10/19/2026
If your local SEO strategy still stops at Google, you're already behind — and the shift happened fast.
BrightLocal's 2026 Local Consumer Review Survey (a nationally representative panel of 1,002 U.S. adults) found that consumers now use an average of six different platforms to research a business before choosing it. Google still leads at 71%, but the standout trend is this: the share of consumers using ChatGPT and other generative AI tools for local recommendations jumped from 6% last year to 45% this year.
Reviews still do the heavy lifting once someone finds you. The same survey found 97% of consumers read reviews before choosing a local business, 85% say positive reviews make them more likely to use it, and standards keep rising — 31% of people now say they'll only consider a business with 4.5 stars or higher, up from just 17% a year earlier.
Worth noting: this survey covers local businesses generally, not healthcare specifically, but patients behave similarly.
For independent practices, this means two things: reputation management is no longer optional, and being "AI-search visible" — accurate, consistent, review-rich listings that a language model can pull clean information from — is becoming as important as ranking on page one of Google.
If you manage marketing for a small practice, when's the last time you audited how it shows up when someone asks an AI assistant to recommend a provider nearby?
Source: BrightLocal, 2026 Local Consumer Review Survey (published February 2026; n=1,002 U.S. adults via SurveyMonkey panel).