy will be a fascinating one to watch in 2020, but make no mistake: Both Amazon and Google are hard at work figuring out a way to monetize this smart search inventory.” – Justin Chase, EVP, innovation, and media, Intouch Solutions

 

“The focus on awareness, education, and support around mental health, from organizational, partnership and consumer perspectives. Second, patient influencers and advocates are driving health actions, and brands started to notice. As for the coolest event in 2019, Healthline Media partnered with wellness advocate Nitika Chopra to create Chronicon, bringing together hundreds of influencers to the first daylong event devoted to people struggling with chronic health issues.” – Ingrid Eberly, VP corporate marketing, Healthline Media

 

Read More: https://www.mmm-online.com/home/channel/media-news/health-media-2019-the-year-in-review/

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You should cover hot topics on your doctor blog, but there are a few things you should know before doing so.

 

Writing about a hot medical topic such as the Zika virus, Ebola, or vaccinations is a great way to drive traffic to your doctor's blog. It can also help further your professional brand if you submit the post to a medical publication.

 

However, there are several things to know before taking a stance in a heated debate. Here’s a guide to help you better understand how to navigate controversial topics.

 

5 tips to cover hot medical topics on your doctor blog:

Don’t be afraid to share your opinion

 

Patients turn to your blog to see what you think about healthcare issues everyone is talking about. 

 

Your blog is part of your healthcare marketing plan, so offending your patients is the last thing you want. However, when dealing with hot medical topics, you need to share your true thoughts.

 

For your blog to add value, you can’t simply restate the opinions of each side — you need to be open and honest with your views.

 

Share facts from reputable sources

In the midst of medical controversy, patients want to separate fact from fiction.

 

Stick to relevant, quality sources such as government websites, medical journals, and studies conducted by well-known companies and nonprofits. 

 
Never use a statistic unless you can find its primary source — i.e. the original place it was cited — and only include timely information.
 

Present something new

People don’t want to keep re-reading versions of the same blog post.

 

Draw patients to your doctor blog by offering unique information on the hot medical topic they haven’t seen before. Write on an angle that hasn’t been discussed, clear up common misconceptions, or use this opportunity to explain the topic at hand in a manner patients can easily understand.

 

Offering up something different is great marketing for doctors because it shows the unique value you have to offer. 

 

Expect backlash

Everyone isn’t going to love every post on your doctor blog, and that’s OK.

 

When you write on a hot topic, speaking your truth is the most important thing. As long as you feel confident in your stance — and support it with credible information — that’s what matters most.

 

If you receive backlash, take it in stride. Respect the fact that people have opinions different from yours — even if they are not medically sound — and take the high road.

 

It’s OK to change your mind

Taking a stance on an issue now doesn’t mean you can’t change your mind later. In fact, authenticity is the best online marketing for doctors.

 

If in a few months or years you decide you actually agree with the other side, it’s fine to change your tune. Simply update your blog post to reflect your new beliefs and share the reason for your change of heart — for example, if new data was released.

 

Read More: https://www.patientpop.com/blog/marketing/content-social-media-marketing/blogging-age-zika/

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Guide to optimize your campaigns for Voice Search  

Guide to optimize your campaigns for Voice Search   | Social Media and Healthcare | Scoop.it

Almost all American adults have a voice search tool with them at all waking hours. You probably have one on your person right now. For iPhone users, it’s Siri, which also is on the MacBook and iPad. For Samsung users, it’s Google Now. Last year, people completed 250 billion searches with their voices. That’s one in eight searches.

 

There’s no question the demand for voice search is growing significantly. But how can you ensure you take advantage of it? Here are ways to capitalize on the trend line.

 

Start by developing your SEO

 

The most common response from voice assistants is to connect a user to Google’s top results. For example, when you ask a device a specific question like, “What is Tom Steyer’s position on the economy?” it will often direct you to five results in a mobile web browser. 

 

Therefore, ensuring your campaign ranks at the top of Google has never been more important.

 

Use Schema.org

 

Voice assistants increasingly use microdata from Schema.org to surface results. So, make sure your pages have metadata from that site inputted. 

 

Get Off Twitter, and instead build for Google

 

Campaigns and consultants spend so much time on Twitter. But it’s worth remembering, just 22 percent of American adults are on Twitter. Meanwhile, 73 percent of them are on YouTube (the world’s second-biggest search engine).

