The main objective of this work is to obtain an in-depth understanding of digital communication strategies employed by hospitals by comparing and contrasting the digital communication of two hospitals of reference in Spain. The main method is content analysis of Facebook and Twitter along with in-depth interviews of hospital communication directors. Results show different communication strategies that depend on organizational goals. The public participated in digital communication within three themes: 1) general, sensitive, and topical health issues; 2) personal and professional projects, as well as initiatives for struggle or sensitization; 3) corporate novelties that encourage public involvement. The use of currently existing platforms of social media from which to manage the online communication should be a priority for hospitals. Multimedia content can help to disclose health information. Online communication strategies are adapted to overall communication strategy and differences in cultural profiles lead to differences in priorities.

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Arencibia-Jiménez, Mercedes; Aibar-Remón, Carlos (2007). “Páginas web de hospitales. Realidad virtual o… ¿son realmente un medio útil para la difusión de información para sus usuarios?”. Revista de calidad asistencial, v. 22, n. 3, pp. 118-127. https://doi.org/10.1016/S1134-282X(07)71206-X

Bermúdez-Tamayo, Clara; Alba-Ruiz, Rubén; Jiménez-Pernett, Jaime; García-Gutiérrez, José-Francisco; Traver-Salcedo, Vicente; Yubraham-Sánchez, David (2013). “Use of social media by Spanish hospitals: Perceptions, difficulties, and success factors”. Telemedicine and e-health, v. 19, n. 2, pp. 137-145. https://doi.org/10.1089/tmj.2012.0066

Briones, Rowena; Kuch, Beth; Liu, Brooke-Fisher; Jin, Yan (2011). “Keeping up with the digital age: How the American Red Cross uses social media to build relationships”. Public relations review, v. 37, n. 1, pp. 37-43. https://doi.org/10.1016/j.pubrev.2010.12.006

Calvo-Calvo, Manuel-Ángel (2014). “Calidad y características de los sitios web de los hospitales españoles de gran tamaño”. Revista española de documentación científica, v. 37, n. 1, pp. 1-19. https://doi.org/10.3989/redc.2014.1.1049

Costa-Sánchez, Carmen; Túñez-López, Miguel; Videla-Rodríguez, José-Juan (2016). “Hospitales españoles en la web social. Gestión de Facebook y Twitter por el Hospital Sant Joan de Dèu (Barcelona)”. Revista latina de comunicación social, n. 71, pp. 1108-1130. https://doi.org/10.4185/RLCS-2016-1137

Díaz-Cuenca, Antonia-María (2007). “Análisis de la calidad de las páginas web en los hospitales españoles”. Enfermería global, v. 6, n. 1, pp. 1-13. http://revistas.um.es/eglobal/article/view/224

Farabough, Lauren-Alesha (2013). Using Facebook as a public relations tactic: A look at how hospitals are engaging with fans. Doctoral dissertation. University of Arkansas at Little Rock.

Gabarrón, Elia; Fernández-Luque, Luis (2012). “eSalud y vídeos online para la promoción de la salud”. Gaceta sanitaria, v. 26, n. 3, pp. 197-200. https://doi.org/10.1016/j.gaceta.2012.03.004

Griffis, Heather; Kilaru, Austin; Werner, Rachel; Asch, David; Hershey, John; Hill, Shawndra; Ha, Yonhee; Sellers, Allison; Mahoney, Kevin; Merchant, Raina (2014). “Use of social media across US hospitals: Descriptive analysis of adoption and utilization”. Journal of medical internet research, v. 16, n. 11, pp. 264. https://doi.org/10.2196/jmir.3758

Grunig, James E. (2006). “Furnishing the edifice: Ongoing research on public relations as a strategic management function”. Journal of public relations research, v. 18, n. 2, pp. 151-176. https://doi.org/10.1207/s1532754xjprr1802_5

Hart, Mark; Stetten, Nichole E.; Islam, Sabrina; Pizarro, Katherine (2017). “Twitter and public health (Part 1): How individual public health professionals use Twitter for professional development”. JMIR Public health and surveillance, v. 3, n. 3, e60. https://doi.org/10.2196/publichealth.6795

Hu, Yifeng; Sundar, Shyam (2010). “Effects of online health sources on credibility and behavioral intentions”. Communication research, v. 37, n. 1, pp. 105-132. https://doi.org/10.1177/0093650209351512

Huerta, Timothy; Hefner, Jennifer; Ford, Eric; McAlearney, Anne-Scheck; Menachemi, Nir (2014). “Hospital website rankings in the United States: Expanding benchmarks and standards for effective consumer engagement”. Journal of medical internet research, v. 16, n. 2, e64. https://doi.org/10.2196/jmir.3054

IAB Spain (2016). Estudio anual de redes sociales. https://www.slideshare.net/elogia/estudio-redes-sociales-2016

King, Melanie (2014). Corporate blogging and microblogging: An analysis of dialogue, interactivity and engagement in organisation-public communication through social media. Doctoral dissertation. Sidney: University of Technology, Sydney (UTS). https://opus.lib.uts.edu.au/bitstream/10453/35948/2/02whole.pdf

Kordzadeh, Nima; Young, Diana (2015). “Understanding how hospitals use social media : An exploratory study of Facebook posts”. In: Americas conference on information systems. Virtual communities and collaboration. Association for Information Systems. http://aisel.aisnet.org/amcis2015/VirtualComm/GeneralPresentations/4

