The role of social media in healthcare relationships: the user as a co-creator of value

Authors

DOI:

https://doi.org/10.5585/remark.v23i3.22741

Keywords:

value co-creation; social media.; patient experience

Abstract

Objective: Analyze the role of social media in the co-creation of value in hospital health services.

Method: Case study in a large hospital organization, structured in two stages. The first comprised the collection and analysis of customer interactions on the company's social media platforms. The second was based on 11 in-depth interviews with employees of the organization.

Results: The relevant role that social media has assumed was confirmed, and that, when managed, they become channels that contribute to the value co-creation process. It was found that social media empower patients and favor the value co-creation process, beyond the doctor-patient relationship.

Theoretical contributions: The research provided advances in studies on the Logic of Service in the health sector, noting how social media influence provider and customer experiences in the three spheres of value proposed by Grönroos and Voima (2013) and have the potential to expand the possibilities of co-creation in the Joint Sphere.

Originality/Relevance: It was found that proper management of social media favors the co-creation of value for hospital services. Simply being present on social media or even having a high number of interactions does not create value by itself. It is the company's engagement with customer interactions, both in physical and virtual environments, that can lead to value co-creation. Furthermore, through the Value Spheres, it was possible to understand the role of social media and the different actors in the co-creation process.

Management implications: Healthcare companies should strategically explore the potential that social media have for value co-creation, involving process improvement, adaptation and/or formatting of new services.

CROSSMARK_Color_horizontal.svg

Downloads

Download data is not yet available.

Author Biographies

Noélia Pereira Prado, University of Minas Gerais–PUC Minas

Master in Business Administration Pontifical Catholic

Ramon Silva Leite, Pontifícia Universidade Católica de Minas Gerais – PUC Minas

Ph.D. in Management

Matheus Lemos Andrade, Pontifical Catholic University of Minas Gerais–PUC Minas

PhD in Business Administration

 

Thalita Meyli Lin Freitas, Federal University of Minas Gerais – UFMG

Master in Business Administration

 

References

Abeza, G., O’Reilly, N., Finch, D., Séguin, B., & Nadeau, J. (2020). The role of social media in the co-creation of value in relationship marketing: a multi-domain study. Journal of Strategic Marketing, 28(6), 472-493. https://doi.org/10.1080/0965254X.2018.1540496

Aghdam, A., Watson, J., Cliff, C., & Miah, S. J. (2020). Improving the theoretical understanding toward patient-driven health care innovation through online value co-creation: systematic review. Journal of medical Internet research, 22(4). https://doi.org/10.2196/16324

Akareem, H. S., Wiese, M., & Hammedi, W. (2022). Patients’ experience sharing with online social media communities: a bottom-of-the-pyramid perspective. Journal of Services Marketing, 36(2), 168-184. https://doi.org/10.1108/JSM-12-2020-0512

Amorim, J., & Ventura, A. C. (2023). Co-created decision-making: From co-production to value co-creation in health care. The Journal of Medicine Access, 7, 1-10. https://doi.org/10.1177/27550834231177503

ANAHP - Associação Nacional de Hospitais Privados (2023). Observatório Anahp 2023. Disponível em www.anahp.com.br

Andrade, G. R. B. D., Vaitsman, J., & Farias, L. O. (2010). Metodologia de elaboração do Índice de Responsividade do Serviço (IRS). Cadernos de Saúde Pública, 26(3), 523-534. https://doi.org/10.1590/S0102-311X2010000300010

Becker, L. C. B., Santos, C. P. D., & Nagel, M. D. B. (2016). A relação entre os elementos da cocriação, satisfação e confiança no contexto de serviços. REMark - Revista Brasileira de Marketing, 15(2), 263-280. https://doi.org/10.5585/remark.v15i2.3063

Brodie, R. J., Saren, M., & Pels, J. (2011). Theorizing about the service dominant logic: The bridging role of middle range theory. Marketing Theory, 11(1), 75-91. https://doi.org/10.1177/1470593110393714

Bellio, E., & Buccoliero, L. (2021). Main factors affecting perceived quality in healthcare: a patient perspective approach. The TQM Journal, 33(7), 176-192. https://doi.org/10.1108/TQM-11-2020-0274

Buccoliero, L., Bellio, E., Mazzola, M., & Solinas, E. (2015). A marketing perspective to “delight” the “patient 2.0”: new and challenging expectations for the healthcare provider. BMC Health Services Research, 16, 1-12. https://doi.org/10.1186/s12913-016-1285-x

Camargo, B. V., & Justo, A. M. (2013). IRAMUTEQ: um software gratuito para análise de dados textuais. Temas em psicologia, 21(2), 513-518. https://doi.org/10.9788/TP2013.2-16

Campos, L. M; Amazonas, M. L. S; Borges, M. H; Troccoli, I. R. (2018). Cocriação de valor: um levantamento nas pesquisas dos eventos da ANPAD. Revista de Administração do Unifatea, 16(16) 166-186.

