TY - JOUR A1 - Raewer, Henrik A1 - Braun von Reinersdorff, Andrea A1 - Ochotta, T. A1 - Rasche, Christoph T1 - Market and competitive positioning of specialized practices JF - UROLOGE N2 - The provision of outpatient services will be confronted by increased market concentration. Under these circumstances, individual medical practices are predicted to have a minimal chance for survival since by nature the specialized physician can only accommodate the considerably heterogeneous needs of the patients up to justifiable limits. Due to patients’ higher rate of mobility in the elective process, specialty physicians in rural areas are obliged to transform their practices into professional service enterprises. While hospitals are attempting to combat a continuing economization of the health care sector, in part by applying aggressive leadership and management methods, an increasing polarization can be noted in the outpatient setting. Also in the field of urology, patients consider themselves medical treatment clients who are unwilling to be relegated to cases of the often criticized"5-minute medicine.". KW - Market positioning KW - Competitive positioning KW - Specialty practices KW - Outpatient care KW - Patient mobility Y1 - 2011 U6 - https://doi.org/10.1007/s00120-011-2745-x SN - 0340-2592 VL - 50 IS - 12 SP - 1550 EP - 1559 PB - SPRINGER HEIDELBERG CY - HEIDELBERG ER -