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Types of distribution channels

Distribution

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Distribution

A channel for distribution is defined as the agencies and strategies an organization uses to support its product marketing and increase their sales. An important determinant of the structure of a distribution channel is the marketing functions carried out by the particular organization. It should prepare a plan of the expected sales volume and profit.

The health care sector has its products and services which need to be distributed through various channels. Some of these products include medicine, equipment like machine for cancer patients. Services include attending to patients, outpatient and inpatients. The distribution channel used determines the speed of delivering the products or services and the cost of distribution.

There are various types of distribution channels characterized by use of intermediaries like retailers, agents, wholesalers. The channels are also characterized by Location of outlets in different parts of the region or country, and personal selling by the health care industries (Gorchels et al, 2004).

As Gorchels et al (2004) further note, there are various factors that determine the most appropriate channel for an organization to distribute its products.

First is the profit and sales expected. The organization should choose a channel that yields the highest volume of sales which in turn gives high profits. For instance, the use of intermediaries like agents and retailers can reduce profits because they also sell at a price that they get profits. Use of a long chain of distribution leads to reduced profits. However, the volume of sales is increased because more products are sold. Therefore, a balance should be found.

Convenience to the consumer is also important. The organization should consider the target consumer, for instance malaria or cancer patients. The targeted customers should be able to access the products and services easily.

Finally, the organization should also consider competition. An organization is expected to look at its direct competitors in the market and the type of channel that they use. Is the channel effective enough? This helps them to know the one to use so that they compete well and end up selling more of their products and services.

In conclusion, distribution is very important. When distributing commodities, organization should look at the types of distribution channels available. The organization should further take into consideration all the necessary factors before deciding on which channel to use.

References

Gorchels, R., Marien, E., & West, C. (2004). The Manager’s Guide to Distribution Channels. New York: McGraw-Hill.

types of Diabetes Mellitus

Diabetes

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Introduction

Diabetes (Diabetes Mellitus in medical terms) is an endocrinological disease that afflicts close to 200 million people worldwide. It is often characterized by high blood sugar levels, and is one of the leading killer diseases worldwide (Eisenbarth 23). Unfortunately a huge percentage of diabetics have limited access to medical care and treatment. Majority of the sufferers are also unaware that they have the disease, and therefore continue feeling its debilitating effects under the illusion that they are actually suffering from some other diseases. Diabetes occurs in different forms, and it is easy to confuse their symptoms if one is not keen. This paper examines the different types of diabetes, their causes and what can be done to alleviate its effects now and in the future.

Types

According to the United States Centre for Disease Control and Prevention (CDC), type 1, diabetes, type 2 diabetes and gestational diabetes are the most common. There also exists a different type called HYPERLINK “http://en.wikipedia.org/wiki/Latent_autoimmune_diabetes_of_adults” o “Latent autoimmune diabetes of adults” Latent autoimmune diabetes of adults (LADA) which usually presents itself as type 1 which occurs in adults and pre-diabetes which is characterized by high blood sugar levels but which are not high enough to be termed as type 2. Discussion will focus on the two common types, i.e. type 1 and 2.

Type 1

Causes

Also referred to as insulin dependent diabetes mellitus (IDDM), this type of diabetes occurs when the pancreas is not able to secret sufficient insulin to regulate the blood sugar level, thereby leading to unusually high levels of sugar in the blood (American Diabetes Association 41)

Symptoms

Common symptoms include fatigue, increased thirst, increased urination, nausea, vomiting and weight loss regardless of an increased appetite. The symptoms usually develop more rapidly than those associated with type 2, and if medical attention is not received the disease may prove fatal (Eisenbarth 74).

Diagnosis

Positive diagnosis usually occurs when any of the following can be proved:

A fasting plasma glucose level that is at or above 7.0 mmol/L (126 mg/dL).

HYPERLINK “http://en.wikipedia.org/wiki/Plasma_glucose” o “Plasma glucose” Plasma glucose level that is at or above 11.1 mmol/L (200 mg/dL), usually two hours after a 75 g oral glucose load as in a HYPERLINK “http://en.wikipedia.org/wiki/Glucose_tolerance_test” glucose tolerance test.

Hyperglycemic and causal plasma glucose symptoms that are at or above 11.1 mmol/ (200 mg/dL).

