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All in all, it doesnt seem hard to win in this game, while losing seems difficult. As long as you provide a hospital that looks nice, has toilets and enough food and drinks, patients dont seem to care about the rest.
In my game, i keep getting the popup that reducing prices will help hospital rep. I was playing with +10% prices during the whole scenario and my rep was full by the end of my second star.
If you're in the first hospitals yes that is correct. But please stop saying a game is easy when you're still in the tutorial levels.
As for price I am personally pretty sure it has 0 impact on population it just causes your patient to be more or less happy everytime they have to pay based on price and the feature is very clunky if not buggy. It makes a while to have impact on people like for example you can go from +100 to - 100 and they will keep saying it is too expensive for a while. I tend to never tinker with the prices everytime i did I only got problems
Also 0 on the pricelist does not affect price rep unfortunately. -80% affects it no more than -10% also.
My limited testing on prices seems only to show that if you have a good price rep, then people will refuse to pay for things if you try raising prices, whereas if you have a bad price rep, they seem to pay, which means there's zero benefit to setting low prices, at least as far as I can tell.
If that prices rep is reducing the chance that people pay then something else I'm doing (and I can't think what that could be) is completely counteracting the effect.
I was trying to get the final achievement for my star (2M hospital value), and the number kept dropping. Turns out, it's very much tied to profitability - every month I was losing money, the hospital value would drop.
In the meantime, my other parameter for the star - reputation above 80% - was not a problem - rep was pegged at 99%.
Still, I had to do something, so I jacked up the prices (around 60%, I think). Great - started making money, and my hospital value was moving up about 100k per month... but my reputation had started sliding.
By the time I got the hospital value up over 2M, my reputation had dropped to 82% - barely enough to get the star. Still - the added bonus was that I got less visitors, which really helped with my queue times.
So IMHO, prices DO affect the number of visitors you get. But I'm still figuring this game out lol...
The training hospital is one I have set to 100% increased prices, so it can't be down to something specific to that hospital. I can take some screenshots to show what I've done if that would help.
Medical Reputation
Patient Happiness
Pricing
Staff Skill
Media Publicity
If your Medical, Patient, Staff and Media rating are near maximum, it doesn't matter how high you set your pricing. 20% is enough to tank the score already, but if the other four ratings are really high, they will still manage to drag your hospital up to "Great".
https://steamcommunity.com/sharedfiles/filedetails/?id=1503375477
This is why changing pricing only works for early hospitals, who are not as developed in the other 4 ratings. For a late game hospital, people will come regardless and you are expected to deal with it.
Usually, by the time my other four ratings get that high, my hospitals run well enough to be able to deal with any amount of patients, using 6 GP offices maximum.
If pricing no longer works for lowering your reputation and you're still overwhelmed by your sick people, then something's wrong with how you designed and trained your hospital.
https://steamcommunity.com/profiles/76561198021742664/screenshots/?appid=535930&sort=newestfirst&browsefilter=myfiles&view=grid
That's June of the fourth year, although I think the last six months are just testing stuff and taking screenshots and so on. Only about 40% of the hospital has been used.
similar to Skirlasvoud's screenshot, the reputation is high despite having no rep on prices:
https://steamcommunity.com/sharedfiles/filedetails/?id=1503394592
Haven't played the hospital long enough to get the staff trained more than about half way:
https://steamcommunity.com/sharedfiles/filedetails/?id=1503394233
Prices are all at 100%, with virtually no refusals to pay:
https://steamcommunity.com/sharedfiles/filedetails/?id=1503394958
General idea of the hospital layout:
https://steamcommunity.com/sharedfiles/filedetails/?id=1503393727
https://steamcommunity.com/sharedfiles/filedetails/?id=1503393847
It's pretty haphazard, but the rooms are stuffed with furniture so they're all 90%+ attractiveness (as are corridors for the most part) and prestige 5. Only drinks are energy drinks machines, only food is salty snacks vending machines and only entertainment is telephones (why let my patients be entertained for free when I can rip them off for cash I don't need?).
I started the level at +30% prices and only changed to +100% after a couple of years when I was doing some testing. I have no idea if that has any effect or whether +100% from the start would work better (although I'm guessing it would).