 

It’s a habit and a mindset change, but spending less time on Twitter and more time on Google/YouTube, will pay huge dividends for campaigns who can prove they are disciplined.

 

Create an extended FAQ

 

What is the primary input of voice assistants? Questions.

 

Use AnswerThePublic.com to produce a tree of all of the questions people are asking. You should have a page on your website that answers all of those questions and more. Then use the above-mentioned Schema.org to create microdata for the page that will help voice assistants populate the information to voice searchers.

 

Build an Alexa skill

 

An Amazon Alexa skill is a voice application. Similar to how Apple has apps on its App Store, Amazon has apps that work on the Alexa and can be created by anyone. Alexa represents the potential for what voice technology, especially for campaigns holds.

 

On a recent trip to Seattle, I met with two Amazon Alexa staff members. They explained to me that practitioners in voice should focus on building for two distinct purposes. The first is consumer voice experiences. These are voice applications that answer questions or provide information for commands. 

 

The second purpose is conversational AI. These are advanced applications that make you feel like you are having a conversation with a person.

 

Develop CFIRs for your Alexa skill

 

CFIR stands for Can Fulfill Intent Requests. CFIRs populate Amazon Alexa’s database with information and are like keywords or key phrases that may invoke your skill.

 

Example: I was laying on my couch one day and feeling tired. So, I said, “Alexa, inspire me.” And a skill started playing and offering me inspirational quotes from Oprah, Muhammed Ali and other leaders. The creator of this skill had programmed “inspire me” as a CFIR.

 

These are similar to the questions and answers you put on your FAQ as well as commands and responses you want that users could invoke.

 

Publish keyword-rich videos on YouTube

 

Remember, YouTube is the world’s second-biggest search engine. Start supplying content for it. Publish answers to FAQs in video form. Publish campaign ads. And in your keywords, post the questions that voice searchers might ask their assistants. Google pulls heavily from YouTube for results, and this may cause your content to rank near the top.

 

Embrace brevity

 

Similar to people, voice assistants that talk too much and for too long can be annoying. Keep your answers brief — 29 words brief. Those 29 words are about 10 to 12 seconds. Meanwhile, make your questions a bit longer — about 9 words, as this is the average length of questions people ask their voice assistants.

 

So don’t get left behind. Follow these tips to optimize your campaign for voice!

 

Read More: https://www.campaignsandelections.com/campaign-insider/how-to-optimize-your-campaign-for-voice-search

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Make this Christmas a little more special with fun marketing ideas!

Make this Christmas a little more special with fun marketing ideas! | Social Media and Healthcare | Scoop.it

These healthcare marketing tips can help you connect with new and current patients during the holiday season.

 

The holidays are around the corner, which means now’s the time to try holiday-themed marketing campaigns that show the festive and personal side of your practice.

 

It’s important to create timely content to bring more patients to your practice or keep you top-of-mind as your patient's book appointments in the new year.

 

Holiday marketing for doctors can be as simple as putting a seasonal touch on some tried-and-true marketing strategies. Check this list of ideas once — or twice! — to help you create fun, attention-getting holiday healthcare marketing campaigns this season.

 

Holiday marketing for doctors: 

Film a holiday video

When it comes to digital content, consumers can’t get enough of video.

 

According to HubSpot, 54 percent of people want to see more video content from businesses. Videos allow you to showcase your personality, and the holidays are a great time to send your patients a warm, heartfelt message. Just set up a digital camera or use your mobile phone.

 

Video marketing is great holiday marketing for doctors because it helps build your relationships with patients, and can also bring more patients through the door. 

 

Hold a social media photo contest

Healthcare social media is one of the easiest places to foster an authentic connection with your patients, and people love a chance to win something. Invite people to share a holiday-themed photo related to your specialty.

 

For example, if you’re a dentist, host a photo contest for good dental hygiene habits with a holiday spin. Make sure the rules for entering the contest are made clear: 

 

  • Let people know when entries will close.
  • Designate a hashtag so you can keep track of entries.
  • Note that people must have a public profile and be following your account to win.

Host a holiday Q&A

People have health-related questions year-round and aren’t shy about going online to look for answers. In fact, 74.6 percent of people have looked online to find out about a doctor, a dentist, or medical care, according to PatientPop.