HYPERLINK “http://en.wikipedia.org/wiki/Glycated_hemoglobin” Glycated hemoglobin (hemoglobin A1C) that is at or above 6.5. The American Diabetes Association suggested this method but the WHO is yet to adopt it.

Prevention and Treatment

Type 1 diabetes cannot be completely prevented, but there are subtle methods like the use of immunosuppressive drugs, maintenance of a healthy diet administration of vaccines. Timely treatment which involves the administration of insulin either in liquid form through injections or the use of insulin tablets can cure a patient.

Type 2

Also known as non-insulin dependent diabetes mellitus (NDDM), type 2 diabetes is markedly different to type 1in that it is considered a lifestyle disease. 90 to 95% of diabetics in America suffer from this type (American Diabetes Association 12). It is predominant in overweight people and adults who lead unhealthy lifestyles by eating poorly and being physically inactive.

Causes

As it was mentioned above, type 2 diabetes is mainly brought about by leading unhealthy lifestyles by eating poorly, smoking, drinking and being physically inactive. Other causes may include medical conditions and genetic traits.

Symptoms

Both types share some symptoms like fatigue, increased urination and increased thirst, but others like blurred vision, slow-healing wounds and erectile dysfunction are mostly limited to type 2. Apart from this, type 2 diabetes tends to progress slowly compared to type 1, and therefore it may take a long time for the first clear symptoms to emerge.

Diagnosis

For one to be positively diagnosed with type 2 diabetes the following must be demonstrated:

Fasting blood glucose level that is higher than 126 mg/dL on two occasions.

Random (non-fasting) blood glucose level that is higher than 200 mg/dL and accompanied by the characteristic symptoms of urination, fatigue and increased thirst.

Oral glucose tolerance levels higher than 200 mg/dL after 2 hours.

Prevention and Treatment.

The most recommended method of prevention is through regular exercise and maintenance of healthy lifestyles. Recent studies have shown that individuals who do not smoke and drink but exercise regularly and eat healthy diets can reduce their chances of acquiring type 2 diabetes by just over 80% (Eisenbarth 87). On the other hand, sufferers can reduce the effects by close to 50% through observing the mentioned practices.

Discussion/Analysis

It is obvious that diabetes is a major health concern the world over. The statistics in America in particular are worrying. WHO statistics show that about 200 million people are currently living with some type of diabetes, and by 2030 this figure is expected to double. Type 2 is the most common especially in developed countries. 8.6 million Americans (18% of the population) who are 60 years old and above suffer from diabetes. This paper has highlighted the basic information that one should know about diabetes, but people need to be more vigilant in the way they treat their health especially when it comes to lifestyle diseases like type 2 diabetes.

Conclusion

All efforts made to combat this disease should be focused on preventing it and raising awareness about it. It is pathetic that there are people suffering from this disease who are not even aware about it. Governments everywhere should know that pouring colossal amounts of money into research while people are dying is not wise. The immediate concern should be prevention and management while we wait for a cure, and that is a model that has been tested and found to be successful for other diseases (American Diabetes Association 54).

References

American Diabetes Association. (2007). How To Diagnose And Classify Diabetes Mellitus. New York: Random House.

Eisenbarth. G. (2008). Type 1 And 2 Diabetes Mellitus. 11th ed. Philadelphia, Pa: Saunders Elsevier.

Types of Consumer Decisions.

-a) Types of Consumer Decisions (Continuum of buying decision behavior – from low purchase involvement to high purchase involvement)

Habitual Decision Making/Routine Response Behavior – The consumer makes a choice with

minimal conscious effort. The decision to purchase is routine and automatic. No time is wasted on decision making.

Limited Problem Solving – The consumer uses simple rules and broad guidelines to make a decision. The decision to purchase is often influenced by in-store displays and is thus made in the store.

