The recognizable trend to reduce the length of stay (LOS) in hospitals will increase the demand for outpatient hospital services. Consequently, it is vital to encourage synergy between these two different sectors. De facto, clinics providing more outpatient healthcare services in coordination with hospitals are still insufficient. With progressively fewer small practices and clinics, often addressed as lone fighters in the public debate, the outpatient settings operate without coordinated planning and policies with the larger actual outpatient healthcare system. This reality requires constant adaptation in the development of medical care. An upgrading of the outpatient services should provide new primary facilities; these can function from the side of the provider but presumably not from the aspects of organization, based on the German medical healthcare centers.