Six Questions
Strategic Questions for Audience Based Communication and Marketing
Effective communications require an understanding of the palliative care program's various audiences, both within the hospital and in the larger community. The following six questions will help the palliative care team get the information needed to form the basis of the marketing plan.
Who is the audience for palliative care services?
To successfully market the palliative care program, the palliative care team must be able to profile the target audience; to create a specific and vivid stereotype of what the audience is like as a person. Most importantly, the team should develop an understanding of the audience's current behavior; in essence a “map” of the steps toward or away from supporting, referring to, or asking for palliative care. Research and reconnaissance conducted as part of the needs assessment can help to do this.
Target audiences for a palliative care program will fall into three broad categories: 1) hospital administrators and decision-makers, 2) clinicians, and 3) patients and their families. Understanding as much as possible about each of these audiences is important to effectively market the program.
Effective communication requires specifying the actions we want the audience member to take after hearing our message. Depending on the target audience's knowledge levels, perceptions, current behavior, and receptiveness to change, the proposed actions could be very different.
Examples of desired actions include:
Audience |
Desired Action |
Hospital administrator |
Commit money to the palliative care program |
Clinician |
Call for referral when patient's family needs to understand treatment options |
Patient/family audience |
Request a palliative care consult when patient has difficulty with symptoms |
This question focuses on which rewards the target audience might find the most appealing and motivating. What do they get in exchange for taking the desired action? The reward needs to motivate the audience to take action.
Examples of rewards:
Audience |
Reward |
Hospital administrator |
Palliative care results in cost savings for the hospital |
Clinician |
Ability to focus on patients' disease-specific therapies because PC team takes care of time-consuming communications and symptom management |
Patient/family audience |
Decreased symptoms and lessened anxiety about multiple sources of treatment and care; comfort knowing your family member is getting the best care |
One task is to promise the audience a reward; another is to make that promise credible. What will make the audience believe they will get the promised rewards? Support is built through use of relevant and credible information sources, such as statistical data or testimonials from peers. Graphic illustrations and personal stories can bring the facts or feelings to life.
Examples of supports:
Audience |
Supports |
Hospital administrator |
Hospital data from finance department showing projected and actual savings from palliative care |
Clinician |
Recommendation of colleague within their department |
Patient/family audience |
Testimonial from satisfied patient and family |
Where are the openings for the palliative care message?
The key issue to designing ways to reach the target audience is to determine when and where the audience can best receive the message – not when and where we can best send it. Openings are the times, places and circumstances in which the audience is most receptive to the message. They may be the places where the audience is thinking about palliative care (or have a need for these services). To determine the best communications vehicle for reaching each audience, think about the reading, listening and communications habits of that audience. Vehicles convey messages along established channels like meetings, personal conversations or brochures or through other venues like list serves and conferences. Vehicles need to be selected that are suited to and fit the openings.
Examples of openings:
Audience |
Openings |
Hospital administrator |
Budget cycle when administrators are thinking of ways to save money and allocate funds |
Clinician |
Call from a case manager; patient in the ICU |
Patient/family audience |
Brochure in waiting room; suggestion from nurse |
What is an appropriate image for palliative care?
Images allow an audience to quickly process the information and know that we are talking to them. The overall image answers the audience's implicit question: “Is this action something that I can see myself doing?” An effective image is appealing and relevant, makes the action seem feasible, and tells the audience, “I'm speaking to you.”
Examples of images:
Audience |
Image |
Hospital administrator |
Palliative care programs are part of every leading edge hospital |
Clinician |
Palliative care team supports your care of your patient; team is responsive to physician needs, pragmatic, and helpful; will work to vigorously treat patient's pain and symptoms; is a resource that serves the clinician |
Patient/family audience |
Palliative care is the medical care every seriously ill patient needs, wants & deserves |
In marketing the program, remember that educating any of these audiences about the evidence-based value of palliative care alone is not enough. How palliative care relates to their priorities and perceived needs must also be demonstrated. By keeping the team focused on the approach and the language that appeals to their different audiences, palliative care is repositioned from a request or demand to an offer hard to turn down.
Request/Demand |
Offer |
“You should support us to…” “This hospital must address deficiencies (we care about) …” |
“We believe this can help achieve our goals of ___” “We know the situation (you care about) and think we have something that can help…” |
“Will you commit money to…?” “I need your support to…” |
“We have a plan to accomplish ___, and we would like your advice and perspective…” |
Then we must make good on the offer. The biggest mistake a program can make is to promise a reward and then not deliver.


