Healthcare-specific

Patient reviews and reputation management

By Nathan Woo

Patient reviews significantly influence both search rankings and patient decisions. Google explicitly states that "review count and review score factor into local search ranking,"[1] making online reputation management essential for attracting new patients while maintaining trust.

Why reviews matter for SEO

Google explicitly states that "review count and review score factor into local search ranking."[1] More positive, recent reviews correlate with higher local pack rankings.

Reviews provide fresh, user-generated content that search engines value. They also demonstrate ongoing patient engagement with your practice.

Star ratings appear in search results through structured data, influencing click-through rates before patients even visit your website.

Review velocity (how frequently you receive reviews) signals ongoing patient satisfaction and practice activity to search algorithms.

How reviews influence patients

Research published in JMIR found that negative reviews significantly decrease physician selection intention, demonstrating the powerful impact of online reputation on patient decisions.[2]

Overall star rating is important, but patients also examine review recency, volume, and the specific content of reviews. A 4.5-star rating with recent reviews often outperforms a 5-star rating with outdated feedback.

How you respond to negative reviews can positively influence perception. Professional, empathetic responses demonstrate that you care about patient experience.

Patients often trust peer reviews more than provider-created marketing content. Third-party validation carries more weight than self-promotion.

Ethical review management

Ask for reviews: It's appropriate to encourage satisfied patients to leave reviews. The key is asking all patients systematically, not cherry-picking those likely to leave positive feedback.

Never incentivize: Offering discounts, gifts, or any compensation for reviews violates FTC endorsement guidelines and platform policies. This applies even to "neutral" incentives like entry into a raffle.[3]

Don't fake reviews: Fake reviews violate platform terms and can result in penalties, profile removal, or legal action. Review platforms use sophisticated detection methods.

Respond thoughtfully: Respond to negative reviews professionally without violating HIPAA. Never confirm that someone is a patient or reference any health information, even if the reviewer shares their own details.[4]

Responding to negative reviews

Acknowledge the feedback without admitting or denying specific claims. A response like "We're sorry you had this experience" is appropriate.

Invite the reviewer to contact your practice directly to resolve concerns. Take the conversation offline rather than debating publicly.

Never confirm someone is a patient or reference any health information – even acknowledging they visited your practice can violate HIPAA.[4]

Keep responses brief, professional, and empathetic. Defensive or argumentative responses reflect poorly on your practice.

Use negative feedback as an opportunity to improve practice operations. Patterns in complaints often reveal genuine areas for improvement.

Key takeaways

  • Google confirms reviews are a local SEO ranking factor
  • Research shows negative reviews significantly decrease physician selection intention
  • Ethical review practices: ask systematically but never incentivize or fake
  • HIPAA applies to review responses – never confirm patient status

Related concepts

For healthcare practices

See how this applies to specific specialties.

Related problems

Common challenges this concept helps address

Sources

  1. 1Google Business Profile Help - Local Ranking
  2. 2JMIR - Impact of Online Reviews on Physician Selection(2024)
  3. 3FTC Endorsement Guides
  4. 4HHS HIPAA Privacy Rule
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