caa a22 4500 445307331 CHVBK 20180317142617.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1398-0 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1398-0 The era of centers: the influence of establishing specialized centers on patients' choice of hospital [Elektronische Daten] [Michael Lux, P. Fasching, M. Schrauder, C. Löhberg, F. Thiel, M. Bani, T. Hildebrandt, A. Grün, M. Beckmann, T. Goecke] Purpose: It is considered that establishing accredited specialized centers can serve as a marketing tool. This study investigated whether accredited specialized centers influence patients' choice of hospital. Methods: A total of 2,389 patients was included in a questionnaire survey: 468 at the Department of Gynecology, 745 at the certified University Breast Center of Franconia, 1,000 at the University Perinatal Center of Franconia and 176 for whom classification details were lacking. Results: Among the oncological patients, physicians in private practice played an important role in the choice of hospital (58.4 vs. 25.7%; P<0.001; OR 4.058). Among obstetric patients, the primary factors were recommendations from family [odds ratio (OR) 0.495], friends (OR 0.218), and previous personal experience of the hospital (OR 0.695). For oncological patients, treatment quality (OR 2.693), availability of a center (OR 1.785), and certification (OR 3.939) were comparatively more important. For obstetric patients, friendliness (OR 0.409) and attractive accommodation (OR 0.153) were more important. Conclusions: Physicians are the most important source of recommendations for oncological patients. From the marketing point of view, intensive involvement of local private-practice physicians is necessary. The availability of certified perinatal centers does not currently play any part in patients' choice of hospital. Springer-Verlag, 2010 Breast center nationallicence Breast cancer nationallicence Perinatal center nationallicence Certification nationallicence Marketing nationallicence Accreditation nationallicence Patient satisfactory nationallicence Lux Michael University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Fasching P. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Schrauder M. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Löhberg C. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Thiel F. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Bani M. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Hildebrandt T. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Grün A. Faculty of Economy, University of Applied Sciences, Coburg, Germany aut Beckmann M. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut Goecke T. University Perinatal Center of Franconia (UPF), Department of Gynecology, Erlangen University Hospital, Erlangen, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 559-568 0932-0067 283:3<559 2011 283 404 https://doi.org/10.1007/s00404-010-1398-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1398-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lux Michael University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Fasching P. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Schrauder M. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Löhberg C. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Thiel F. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Bani M. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Hildebrandt T. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Grün A. Faculty of Economy, University of Applied Sciences, Coburg, Germany aut NATIONALLICENCE 700 1- Beckmann M. University Breast Center of Franconia (UBF), Department of Gynecology, Erlangen University Hospital, Universitätstrasse 21-23, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Goecke T. University Perinatal Center of Franconia (UPF), Department of Gynecology, Erlangen University Hospital, Erlangen, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 559-568 0932-0067 283:3<559 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer