GO START BEGINWhat’s on First? What’s most important and where to begin?

Here’s a terrific marketing question that popped up again recently: “What’s on First? Which is more important, INTERNAL Marketing or EXTERNAL Marketing…and which comes first?”

It’s a great question that we hear from time to time, especially as practitioners become more comfortable about marketing and want to take things up a notch to grow the business. It’s also a challenging question to answer…but here goes.

Internal: Comfortable, slow, but sometimes inconsistent

It turns out that most healthcare professionals are much more familiar with INTERNAL Marketing. Your current patients are the primary audience for your marketing message. There are many ways to do this, such as telling patients about your services, for example, and simply asking for patient referrals. With Internal Marketing, you’re talking to people who already know you, so it feels more comfortable.

Most professionals have heard that they should be doing Internal Marketing. On the upside, there’s little or no cost, so the Return-on-Investment is great. On the other hand, a lot of offices confess that they are inconsistent about Internal Marketing; it takes time and often requires an active effort from the doctor and staff. Results are seen as a “slow burn,” it builds (with consistency), but slowly.

External: Explosive ROI when done right

In comparison, EXTERNAL Marketing is a totally different sort of animal where your message is directed to prospective new patients who do not know you. And, yes, External Marketing—such as Yellow Pages advertising, direct mail, or broadcast—has a higher cost attached to reaching a much larger audience. But the results can be explosive—and far more fun. And when you find the right combination of variables that work for you, many External strategies are passive and don’t require much of your time to continue to produce great results.

Many doctors shy away from External Marketing and never move beyond the cost. It looks too much like a big risk (fear), and an expense. True—there’s a bit of a risk factor; especially if you do it wrong. But the marketing-smart (and highly successful) practices understand that the budget is an investment in the practice… and the ROI is the big upside when you’ve done it right in the first place.

But what about Professional Referral Marketing?

But wait…there’s yet another front for specialized practices where referrals from other practices are a major revenue stream. Marketing to the audience of referring practitioners and practices is a part of the overall marketing plan for some. And like External and Internal Marketing, taking your message to referring practices requires an organized program with ongoing nurturing. If it’s appropriate to your specialty and practice it will likely be in addition to-and not instead of-External and Internal Marketing.

And the answer is…

So, exactly What’s on First? Do you go with Internal, External (or Professional Referral) Marketing? The REAL answer is:

  1. Begin with the end in mind. First, set a realistic goal for your practice before you select the strategies and tactics that will take you where you want to go. If you have “a-little-ahead-of-last-year” goal-then Internal Marketing alone may get you there over time.
  2. Consider the competitive climate. Interestingly, increasing competition nearly everywhere (and raising costs of business anywhere) is pushing hard on the bottom line. Many practices recognize that standing still leaves them behind, and they can’t let the other guys build recognition, experience and deeply establish market share. So if you’re serious…
  3. Establish a marketing budget. Don’t go crazy here, but if you realize it’s tougher all the time to win at marketing, then define the resources you’ll need to achieve your goal. Then…
  4. Create a well-considered plan. Utilize the tools that will bring the best Return-on-Investment. It will likely be a reasonable mix of Internal, External and perhaps Professional Referral Marketing.
  5. Work the plan. Marketing is an ongoing process of Test, Track Results and Adjust to push what’s working and revise what needs fixing.

The “What’s on First?” marketing question is tough to answer without doing your homework and defining a clear objective for the year. At the end of the day…if you don’t know where you’re going, any path will take you there.

This article provides useful information for all healthcare professions and specialties and was adapted from an article originally written by Healthcare Success for publication in DENTAL ECONOMICS.

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Stewart Gandolf

Stewart Gandolf

Chief Executive Officer and Co-Founder at Healthcare Success Strategies
Stewart Gandolf, MBA, is CEO of Healthcare Success, a medical marketing and health care advertising agency. He is also a frequent writer and speaker. Most importantly, he is happily married and a "rock-n-roll daddy" to two wonderful girls.
Stewart Gandolf
Stewart Gandolf


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