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Physicians and parents pair off for five minutes, then rotate into new conversations. “I usually am not too cavalier about that question, but I thought I was safe here.” “You are safe here,” Gage replies with a laugh.

The two seem at ease, and Gage peppers him with questions. How does he feel about medications for attention deficit disorder? The “Doc Shop,” the fifth at the Texas Health Harris Methodist Hospital Hurst-Euless-Bedford, is an innovative example of hospital marketing.

But when hospitals help doctors, the business often trickles back over time in “downstream revenue” with referrals for surgeries, tests and other procedures, Singleton explains.Although some critics say marketing drives up the cost and use of health care, many in the hospital industry say it’s crucial in the face of increasing competition, which includes not only other hospitals but also private operations such as surgical and imaging centers.In addition, they say, much of hospital marketing is geared to educating patients and physicians about the hospital’s quality and services.That includes staying on top of cutting-edge technology, constantly renovating the facility as well as marketing campaign.The first four Texas Health HEB Doc Shop events, which began last fall, were aimed at OB-GYNs.For patients, living in a competitive hospital marketing environment can mean access to perks like newly renovated hospitals, free lecture series and magazines and, for those in Bedford, Texas, help choosing a new physician.