Hospitals and health systems have been spending more on advertising in recent years, with an emphasis on educating patients and engaging them in their growing role as healthcare consumers.

But there are sharp debates among healthcare providers and marketing experts about how to present advertising in responsible and ethical ways, the consumer value of most current marketing materials, and whether to continue relying on traditional mass-market advertising or shift to more targeted digital approaches.

A growing consideration for healthcare organizations in shaping their marketing strategies is that patients are on the hook for an increasing portion of their healthcare costs given the steady increase in health plan deductibles, copays and coinsurance. That has given them a stronger financial incentive to shop around for their providers. Providers want to convince these consumers that they are the highest-quality and most affordable option.

More than two-thirds of health systems expect their marketing departments to spend more time and resources influencing patient behavior over the next few years, rather than targeting physicians and other providers, according to a survey this summer by the Advisory Board Co., a Washington, D.C.-based healthcare consultancy. “Marketers are being asked to drive not only volume, but (are) pivoting to understand what consumers want so they can market appropriately,” said Anna Yakovenko, a senior consultant at the firm.

Not only do health systems want to persuade consumers to use their services, Yakovenko said, but they want them to use services in a specific way. With industry attention turning to value-based payment, more is not always better. “As you try to make sure patients are engaged, the message is much more complex than, ‘Come get services here.’ You have to craft messages that make consumers change their behavior.”