Chakraborty, S., & Church, EM (2021). Patient hospital experience and satisfaction on social media. International Journal of Quality and Service Sciences, 13(3), 417-432. https://doi.org/10.1108/IJQSS-02-2020-0014

Cohen, M. M., da Silva, C. L., & Jorge, M. J. (2018). Cocriação em saúde: Um levantamento sistemático da literatura. Revista Pensamento Contemporâneo em Administração, 12(3), 79-91. https://doi.org/10.12712/rpca.v12i3.13186

Danaher, T. S., Danaher, P. J., Sweeney, J. C., & McColl-Kennedy, J. R. (2024). Dynamic customer value co-creation in healthcare. Journal of Service Research, 27(2), 177-193. https://doi.org/10.1177/10946705231161758

Delgado, G.V., Carvalho, R.B., Choo, C.W., Leite, R.S., & de Castro, J.M. (2020). Patient empowerment through mobile health: case study with a Brazilian application for pregnancy support. Proceedings of the Association for Information Science and Technology, 57. https://doi.org/10.1002/pra2.221

Favaro, P.; Leite, R. S; Prado, N. P., & Farias, V. M. (2017). O papel das mídias sociais no relacionamento entre hospitais e seus diferentes públicos: um estudo de caso em uma Rede hospitalar de grande porte. RAHIS. Revista de Administração Hospitalar e Inovação em Saúde, 14(3), 68-85. http://dx.doi.org/10.21450/rahis.v14i3.4441

Frau, M., Frigau, L., Cabiddu, F., & Mola, F. (2023). Value co-creation or value co-destruction? The role of negative emotions in consumer-firm interaction in the social media platform. In The Palgrave Handbook of Interactive Marketing. Cham: Springer International Publishing.

Fusco, F., Marsilio, M., & Guglielmetti, C. (2023). Co-creation in healthcare: framing the outcomes and their determinants. Journal of Service Management, 34(6), 1-26. https://doi.org/10.1108/JOSM-06-2021-0212

Garmann-Johnsen, N. F., Helmersen, M., & Eikebrokk, T. R. (2020). Employee-driven digitalization in healthcare: codesigning services that deliver. Health Policy and Technology, 9(2), 247-254. https://doi.org/10.1016/j.hlpt.2020.03.001

Gaskell, G. (2015). Entrevistas individuais e grupais. In: Bauer, M. W. (Org.) Pesquisa qualitativa com texto, imagem e som: um manual prático. São Paulo: Vozes.

Gil, N., & Libânio, C. (2022). Experiência do usuário em organizações de saúde: revisão sistemática da literatura. Revista de Administração Hospitalar e Inovação em Saúde, 19(3), 44-57. https://doi.org/10.21450/rahis.v19i3.7121

Grönroos, C. (1994). Keynote paper: From marketing mix to relationship marketing-towards a paradigm shift in marketing. Management Decision, 35(4), 322-339. https://doi.org/10.1108/00251749710169729

Grönroos, C. (2008). Service logic revisited: who creates value? And who co‐creates?. European Business Review. 20(4), 298-314. https://doi.org/10.1108/09555340810886585

Grönroos, C. (2011). Value co-creation in service logic: A critical analysis. Marketing theory, 11(3), 279-301. https://doi.org/10.1177/1470593111408177

Grönroos, C. (2017a). On Value and Value Creation in Service: A Management Perspective. Journal of Creating Value, 3(2), 1-17. https://doi.org/10.1177/2394964317727196

Grönroos, C (2017b) Relationship marketing and service: An update, Journal of Global Scholars of Marketing Science, 27(3), 201-208, https://doi.org/10.1080/21639159.2017.1318666

Grönroos, C., & Voima, P. (2013). Critical service logic: making sense of value creation and co-creation. Journal of the Academy of Marketing Science, 41(2), 133-150. https://doi.org/10.1007/s11747-012-0308-3

Grönroos, C., Strandvik, T., Heinonen, K. (2015). Value Co-Creation: Critical Reflections. In: Gummerus, J. & Von Koskull, C. (Eds.), The Nordic School: Service Marketing and Management for the Future, 69–81. Helsinki: Hanken School of Economics.

