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Mike, I don't have any research, but I do have a litte bit of experience on the subject. A local medical office that is one of my clients recently wanted to do something similar. I live in southwest florida, so the overwhelming majority of patients are over the age of 65. Surprisingly (to me at least), when surveyed, most had home computers. However, when given a "choice" between paper or email, most chose paper. The office does both. When patients come in for a visit, or new patients sign up, they're given a small survey sheet that asks a few questions, including their preference on receiving the office newsletter. That information is put into the computer and used when each newsletter is issued. We set up a mailing list on our server for them to handle the email side of things and they use a local direct mail company to handle the paper mail. This started almost a year ago and the last time I visited with them, a few months ago, they claimed to have a lower rate of patients leaving to seek other doctors. And they feel it's a direct result of better communication with the patients with the newsletters. So my suggestion is "don't limit yourself" or "try both". I don't know what your demographic is, but if it's similar then a combination will likely work very well for you. In article <[EMAIL PROTECTED]>, [EMAIL PROTECTED] says... > > I'm wondering which tends to generate a better response rate - direct mail > by post or e-mail. > > The business is an alternative healthcare practice that wants to communicate > to its patients and generate more frequent visits. > > Location is an urban area in the southeastern United States. > > The business is debating whether to issue a newsletter to its patients in > paper form or in electronic form in order to communicate some health-related > information, as well as events and promotions in the practice. > > Does anyone have any educated thoughts on which medium would be more > effective? Clearly, sending the paper format is more expensive, but is it > more effective to the point where it justifies the additional cost? > > Can someone point me to academic research that attempts to establish which > medium is more effective in general? > > Thanks in advance
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