Extensive Problem Solving – The consumer makes a decision after collecting as much information as possible on the alternatives, and each alternative is carefully assessed as per the desired attributes for the product.

b) Limited vs. Extended Problem Solving (Table 1)

Characteristic Limited Extended

– Motivation Low risk

Less expensive

Needed for a short time High risk

More expensive

Needed for a long time

– Information Search Internal sources

Limited external sources Internal sources

External sources

– Alternative Evaluation Few attributes

Simple decision rules

Few alternatives Many attributes

Complex decision rules

Many alternatives

– Purchase Decision No dissonance

Limited evaluation Dissonance

Complex evaluation

a) Steps in the model of rational decision making:

i – Define the problemiv – Generate alternatives

ii – Identify decision criteriav – Rate each alternative on each criterion

Iii – Weigh the criteriavi – Compute the optimal decision

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b) b) Stages in consumer decision making:

Problem recognition – This happens whenever a consumer sees a significant discrepancy between his actual state of affairs and his ideal state of affairs. This must be enough to awaken the decision making process in order to eliminate the discrepancy.

Information search – At this stage the consumer surveys his environment for appropriate information to make a rational decision. There are 4 types of searches: pre-purchase, ongoing, internal and external. Pre-purchase involves exploring the market for particular information. Ongoing involves browsing the market for fun so as to stay up-to-date with it. Internal is the search of one’s own memory for information on product alternatives. External is the use of outside sources such as friends and advertisements to gain information on product alternatives.

Evaluation of alternatives – This involves the application of evaluation criteria to the determinant attributes of each alternative in order to make the final decision on which product to buy.

Product choice – At this stage the consumer considers which brand of the product to purchase and at which store to purchase the product. Some of the influencing factors are convenience, promotions, discounts, advertising, location, service, reputation and satisfaction, quality, selection and price.

Outcomes/Post-purchase evaluation – Consumers continuously assess a product after it has been purchased. The overall attitude or opinion of a consumer towards his purchase is what determines consumer satisfaction or dissatisfaction, and is influenced by consumer expectations versus product performance (Neal, Quester and Hawkins, 2005).

3) Types of perceived risk:

Monetary risk: This type of risk is perceived by those of low income who want to own an expensive product. For example if Jane wants to be driving a car she may fear not being able to afford the gasoline for its use or being able to pay for its insurance afterward.

Functional risk: This type of risk is perceived by practical everyday users of a product. For example if John wants to be able to access the internet via his phone he may be concerned that the phone he buys may not be able to support high-speed internet access.

Physical risk: This type of risk is perceived by the elderly or those of poor health. For example if Jim has arthritis but needs to buy a lawnmower for his overgrown and untidy lawn he may be afraid of worsening his arthritis from the constant use of the lawnmower.

Social risk: This type of risk is perceived by individuals who are insecure or unsure of themselves or have inferiority feelings for themselves. For example if Judy wants to buy a pair of shoes that she feels comfortable walking in she may be fear being ridiculed by her friends for wearing those shoes because they are of an unrecognized brand.

Psychological risk: This is the uncertainty a consumer may feel that they will not be happy or satisfied with the purchase of a product. For example Joseph may feel that if he buys a particular type of fridge he will end up polluting the environment because the refrigerator contains small amounts of CFC (Solomon, 2009).

4) Choosing familiar brand names (Loyalty/Habit)

Zipf’s Law as applied to consumer behavior (Solomon, 2009) – People change from their preferences for a favorite brand, and then they literally may never change their minds in the course of a lifetime. Thus brands that dominate their markets are as much as 50% more profitable than their nearest competitors.

Consumers when they are deciding on purchasing a product often go for one bearing a particular brand name. This is sometimes based on brand loyalty and at other times is out of habit of purchasing a particular brand. Inertia is the term used to describe the consumer habit of buying a particular brand simply because it takes less time and effort to do so. Brand loyalty, on the other hand, is the consumer habit of repeatedly purchasing a product of a certain brand when accompanied by a positive attitude towards that brand. Brand loyalty exists when a consumer is satisfied with a product of a particular brand since they have never been let down by it (Solomon, 2009). When deciding on what brand of product to buy, consumers use various decision rules ranging from simple to complex. These rules include: lexicographic rule, elimination-by-aspects rule, conjunctive rule, disjunctive rule and compensatory decision rule. The conjunctive rule is applied when a consumer is willing to consider any brand that meets the minimum on each important evaluation criterion. The disjunctive rule is applied when a consumer is willing to consider any brand that meets the minimum on any important evaluation criterion. With the elimination-by-aspects rule the consumer selects the brand that has an important attribute no other brand has. According to the lexicographic rule the consumer goes for the brand which ranks highest on his most important criterion. In the compensatory decision rule the consumer decides on the brand which scores highest on all important evaluation criteria (Neal, Quester and Hawkins, 2005).

