PurposeIn the light of lessons learned from recent disasters (The London subway bombings, and Hurricane Katrina), it has become increasingly clear that supply chain partners as well as government agencies need to be prepared to communicate effectively to consumers and customers before, during and after a disaster. Effective communication can minimize confusion and harm to company reputations, to consumers, the economy and the nation. Incorporating consistent communications into supply chain management (SCM) plans used by all parties in the supply chain will enhance competitiveness of the whole chain and speed recovery from potentially disastrous events. Findings from a national survey of consumer's attitudes about terrorism provide information about the development of targeted and effective communications.Design/methodology/approachBased on a survey of more than 4,000 US consumers, this study used “predictive segmentation” which consists of a canonical factor analysis relating general consumer attitudes and values to their more specific fears and concerns about terrorism. A clustering of consumers then identifies six diverse consumer segments providing a framework for the development of communication strategies.FindingsResults from this study demonstrate that people can be grouped based on their general attitudes and values in such a way that their diversity can be captured in a simple framework of segments each reflecting striking differences in the level of concern over potential terrorist attacks.Practical implicationsGuidance is offered for the development of communication strategies based on the information needs and media behavior of each consumer segment to mitigate the impact of a potential terrorist attack or catastrophic food safety breaches. It provides practical and logical extension of former studies that suggest incorporating consumers, attitudes into SCM and business continuity plans.Originality/valueThis study leverages a common and proven marketing research approach – segmentation – used in private industry for the marketing of goods and service. It applies this method to defining segments of consumers based on their attitudes and concerns about terrorism that will be useful in supply chain communication management.

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Integration was a more profitable strategy for isolated rural hospitals than for hospitals with nearby competitors. Although further research is needed to determine if these results are due to the affect of competition on the cost of acquiring and operating practices, isolated rural hospitals should be open to the prospect of acquiring physician practices. Hospitals in competitive markets should be cautious about entering bidding wars for physician practices.

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