The era of centers: the influence of establishing specialized centers on patients’ choice of hospital

Lux, Michael P.; Fasching, Peter A.; Schrauder, Michael G.; Löhberg, Christian; Thiel, Falk; Bani, M. R.; Hildebrandt, Thomas; Grün, Andreas; Beckmann, Matthias W.; Goecke, Tamme W.

doi:10.1007/s00404-010-1398-0

Cited by 43 publications

(44 citation statements)

References 3 publications

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“…In a survey including 1,073 patients in a department of gynaecology in Germany conducted in 2007, 65.6% of the patients were found to be familiar with certified centres [34]. In a further survey including 2,389 patients contacted between 2007 and 2008, the availability of a centre or the presence of certification, respectively, represented the major reason for recommending the hospital or for presenting there again in 34.3% and 43.5% of cases [35]. The data available show on the one hand that the perception and appreciation of care in certified structures have substantially increased in recent years, and on the other that a high level of penetration of the idea of establishing and certifying centres has already developed among the patients affected.…”

Section: From the Patients' Point Of Viewmentioning

confidence: 99%

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

Lux¹,

Hildebrandt²,

Beyer-Finkler³

et al. 2013

Breast Care

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Breast cancer centres - certified in accordance with the criteria of the German Cancer Association and the German Mastology Association - are established throughout Germany. Although the setting up of centres and the subsequent need for certification are associated with a marked increase in costs, initial data show positive effects on quality. Certified centres are cost-effective from the point of view of health economics - they lead to improved quality in processes and results without creating any increase in costs for the funding bodies. However, the organization of the necessary structures, with interdisciplinary treatment, documentation and quality-assurance measures, requires considerable resources. Increasing consolidation of inpatient services is also involved, while shortening of the patients' hospitalization periods is leading to reduced remuneration from the funding bodies. The current cost deficits, which have resulted from the increased resources required, need to be recouped through additional charges. It will only be possible to maintain the high quality achieved if additional charges become available to cover the centres' added costs. Good data are increasingly becoming available as a basis for negotiations on charges - e.g., with regard to the quality of results and the National Cancer Plan - as well as clear support from patients.

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Section: From the Patients' Point Of Viewmentioning

confidence: 99%

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

Lux¹,

Hildebrandt²,

Beyer-Finkler³

et al. 2013

Breast Care

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“…59.4 % of the patients followed the recommendation of their gynaecologist when deciding on a clinic. The importance of referring doctors and, to a lesser extent, certification was also underscored as a selection criterion for patients by Lux and colleagues [5]. This is most probably due to the comparatively high level of awareness of the concept of certified breast cancer centres [6].…”

Section: The Doctors On the Stationmentioning

confidence: 99%

The Patientsʼ View On Accredited Breast Cancer Centers: Strengths and Potential for Improvement

Kowalski

Wesselmann

Schulte³

et al. 2012

Geburtsh Frauenheilk

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. Patients were included consecutively between March and November 2010. The Cologne Patient Questionnaire-Breast Cancer (CPQ-BC) was used, which assesses a number of aspects of hospital care as perceived by the patients, among them provider-patient interaction, the diseasespecific information provided, the quality of organization, and room amenities. 128 of 195 Breast Care Centers and 160 of 251 hospitals participated in the study. 8226 patients consented to the survey. The questionnaires of 7301 patients could be included in the analyses (89%). Overall, the results showed that patients are satisfied with their hospital stay and that the accreditation criteria are implemented in a way that serves the patients. However, there is room for improvement for a number of issues, for example with regard to the provision of information and patient involvement in decision making. In addition, for a number of indicators substantial differences were found between the hospitals. The results of the survey provide information on the breast centersʼ development and can be used by the centersʼ surgery locations for benchmarking purposes, to identify strengths and weaknesses, and to take actions. Zusammenfassung

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“…The five-year survival rate rose from 73 % in 1998-1992 to 80% with the initial diagnosis in 1998-2002, presumably due to the earlier detection of tumours while still small and primarily due to improved adjuvant therapy [21]. Further progress is expected by the establishment of certified organ cancer centres [22][23][24], the implementation and consistent use of guidelines [25], the use of targeted therapies [26], early detection via mammography with suitable quality assurance [27] and the identification of new and prognostic markers [28]. This will only be measurable, however, if the implementation of these new structures and innovations is accompanied by health services research-related projects.…”

Section: Oncological Care and Quality Assurancementioning

confidence: 99%

Health Services Research and Health Economy – Quality Care Training in Gynaecology, with Focus On Gynaecological Oncology

Lux

Fasching

Loehberg

et al. 2011

Geburtsh Frauenheilk

Self Cite

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In the era of cost increases and reduced resources in the German healthcare system, the value of health services research and health economics is increasing more and more. Health services research attempts to develop concepts for the most effective ways to organise, manage, finance and deliver high-quality care and evaluates the implementation of these concepts with regard to daily routine conditions. Goals are the assessment of benefits and the economic advantages and disadvantages of new and established diagnostic methods, drugs and vaccines. Regarding these goals, it is clear that health services research goes hand in hand with health economics, which evaluates the benefits of diagnostic and therapeutic procedures in relation to the costs. Both scientific fields have focus principally on gynaecology and particularly on gynaecological oncology in Germany, as can be seen by numerous publications. These present several advantages compared with clinical trials ? they uncover gaps in health care, question the material, staffing and consequently the financial resources required and they allow the estimation of value and the comparison of different innovations to identify the best options for our patients.

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The era of centers: the influence of establishing specialized centers on patients’ choice of hospital

Cited by 43 publications

References 3 publications

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

The Patientsʼ View On Accredited Breast Cancer Centers: Strengths and Potential for Improvement

Health Services Research and Health Economy – Quality Care Training in Gynaecology, with Focus On Gynaecological Oncology

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