Gummesson, E. (1991). Marketing-orientation Revisited: The Crucial Role of the Part-time Marketer. European Journal of Marketing, 25(2), 60-75. https://doi.org/10.1108/03090569110139166

Hawkins, J.B., Brownstein, J.S., Tuli, G., Runels, T., Broecker, K., Nsoesie, E.O., McIver, D.J., Rozenblum, R., Wright, A. and Bourgeois, F.T. (2016). Measuring patient perceived quality of care in US hospitals using twitter. BMJ Quality & Safety, 25(6), 404-413. http://dx.doi.org/10.1136/bmjqs-2015-004309

Hidayanti, I., Herman, L. E., & Farida, N. (2018). Engaging Customers through Social Media to Improve Industrial Product Development: The Role of Customer Co-Creation Value. Journal of Relationship Marketing, 17(1), 17-28. https://doi.org/10.1080/15332667.2018.1440137

Holdgaard, N., & Klastrup, L. (2014). Between control and creativity: challenging co-creation and social media use in a museum context. Digital Creativity, 25(3), 190-202. https://doi.org/10.1080/14626268.2014.904364

Huppertz, J. W., & Otto, P. (2018). Predicting HCAHPS scores from hospitals’ social media pages: A sentiment analysis. Health care management review, 43(4), 359-367. https://doi.org/10.1097/HMR.0000000000000154

Kargaran, S., Pour, M. J., & Moeini, H. (2017). Successful customer knowledge management implementation through social media capabilities. VINE Journal of Information and Knowledge Management Systems. https://doi.org/10.1108/VJIKMS-11-2016-0066

Kargaran, S., Shahri, M. H., Ghorbani, Z., Saberi, A., Jamali, S. M., & Aleebrahim, N. (2022). Patterns of publications in social media-based co-creation: a bibliometric analysis. VINE Journal of Information and Knowledge Management Systems. https://doi.org/10.1108/VJIKMS-09-2021-0222

Lee, Y., In, J., & Lee, S. J. (2020). Social media engagement, service complexity, and experiential quality in US hospitals. Journal of Services Marketing, 34(6), 833-845. https://doi.org/10.1108/JSM-09-2019-0359

Leite, H., & Hodgkinson, I. R. (2021). Telemedicine co‐design and value co-creation in public health care. Australian Journal of Public Administration, 80(2), 300-323. https://doi.org/10.1111/1467-8500.12473

Lusch, R. F.; Vargo, S. L.; O’Brien, M. (2007). Competing through service: Insights from service-dominant logic. Journal of Retailing, 83(1), 5–18. https://doi.org/10.1016/j.jretai.2006.10.002

Martino, S.C., Shaller, D., Schlesinger, M., Parker, A.M., Rybowski, L., Grob, R., Cerully, J.L., & Finucane, M.L. (2017). CAHPS and comments: how closed-ended survey questions and narrative accounts interact in the assessment of patient experience. Journal of Patient Experience, 4(1), 37-45. https://doi.org/10.1177/2374373516685940

McColl-Kennedy, J. R; Vargo, S. L; Dagger, T.S, Sweeney, J. C, & Kasteren, Y. (2012) Health Care Customer Value Co-creation Practice Styles. Journal of Service Research, 15(4), 370-389. https://doi.org/10.1177/1094670512442806

Osei-Frimpong, K. (2017). Patient participatory behaviours in healthcare service delivery: Selfdetermination theory (SDT) perspective. Journal of Service Theory and Practice, 27(2), 453-474. https://doi.org/10.1108/JSTP-02-2016-0038

Ouschan, R., Sweeney, J. C., & Johnson, L. W. (2000). Dimensions of patient empowerment: implications for professional services marketing. Health marketing quarterly, 18(1-2), 99-114. https://doi.org/10.1300/J026v18n01_08

Pekovic, S., & Rolland, S. (2020). Recipes for achieving customer loyalty: A qualitative comparative analysis of the dimensions of customer experience. Journal of Retailing and Consumer Services, 56, 102171.https://doi.org/10.1016/j.jretconser.2020.102171

Pinochet, L. H. C.; Lopes, A. S.; Silva, J. S. Inovações e Tendências Aplicadas nas Tecnologias de Informação e Comunicação na Gestão da Saúde. Revista de Gestão em Sistemas de Saúde, 3(2), 11-29, 2014. https://doi.org/10.5585/rgss.v3i2.88

Prahalad, C. K.; Krishnan, M. S. (2008) A nova era da inovação: a inovação focada no relacionamento com o cliente. Rio de Janeiro: Campus

Prahalad, C. K.; Ramaswamy, V (2000). Co-opting customer competence. Harvard Business Review, 78(1), 79-90.

