The document discusses strategies for earning patient loyalty in healthcare. It defines loyalty and distinguishes it from satisfaction. Loyalty is built on satisfaction over multiple interactions that generate value. Earning recommendations is more important for healthcare providers than other industries due to influence on choices, but healthcare lags in customer service and loyalty. The 7 best practices outlined for building patient loyalty include quantifying loyalty economics, segmenting customers, improving digital experiences, cementing value relationships, and enabling referrals.