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The impact of social media marketing efforts on visit intention: a case study in Flodova Clinic, Dili, Timor Leste


Link of Video Abstract:


Background: The utilization of social media in digital marketing offers various benefits, notably improved accessibility and the ability to disseminate information widely among diverse populations. Notably, social media has emerged as the leading marketing strategy to generate interest among people visiting healthcare facilities in Timor Leste. This study examines the impact of Social Media Marketing Efforts (SMME) on visit intentions through Flodova Clinic's Facebook page in Timor Leste. The mediating factors of brand image and online trust are investigated while controlling for health threats and gender.

Methods: The study collects data from visitors and Facebook followers of Flodova Clinic. A cross-sectional data collection was done through an online survey. The analysis includes 184 samples that meet the inclusion criteria, employing Partial Least Squares Structural Equation Modeling (PLS-SEM).

Results: The findings demonstrate a significant influence of SMME on visit intentions, indicating its efficacy in attracting potential visitors. However, no direct or mediating effects are observed on brand image and online trust. The study identifies the most influential domains of SMME, with electronic word of mouth (EWOM) having the most substantial impact, followed by entertainment and interaction. Additionally, health threats and gender are found to affect visit intentions significantly. Health threats positively influence patients' intent to visit, while females show comparatively lower interest in visiting the Flodova clinic.

Conclusions: These results have managerial implications for developing SMME strategies in marketing health clinics, mainly through social media platforms like Facebook. The study underscores the importance of leveraging electronic word of mouth, entertainment, and interactive elements to maximize the effectiveness of SMME strategies. Additionally, it emphasizes the need for tailored approaches considering health threats and gender differences to optimize visit intentions and enhance engagement.


