Analysis of factors influencing the choice for a centre for obstetrical and gynaecological patients

Abstract

Purpose: The purpose of this study was to analyse the factors that influence patients` choice of obstetric and gynaecological medical centre.

Methods: Patients attending the gynaecological and obstetric outpatient department (gyn./obs.) at a large tertiary university hospital were asked to voluntarily complete an anonymous 34-item-questionnaire on factors influencing their choice of medical centre at a large tertiary university hospital. Apart from epidemiological factors the preferences were analysed using a Likert scale of 1-5 (1 least, 5 most). Between 10/2023 and 04/2024, 445 outpatients (170 gynaecological, 275 obstetric) were included.

Results: In both outpatient departments (gynaecological/obstetric), the most important factors (4&5/5 possible points) were considered to be clear communication (90%/92%), sufficient time for consultation with the medical staff (90%/90%), friendly care (89%/92%), good professional qualifications (86%/89%), treatment according to the latest findings (85%/86%) and empathy (83%/91%). The following factors were considered less important: Doctor's degree was considered important by only 31%/28%, appearance by 32%/35%, internet rating by 41%/36% and professional background by 35%/38% of patients. Regarding organisational structures, medical care was most important (91%/93%), followed by availability by telephone or e-mail (88%/82%), clear communication of possible costs (79%/76%) and organisation of consultations (76%/69%). Less important were short waiting times (67%/63%), flexible opening hours (63%/56%), the facilities (46%/68%) and the location (43%/66%).

Conclusion: Patients often prioritise interpersonal factors when choosing a centre for medical treatment, external factors such as academic qualifications or organisational issues appear to be less important. While it is unsurprising that the best medical treatment is of paramount importance, the other findings can help to increase patients´ satisfaction and experience of the treatment.

Keywords: Choice of centre for treatment; Gynaecology; Obstetrics; Patients´ satisfaction.