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Groeben, C; Boehm, K; Koch, R; Sonntag, U; Nestler, T; Struck, J; Heck, M; Baunacke, M; Uhlig, A; Koelker, M; Meyer, CP; Becker, B; Salem, J; Huber, J; Leitsmann, M.
Hospital rating websites play a minor role for uro-oncologic patients when choosing a hospital for major surgery: results of the German multicenter NAVIGATOR-study.
World J Urol. 2023; 41(2):601-609 Doi: 10.1007/s00345-022-04271-1 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Leitsmann Marianne
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Abstract:
PURPOSE: Hospital rating websites (HRW) offer decision support in hospital choice for patients. To investigate the impact of HRWs of uro-oncological patients undergoing elective surgery in Germany. METHODS: From 01/2020 to 04/2021, patients admitted for radical prostatectomy, radical cystectomy, or renal tumor surgery received a questionnaire on decision-making in hospital choice and the use of HRWs at 10 German urologic clinics. RESULTS: Our study includes n = 812 completed questionnaires (response rate 81.2%). The mean age was 65.2 ± 10.2 years; 16.5% were women. Patients were scheduled for prostatectomy in 49.1%, renal tumor surgery in 20.3%, and cystectomy in 13.5% (other 17.1%). Following sources of information influenced the decision process of hospital choice: urologists' recommendation (52.6%), previous experience in the hospital (20.3%), recommendations from social environment (17.6%), the hospital's website (10.8%) and 8.2% used other sources. Only 4.3% (n = 35) used a HRW for decision making. However, 29% changed their hospital choice due to the information provided HRW. The most frequently used platforms were Weisse-Liste.de (32%), the AOK-Krankenhausnavigator (13%) and Qualitaetskliniken.de (8%). On average, patients rated positively concerning satisfaction with the respective HRW on the Acceptability E-Scale (mean values of the individual items: 1.8-2.1). CONCLUSION: In Germany, HRWs play a minor role for uro-oncologic patients undergoing elective surgery. Instead, personal consultation of the treating urologist seems to be far more important. Although patients predominantly rated the provided information of the HRW as positive, only a quarter of users changed the initial choice of hospital.
Find related publications in this database (using NLM MeSH Indexing)
Male - administration & dosage
Humans - administration & dosage
Female - administration & dosage
Middle Aged - administration & dosage
Aged - administration & dosage
Hospitals - administration & dosage
Cystectomy - administration & dosage
Urologists - administration & dosage
Prostatectomy - administration & dosage
Kidney Neoplasms - administration & dosage

Find related publications in this database (Keywords)
Uro-oncologic surgery
Hospital rating websites
Survey
Decision making
Health services research
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