Prahalad, C. K.; Ramaswamy, V. (2004) Co-creation experiences: the next practice in value creation. Journal of Interactive Marketing, 18(3), 5-14. https://doi.org/10.1002/dir.20015

Reche, R., Bertolini, A., & Milan, G. (2019). Contribuição dos Elementos de Sustentação da Cocriação de Valor para a Intenção de Recompra: Uma Abordagem Teórica. Revista Brasileira De Marketing, 18(1), 58-72. https://doi.org/10.5585/remark.v18i1.3803

Roberts, D. L., & Piller, F. T. (2016). Finding the right role for social media in innovation. MIT Sloan Management Review, 57(3), 41-47.

Russo, G., Tartaglione, A. M., & Cavacece, Y. (2019). Empowering patients to co-create a sustainable healthcare value. Sustainability, 11(5), 1315. https://doi.org/10.3390/su11051315

Schultz, E. D., & Peltier, J. (2013). Social media's slippery slope: challenges, opportunities and future research directions. Journal of Research in Interactive Marketing, 7(2), 86-99. https://doi.org/10.1108/JRIM-12-2012-0054

Shachak, A., & Jadad, A. R. (2010). Electronic health records in the age of social networks and global telecommunications. JAMA, 303(5), 452-453. https://doi.org/10.1001/jama.2010.63

Sheth, J. (2017). Revitalizing relationship marketing. Journal of Services Marketing, 31(1), 6-10. https://doi.org/10.1108/JSM-11-2016-0397

Shirazi, F., Wu, Y., Hajli, A., Zadeh, A. H., Hajli, N., & Lin, X. (2021). Value co creation in online healthcare communities. Technological Forecasting and Social Change, 167, 120665. https://doi.org/10.1016/j.techfore.2021.120665

Smaldone, F., Ippolito, A., & Ruberto, M. (2020). The shadows know me: Exploring the dark side of social media in the healthcare field. European Management Journal, 38(1), 19-32. https://doi.org/10.1016/j.emj.2019.12.001

Smith, A. M. (2013). The value co-destruction process: a customer resource perspective. European Journal of Marketing, 47(11/12), 1889-1909. https://doi.org/10.1108/EJM-08-2011-0420

Souza, M. A. R., Wall, M. L., Thuler, A. C. M. C., Lowen, I. M. V., & Peres, A. M. (2018). The use of IRAMUTEQ software for data analysis in qualitative research. Revista da Escola de Enfermagem da USP, 52. http://dx.doi.org/10.1590/S1980-220X2017015003353

Stickdorn, M., Hormess, M. E., Lawrence, A., & Schneider, J. (2018). This is service design doing: applying service design thinking in the real world. Sebastopol, CA: O'Reilly.

Trischler, J., Røhnebæk, M., Edvardsson, B., & Tronvoll, B. (2023). Advancing Public Service Logic: Moving towards an ecosystemic framework for value creation in the public service context. Public Management Review, 1-29. https://doi.org/10.1080/14719037.2023.2229836

Vargo, S. L., & Lusch, R. F. (2004). Evolving to a new dominant logic for marketing. Journal of Marketing, 68(1), 1-17. https://doi.org/10.1509/jmkg.68.1.1.24036

Vargo, S. L., & Morgan, F. W. (2005). Services in society and academic thought: an historical analysis. Journal of Macromarketing, 25(1), 42-53. https://doi.org/10.1177/0276146705275294

Vargo, S. L. (2018) Marketing Relevance Through Market Theory. Brazilian Journal of Marketing – Revista Brasileira de Marketing – ReMark, 17(5), 730–737. https://doi.org/10.5585/bjm.v17i5.4177

Voima, P., Heinonen, K., Strandvik, T., Mickelsson, K.-J., & Arantola-Hattab, J. (2011b). A customer ecosystem perspective on service, QUIS12, June 2–5. New York: Ithaca.

Wong, C. A, Ostapovich, G, Kramer-Golinkoff, E, Griffis, H., Asch, D. A., & Merchant, R. M. (2016). How US children's hospitals use social media: A mixed methods study. Healthcare, 4(1), 15-21. https://doi.org/10.1016/j.hjdsi.2015.12.004

Downloads

Published

2024-07-26

How to Cite

Prado, N. P., Leite, R. S., Andrade, M. L., & Freitas, T. M. L. (2024). The role of social media in healthcare relationships: the user as a co-creator of value. ReMark - Revista Brasileira De Marketing, 23(3), 1081–1148. https://doi.org/10.5585/remark.v23i3.22741