The Impact of Process- vs. Outcome-Oriented Reviews on the Sales of Healthcare Services.

With the rise of digital health platforms, consumers increasingly rely on online reviews when choosing healthcare services. Understanding how these reviews shape consumer decisions is crucial for both platforms and healthcare providers. To explore this, we analyzed a comprehensive data set from a leading online cosmetic surgery platform to understand how process-oriented (focusing on the recovery experience) and outcome-oriented (focusing on the end results) reviews influence the demand for healthcare services. Our findings reveal a striking disparity in the effectiveness of these two types of reviews. Generally, outcome-oriented reviews exhibit greater efficacy in boosting sales. However, the influence of each review type varies with the complexity and popularity of the services. Process-oriented reviews are more compelling for complex healthcare services, while outcome-oriented reviews prove more impactful for simpler, popular services. These insights underscore the need for tailored strategies in incentivizing and managing consumer reviews, vital for healthcare providers and digital health platforms. Furthermore, for policy makers, the study highlights the importance of regulating and guiding online review designs to ensure they accurately reflect the service process and outcome, aiding consumers in making informed decisions. The consumption of services inherently requires a process to achieve the desired outcome. For nonexperiential services (e.g., healthcare and education) primarily valued for their end outcomes, their consumption typically involves lengthy processes that are not designed for enjoyment (e.g., wound care and lecture attendance). Consequently, there exists a prominent tension between the processes (means) and outcomes (ends) of these services, which is largely ignored in the prior literature on user-generated content (UGC) that predominantly focuses on products (e.g., books and electronics) or experiential services (e.g., dining and lodging). To bridge this gap, we investigate the distinct roles of process- and outcome-oriented reviews in influencing consumers' decisions to pursue healthcare services, leveraging a comprehensive data set collected from an online platform for cosmetic procedures. By separating process- and outcome-oriented reviews through visual content analysis, we show that the effect of outcome-oriented reviews in boosting the sales of healthcare services is almost twice stronger than that of process-oriented reviews on average. However, the relative effectiveness of these two types of reviews varies substantially across different types of healthcare services. Specifically, we find that process-oriented reviews are more influential in affecting consumers' purchases of services with higher complexity, in contrast to outcome-oriented reviews that are more impactful for services with lower complexity. Moreover, the impact of process-oriented reviews is stronger for less popular services, whereas the impact of outcome-oriented reviews is stronger for more popular services. These nuanced findings show that consumers resort to different types of UGC while considering different types of healthcare services. Our work has important implications both theoretically and practically. History: Xiaoquan (Michael) Zhang, Senior Editor; Khim Yong Goh, Associate Editor. Supplemental Material: The e-companion is available at https://doi.org/10.1287/isre.2019.0168. [ABSTRACT FROM AUTHOR]