5) a) Marketing implications for:

Problem recognition:

– responding to consumer problem, that is reacting to a recognized and active consumer problem to bridge the gap between the desired and current state

– activating problem recognition, that is making the consumer aware of an inactive problem

– influencing the size of the discrepancy between a consumer’s actual state and his ideal state

by altering the ideal state or by altering his perceptions to his actual state.

– responding to consumer problem recognition

1. Timing problem recognition, for example in winter and colds, pharmaceuticals can respond by ensuring ready supply of over-the-counter medications

2. Suppressing problem recognition – to avoid upsetting habitual buyers or to anticipate and counter negatives

– measuring problem recognition: surveys and focus groups, activity analysis, product analysis, problem analysis; human (non-marketing) factors research, human emotion research

Purchasing process:

– Use of surrogate indicators such as price and brand name as indicators of quality

– assessing and reacting to the immediate emotional response of the consumer

– targeting consumer’s dominant decision rule and developing a strategy that strengthens the brand’s position within that rule

Brand-image advertising, brand-availability advertising

more exclusive distribution

Location analysis, high service

offering discounts, promotional deals

– Use of celebrity endorsement to promote brand name

– Use of product information to sway consumer decision, for example color of product

– Distribution of products in key outlets

– Programs to strengthen existing outlets

– store/retail outlet advertising

– Appropriate pricing, price specials

– Yellow pages listing

– Cooperative advertising

– Customer-sales personnel relationship

– simplifying purchase process

Post-Purchase evaluation:

– countering post-purchase dissonance

– influencing product usage

– employing product disposal strategies such as recycling, trade-ins and second hand markets

– Building on consumer satisfaction

– Relationship marketing and rewarding loyal customers

– Use of appealing and unique packaging

– creating reasonable expectations of the product and maintaining consistent quality so as to fulfill those expectations

-offering personalized post-purchase customer care service

– augmenting product with extra benefits

– Volume and frequency rewards

– measuring customer satisfaction by focus groups and surveys

b) Compensatory decision rule – Consumer assesses all brands in terms of every relevant criterion and then settles for the brand which scores the highest. For example when purchasing a computer, to select the brand that scores highest overall across all relevant criteria

Non-compensatory decision rule – Positive evaluation of an attribute in a brand does not compensate for negative evaluation of another attribute in the same brand, for example the Lexicographic rule – when purchasing a computer, to choose the brand that scores highest on the most important criterion(Schiffman, Kanuk & Wisenblit, 2009).

6) Business to Business (B2B) and Business to Consumer (B2C) Marketing – here the decision making process lies within the business supplying the product (Schiffman et al, 2009).

– The business has to identify the consumer’s problem and act on it by providing a suitable product to match the consumer’s need

– It has to determine the source preferred by the consumer for searching for information and use these to market its product

– It has to sway the consumer’s decision by providing a product with the best possible attributes

– Once the product has been sold it must ensure that it provides excellent customer care to promote customer satisfaction and brand loyalty

Business to Business (B2B) decision making process:

– Dealing with a business as a customer is different from dealing with a human being

– Factors such as store selection may not be relevant

– Information search is significant stage to focus on – advertising through yellow pages and on the internet, making product more visible

– important to focus on purchase process also – simplify purchase process by reducing paperwork involved, providing for credit facilities, ensuring there are no stock-outs, discounts for bulk purchases, promotional deals, providing for transport, airfreight and shipping etc

– Face-to-face or business meetings may be needed, or need to send sales representatives to meet with supplies manager

– Post-purchase follow-up, allowing for return of products if found defective, ensuring enough stock in case of a follow-up order

References

Solomon, R. (2009). Consumer Behavior: Buying, Having and Being (8th Edition). New Jersey: Prentice Hall. Print.

Neal, Quester and Hawkins (2005). Consumer Behavior: Implications for Marketing Strategy (4th Edition). McGraw-Hill Irwin: Queensland. Print.

Schiffman, L., Kanuk, L. & Wisenblit J. (2009). Consumer Behavior (10th Edition). Prentice Hall. Print.