 

Because the holidays can be a particularly hectic time for many people — from dealing with flu season to seasonal food choices to increased travel — this is a great time to give patients the opportunity to ask you timely questions by hosting a Q&A on your healthcare social media channels.

 

You can use Facebook Live or Instagram Live to answer questions on the spot or use Instagram Stories for a more curated experience.

 

Invite patients to submit New Year’s resolutions

The end of the year can be a reflective time, and people are more likely to be thinking about improving their health habits. 

 

As a trusted source and invested party in your patients’ health, invite your patients to share their resolutions with you via social media or even an email campaign. Start the conversation by sharing your own resolutions. 

 

Write holiday-related blog posts

Use the holidays as inspiration for your blog. Creating timely content makes your blog more relevant to patients. It also increases the likelihood that your blogs will be shared, which may help you get on new patients’ radar.

 

You can blog about any number of topics depending on your practice location or specialty. For example, if you’re a dermatologist, you can offer skincare tips for colder weather.

 

Send a holiday marketing email

Nearly six in 10 people say they prefer email communications from brands above any other channel, including text, phone, and social media. 

 

Send healthcare marketing emails to your patients this season that:

  • Offer tips for staying healthy through the holidays
  • Contain a “Happy Holidays!” message
  • Share healthy holiday recipes
  • Remind people to book an appointment before the end of the year

 

Send patients a holiday greeting card

 

The holidays are a popular time for old-fashioned greeting cards. Design a holiday card featuring you and your practice staff and a heartfelt message.

 

Including a thoughtful note can strengthen your relationship with your patients, and they’ll receive a nice surprise when they open their mail. Let them know you are happy to be taking care of them.

 

Spread some seasonal cheer by implementing some of the tips on this guide to holiday marketing for doctors. You’ll stand out among healthcare or dental practices and can help mitigate against a slower season. 

 

Read More: https://www.patientpop.com/blog/marketing/10-practice-holiday-campaign/

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For the most part, patients are looking for their dental care on Google. Google has 88 percent of the U.S. search engine market share, according to StatCounter.

 

According to Google, one in every 20 searches is health-related, which translates to at least 100 billion health searches a year, according to Search Engine Land.

 

Thus, showing up prominently in Google results is a key marketing priority for any dental practice. Dental ads offer dentists a unique opportunity and competitive advantage in reaching patients who are searching for their services. Read on to learn why paid dental advertising is a good investment for your practice.

 

How dental ads are different from traditional marketing

1. You control where you rank. 

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Online advertising for dental practices is the perfect complement to search engine optimization (SEO). When you place a dental advertisement, you can rank the top of the page for that keyword as soon as your campaign goes live, which can mean an instant boost in traffic and dental patients. This can be an especially good strategy if your website has recently been redesigned, as it can take several months for Google to index your site.

 

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Unlike more traditional forms of dentist advertising, placing a dentist advertisement on Google allows you to control who can see your ads. 

 

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One goal of search dental advertising is to reach patients who are ready to convert (book an appointment). The keywords that patients use when searching for care can show their intent of seeking dental care.

 

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5. Payment is tied to results.

Paid search advertising for dental practices works on a payment model called pay-per-click (PPC). This literally means that you only pay when someone clicks on your ad.

 

A lot of practices hesitate to spend money on dentist ads, but this pay model makes it a safe marketing investment. Because your ad is targeted to those seeking your specific services, the chance that those clicks become booked appointments is higher than with other dental advertising strategies.

 

6. The return on investment is highly measurable.

With Google advertisements, you can see everything that’s tied to a click on your ad — from the person’s initial search query to what they did on your website, including whether they booked an appointment or if they called.

 

You can see which of your dental ads are working and which aren’t and calculate exactly what you’re getting in return for your investment.

 

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Because you pay per click on your ad, it may feel like something that’s difficult to plan month-to-month. However, after some trial and error and figuring out which of your dental ads work best for you, this form of dental advertising becomes consistent over time and is something that you can plan for in your business.

 

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Use online dental ads to serve your marketing needs on a budget and commitment that works best for your practice.

 

Read More: https://www.patientpop.com/blog/marketing/local-search-marketing/paid-dental-advertising-benefits/

 
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