  1. Radu G, Solomon M, Gheorghe C, Hostiuc M, Bulescu I, Purcarea V. The adaptation of health care marketing to the digital era. J Med Life. 2017;10(1):44–46.
  2. Al-Weshah GA, Kakeesh DF, Al-Ma’aitah NA. Digital marketing strategies and international patients’ satisfaction: an empirical study in Jordanian health service industry. Stud Appl Econ. 2021;39(7):1-14.
  3. Koidl K, Kapanova K, Koidl K, Kapanova K. Interpersonal Trust within Social Media Applications: A Conceptual Literature Review [Internet]. The Psychology of Trust. IntechOpen. 2022. [Available from:] [Accessed on: 5th February 2023].
  4. Yulhasmida Y, Yacob S, Lubis TA. Patients Visiting Intention: a Perspective of Internal and Social Media Marketing in Kambang Jambi Hospital. J Bus Stud Manag Rev. 2019;2(2):143–153.
  5. Gupta A, Tyagi M, Sharma D. Use of social media marketing in healthcare. J Health Manag. 2013;15(2):293–302.
  6. Khan MJ, Chelliah S, Haron MS, Ahmed S. Push factors, risks, and types of visit intentions of international medical travelers–A conceptual model. Int J Healthc Manag. 2017;10(2):115–121.
  7. Keller KL, Kotler P. Holistic marketing: a broad, integrated perspective to marketing management. In: Does Marketing Need Reform?: Fresh Perspectives on the Future. Routledge; 2015;1(1):308–313.
  8. Kotler P, Keller KL, Ang SH, Tan CT, Leong SM. Marketing management: an Asian perspective. Pearson Harlow: Singapore. 2018.
  9. Akbolat M, Sezer C, Ünal Ö, Amarat M. The mediating role of patient satisfaction in the effect of patient visit experiences on word-of-mouth intention. Health Mark Q. 2021;38(1):12–22.
  10. Setiawan H, Hasyim H, Mutiara R. Marketing Mix and Trust as A Visiting Intention Factors. J Multidiscip Acad. 2020;4(6):373–380.
  11. Taufik ER, Hasan S, Titin T, Singagerda FS, Sinambela EA. Hospitals Visit Intention and Visit Decision: How the Role of Viral and Word of Mouth Marketing? Front Public Health. 2022;10(1):948854.
  12. Kim AJ, Ko E. Do social media marketing activities enhance customer equity? An empirical study of luxury fashion brands. Fash Mark Consum Lux Brands. 2012;65(10):1480–1486.
  13. Cham TH, Lim YM, Aik NC, Tay AGM. Antecedents of hospital brand image and the relationships with medical tourists’ behavioral intention. Int J Pharm Healthc Mark. 2016;10(4):412–431.
  14. Mohd Isa S, Lim GSS, Chin PN. Patients’ intent to revisit with trust as the mediating role: lessons from Penang Malaysia. Int J Pharm Healthc Mark. 2019;13(2):140–159.
  15. Seow AN, Choong YO, Moorthy K, Chan LM. Intention to visit Malaysia for medical tourism using the antecedents of Theory of Planned Behaviour: A predictive model. Int J Tour Res. 2017;19(3):383–393.
  16. Wang YD, Emurian HH. An overview of online trust: Concepts, elements, and implications. Comput Hum Behav. 2005;21(1):105–125.
  17. Addalia A, Antonio F. Antecedents of the Sports Clinic Image and Its Impact on Visit Intention with Personality Traits as the Moderating Factor. Univers J Public Health. 2022;10(4):316–328.
  18. Benbasat I, Gefen D, Pavlou PA. Trust in online environments. J Manag Inf Syst. 2008;24(4):5–11.
  19. Bauman A, Bachmann R. Online Consumer Trust: Trends in Research. J Technol Manag Innov. 2017;12(2):69–79.
  20. Hidayat A, Wijaya T, Ishak A, Endi Catyanadika P. Consumer Trust as the Antecedent of Online Consumer Purchase Decision. Information. 2021;12(4):145.
  21. Hsu MH, Chuang LW, Hsu CS. Understanding online shopping intention: the roles of four types of trust and their antecedents. Internet Res. 2014;24(3):332–352.
  22. Lee C. Patient loyalty to health services: The role of communication skills and cognitive trust. Int J Healthc Manag. 2021;14(4):1254–1264.
  23. Weaver JB, Mays D, Weaver SS, Hopkins GL, Eroğlu D, Bernhardt JM. Health Information–Seeking Behaviors, Health Indicators, and Health Risks. Am J Public Health. 2010;100(8):1520–1525.
  24. Abubakar AM, Ilkan M, Meshall Al-Tal R, Eluwole KK. eWOM, revisit intention, destination trust and gender. J Hosp Tour Manag. 2017;31(1):220–227.
  25. Bendall-Lyon D, Powers TL. The impact of gender differences on change in satisfaction over time. J Consum Mark. 2002;19(1):12–23.
  26. Mou J, Cohen J. Trust, risk barriers and health beliefs in consumer acceptance of online health services. 2014;1(1):1-19.
  27. Sbaffi L, Rowley J. Trust and Credibility in Web-Based Health Information: A Review and Agenda for Future Research. J Med Internet Res. 2017;19(6):e218.
  28. Bilgin Y. The effect of social media marketing activities on brand awareness, brand image and brand loyalty. Bus Manag Stud Int J. 2018;6(1):128–148.
  29. Hair JF, Risher JJ, Sarstedt M, Ringle CM. When to use and how to report the results of PLS-SEM. Eur Bus Rev. 2019;31(1):2–24.
  30. Hair JF, Astrachan CB, Moisescu OI, Radomir L, Sarstedt M, Vaithilingam S, et al. Executing and interpreting applications of PLS-SEM: Updates for family business researchers. J Fam Bus Strategy. 2021;12(3):100392.
  31. Sarstedt M, Hair JF, Pick M, Liengaard BD, Radomir L, Ringle CM. Progress in partial least squares structural equation modeling use in marketing research in the last decade. Psychol Mark. 2022;39(5):1035–1064.
  32. Naeem M. The role of social media to generate social proof as an engaged society for stockpiling behavior of customers during the Covid-19 pandemic. Qual Mark Res Int J. 2021;24(3):281–301.
  33. Roy S. Theory of social proof and legal compliance: a socio-cognitive explanation for regulatory (non) compliance. Ger Law J. 2021;22(2):238–255.
  34. Wibowo A, Chen SC, Wiangin U, Ma Y, Ruangkanjanases A. Customer behavior as an outcome of social media marketing: The role of social media marketing activity and customer experience. Sustainability. 2020;13(1):189.
  35. Jamil K, Dunnan L, Gul RF, Shehzad MU, Gillani SHM, Awan FH. Role of Social Media Marketing Activities in Influencing Customer Intentions: A Perspective of a New Emerging Era. Front Psychol. 2022;12:808525.
  36. Harmon-Jones E, Harmon-Jones C. Cognitive dissonance theory after 50 years of development. Z Für Sozialpsychologie. 2007;38(1):7–16.
  37. Harmon-Jones E, Mills J. An introduction to cognitive dissonance theory and an overview of current perspectives on the theory. 2019;1(1):3-24.
  38. Febriyantoro MT. Exploring YouTube Marketing Communication: Brand awareness, brand image and purchase intention in the millennial generation.. Cogent Bus Manag. 2020;7(1):1787733.
  39. Kang J, Tang L, Fiore AM. Restaurant brand pages on Facebook: do active member participation and monetary sales promotions matter? Int J Contemp Hosp Manag. 2015;27(7):1662–1684.
  40. Schultz DE, Peltier JJ. Social media’s slippery slope: challenges, opportunities and future research directions. J Res Interact Mark. 2013;7(2):86-99.
  41. Oberoi S, Chaudhary N, Patnaik S, Singh A. Understanding health-seeking behavior. J Fam Med Prim Care. 2016;5(2):463.
  42. Prabawa IPY. Hubungan Antara Sikap Dan Tingkat Pengetahuan Seputar Klinik Wisata Pada Wisatawan Domestik Maupun Mancanegara Terhadap Pemanfaatan Klinik Wisata Di Kawasan Wisata Pantai Kuta, Bali. JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia. 2014;2(2):36-48.
  43. Nadila I, Syahrul S, Suherman S, Mamfaluti T, Firdausa S. Rehabilitation-related knowledge correlate to visit compliance in post-ischemic stroke patients in an outpatient rehabilitation clinic. Bali Medical Journal. 2021;10(2):549–552.
  44. Romdzati, Wanda D. Utilizing information technology for optimizing LBW care: a systematic review. Bali Medical Journal. 2023;12(1):563–570.
  45. Yanti B, Ramadhani AZA, Muhamad ZF, Rahmad, Yafi A. Application for COVID-19 severity diagnosis and asynchronous telehealth: development and prototype of G-COV. Bali Medical Journal. 2022;12(1):106–111.

How to Cite

Gomes, F. C., Antonio, F., Laot, P. A. M. E., & Gomes, E. E. C. (2023). The impact of social media marketing efforts on visit intention: a case study in Flodova Clinic, Dili, Timor Leste. Bali Medical Journal, 12(2), 2320–2329.




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Florindo Cardoso Gomes
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Ferdi Antonio
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Perpetua Ana Mery Estela Laot
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Eva Estrelita Cardoso Gomes
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