Leung, Ricky (2014). “Increasing dynamic capabilities of health organizations with social media”. In: Olivas-Luján, Miguel; Bondarouk, Tanya (eds.). Social media in strategic management, pp. 129-142. ISBN: 978 1 781908983

Lim, Weng-Marc (2016). “Social media in medical and health care: Opportunities and challenges”. Marketing intelligence & planning, v. 34, n. 7, pp. 964-976. https://doi.org/10.1108/MIP-06-2015-0120

Martínez-Millana, Antonio; Fernández-Llatas, Carlos; Basagoiti-Bilbao, Ignacio; Traver-Salcedo, Manuel; Traver-Salcedo, Vicente (2017). “Evaluating the social media performance of hospitals in Spain: A longitudinal and comparative study”. Journal of medical internet research, v. 19, n. 5, e181. https://doi.org/10.2196/jmir.6763

McCaughey, Deirdre; Baumgardner, Catherine; Gaudes, Andrew; LaRochelle, Dominique; Wu, Kaila-Jyaxin; Raichura, Tejal (2014). “Best practices in social media : Utilizing a value matrix to assess social media’s impact on health care”. Social science computer review, v. 32, n. 5, pp. 575-589. https://doi.org/10.1177/0894439314525332

Medina-Aguerrebere, Pablo; Buil-Gazol, Pilar; Heath, Robert (2015). “Brand dissemination in Canadian hospitals through Facebook”. The International journal of communication and health, v. 7, pp. 27-39. http://communicationandhealth.ro/upload/number7/PABLO-MEDINA.pdf

Moorhead, Ann; Hazlett, Diane; Harrison, Laura; Carroll, Jennifer; Irwin, Anthea; Hoving, Ciska (2013). “A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication”. Journal of medical internet research, v. 15, n. 4, e85. https://doi.org/10.2196/jmir.1933

Rando-Cueto, Dolores; Paniagua-Rojano, Francisco-Javier; De-las-Heras-Pedrosa, Carlos (2016). “Factores influyentes en el éxito de la comunicación hospitalaria vía redes sociales”. Revista latina de comunicación social, v. 71, pp. 1170-1186. https://doi.org/10.4185/RLCS-2016-1140

Richter, Jason; Muhlestein, David; Wilks, Chrisanne (2014). “Social media : How hospitals use it, and opportunities for future use”. Journal of healthcare management, v. 59, n. 6, pp. 447-461.

Sale, Joanna; Lohfeld, Lynne; Brazil, Kevin (2002). “Revisiting the quantitative-qualitative debate: Implications for mixed-methods research”. Quality and quantity, v. 36, n. 1, pp. 43-53. https://doi.org/10.1023/A:1014301607592

Sarasohn-Kahn, Jane (2008). The wisdom of patients: Health care meets online social media. California HealthCare Foundation. http://www.chcf.org/publications/2008/04/the-wisdom-of-patients-health-care-meets-online-social-media

Saxton, Gregory; Waters, Richard (2014). “What do stakeholders like on Facebook? Examining public reactions to nonprofit organizations’ informational, promotional, and community-building messages”. Journal of public relations research, v. 26, n. 3, pp. 280-299. https://doi.org/10.1080/1062726X.2014.908721

Thackeray, Rosemary; Neiger, Brad; Smith, Amanda; Van-Wagenen, Sarah (2012). “Adoption and use of social media among public health departments”. BMC public health, v. 12, n. 1, pp. 242. https://doi.org/10.1186/1471-2458-12-242

Timian Alex; Rupcic, Sonia; Kachnowski, Stan; Luisi, Paloma (2013). “Do patients ‘like’ good care? Measuring hospital quality via Facebook”. American journal of medical quality, v. 28, n. 5, pp. 374-382. https://doi.org/10.1177/1062860612474839

Van-de-Belt, Tom; Berben, Sivera; Samsom, Melvin; Engelen, Lucien; Schoonhoven, Lisette (2012). “Use of social media by Western European hospitals: Longitudinal study”. Journal of medical internet research, v. 14, n. 3, e61. https://doi.org/10.2196/jmir.1992

Vanzetta, Marina; Vellone, Ercole; Dal-Molin, Alberto; Rocco, Gennaro; De-Marinis, Maria-Grazia; Rosaria, Alvaro (2014). “Communication with the public in the health-care system: A descriptive study of the use of social media in local health authorities and public hospitals in Italy”. Annali dell’Istituto Superiore di Sanità, v. 50, n. 2, pp. 163-170. https://doi.org/10.4415/ANN_14_02_10

Wong, Charlene; Ostapovich, Gabrielle; Kramer-Golinkoff, Emily; Griffis, Heather; Asch, David; Merchant, Raina (2016). “How US children’s hospitals use social media : A mixed methods study”. Healthcare, v. 4, n. 1, pp. 15-21. https://doi.org/10.1016/j.hjdsi.2015.12.004

Xifra, Jordi; Grau, Francesc (2010). “Nanoblogging PR: The discourse on public relations in Twitter”. Public relations review, v. 36, n. 2, pp. 171-174. https://doi.org/10.1016/j.pubrev.2010.02.005

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Published on 14/09/18
Accepted on 14/09/18
Submitted on 14/09/18

Volume 27, Issue 5, 2018
DOI: 10.3145/epi.2018.sep.18
Licence: CC BY-NC-SA license

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