Preview

The Rise of Outpatient Care Centers

Best Essays
Open Document
Open Document
1782 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
The Rise of Outpatient Care Centers
Debby Lopez, Katie Pham, Visish Srinivasan, Catiana Syllien, Marie Christine Uwamahoro
Drexel University
ECON 240 – 1
Dr. Edward A Tomczyk
12 November 2006

Economic Analysis of Outpatient Care Centers vs. Hospitals

A recent phenomenon in the health services is the burgeoning of outpatient healthcare centers. Particularly vigorous growth has been observed in centers that perform diagnostic tests and simple surgeries and procedures like colonoscopies. At the current state, outpatient care centers outnumber hospitals in Pennsylvania. Furthermore, these centers now perform one of every four surgical and diagnostic procedures in the state (Levy 2006). However, the trend applies nationwide, and other states could easily follow suit. Many critics have commented on the negative and positive aspects of this trend. What remains to be determined are the long term effects (on health and the economy) of this paradigm shift, in terms of the wellness of the community as well as economically. Proponents of the movement have pointed to the lower overhead for these clinics trickling down to lower costs for patients. However, critics skeptically question whether the real benefits are for the patients or simply as a mechanism to stuff physicians ' wallets. When considered as firms in the marketplace, it is evident that these two groups, both servicing the health needs of the community, have vastly different balance sheets and income statements. This transfers over to a difference in operational functionality, profitability, and cost structure. Furthermore, the disparity of financial motivations that is visible in the varying profit margins is of concern to the community. All of these are important considerations to be made when considering the economic implications of this new phenomenon. The most important aspect of this shift to analyze is the health aspect – how effective and safe are outpatient clinics in relation to inpatient clinics. In an article published in the



References: Hearle, K., Koenig, L., Rudowitz, R., Siegel, J. M., Dobson, A., & Ho, S. (2003, 2003). Drivers of expenditure growth in outpatient care services. The American Journal of Managed Care, 9, sp25-2p33. Retrieved November 7, 2006 Martin, A., & Leslie, D February 1999. Date retrieved November 7, 2006 from http://jama.ama-assn.org/cgi/content/full/281/7/644 Archer, Bill U.S. HOUSE OF REPRESENTATIVES. February 1997. Date Retrieved November 7, 2006 from http://www.gpo.gov/congress/house/ways-and-means/sec1.pdf Armstrong, David (2006). U.S. Seeks to More Tightly Restrict Doctors ' Billings for Medical Tests http://www.healthdecisions.org/Medicare/News/default.aspx?doc_id=89001 Levy, Marc (2006) The Miami Herald. Retrieved November 7, 2006 from http://www.miami.com/mld/miamiherald/business/national/15736742.htm Harvey Jay Cohen, John R. Feussner, Morris Weinberger, Molly Carnes, Frank Hsieh, Philip Lavori. (1996). The New England Journal of Medecine John B. Pollard, Ann L. Zboray, Richard I Mazze. The International Anesthesia Research Society. (1996). Economic Benefit Attributed to Opening a Preoperative Evaluation Clinic for Outpatients, 83,407-10

You May Also Find These Documents Helpful

  • Good Essays

    CONTEXT: Most strategies proposed to control the rising cost of health care are aimed at reducing medical resource consumption rates. These approaches may be limited in effectiveness because of the relatively low variable cost of medical care. Variable costs (for medication and supplies) are saved if a facility does not provide a service while fixed costs (for salaried labor, buildings, and equipment) are not saved over the short term when a health care facility reduces service. OBJECTIVE: To determine the relative variable and fixed costs of inpatient and outpatient care for a large urban public teaching hospital. DESIGN: Cost analysis. SETTING: A large urban public teaching hospital. MAIN OUTCOME MEASURES: All expenditures for the institution during 1993 and for each service were categorized as either variable or fixed. Fixed costs included capital expenditures, employee salaries and benefits, building maintenance, and utilities. Variable costs included health care worker supplies, patient care supplies, diagnostic and therapeutic supplies, and medications. RESULTS: In 1993, the hospital had nearly 114000 emergency department visits, 40000 hospital admissions, 240000 inpatient days, and more than 500000 outpatient clinic visits. The total budget for 1993 was $429.2 million, of which $360.3 million (84%) was fixed and $68.8 million (16%) was variable. Overall, 31.5% of total costs were for support expenses such as utilities, employee benefits, and housekeeping salaries, and 52.4% included direct costs of salary for service center personnel who provide services to individual patients. CONCLUSIONS: The majority of cost in providing hospital service is related to buildings, equipment, salaried labor, and overhead, which are fixed over the short term. The high fixed costs emphasize the importance of adjusting fixed costs to patient consumption to maintain…

    • 284 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Describe how some of the changes in the health services delivery system have led to a decline in hospital inpatient days and a growth in ambulatory services.…

    • 685 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    hcs/230 syllabus

    • 3755 Words
    • 16 Pages

    This course provides a broad overview of the various functions of the United States health care system. The historical evolution of health care is examined. The student is introduced to the various forms of provider models and service delivery systems found in private and public health sectors, including ambulatory, acute, mental, and long-term care. The financing aspects of health care and their influence on health care delivery and quality are outlined.…

    • 3755 Words
    • 16 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hcs 235 Syllabus

    • 2686 Words
    • 11 Pages

    This course provides a broad overview of the various functions of the United States health care system. The historical evolution of health care is examined. The student is introduced to the various forms of provider models and service delivery systems found in private and public health sectors, including ambulatory, acute, mental, and long-term care. The financing aspects of health care and their influence on health care delivery and quality are outlined.…

    • 2686 Words
    • 11 Pages
    Satisfactory Essays
  • Powerful Essays

    Duarte, F. (2012). Price elasticity of expenditure across health care services. Journal of Health Economics, 31(6), 824-841. doi: http://dx.doi.org/10.1016/j.jhealeco.2012.07.002…

    • 2491 Words
    • 10 Pages
    Powerful Essays
  • Satisfactory Essays

    The primary clinic

    • 414 Words
    • 2 Pages

    Examine how public healthcare policy has influenced the formation of outpatient clinics in the healthcare system.…

    • 414 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    (AB, et al., 2003). The number of people that reach out to outpatient facilities has increased by 29% over that past decade; (AB, et al., 2003) this indicates that the consumers are looking for a less expensive alternative to the more expensive emergency room visit. There are a greater number of outpatient facilities in rural areas where there is less access to general practitioners and hospitals. The Health Care and Education Reconciliation Act increased investments to the more needy areas where there is less access to healthcare facilities. (Senate, 2010)The 2010 reform act included grants and federal funding to higher education. (Stansfeild, Cross, & Hui, 2012) The reason why the grants and funding is a reflection towards the utilization is it expands the growth of newly educated healthcare…

    • 1405 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Outpatient hospital services are also known as ambulatory care. The most common type of outpatient hospital is the hospital emergency rooms or departments. “Emergency care involves a situation in which a delay in treatment would lead to a significant increase in the threat to a patient’s life or body part” (Valerius, Bayes, Newby, & Seggern, 2008). The…

    • 596 Words
    • 3 Pages
    Good Essays
  • Best Essays

    "Controlling high US healthcare costs imperative." PharmacoEconomics & Outcomes News 17 Dec 2005: 5-5. Web. 12 Oct 2009. .…

    • 1735 Words
    • 7 Pages
    Best Essays
  • Better Essays

    NURSE MANAGED HEALTH CENTERS AND PATIENT-CENTERED MEDICAL HOMES COULD MITIGATE EXPECTED PRIMARY CARE PHYSICIAN SHORTAGE…

    • 1905 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Concierge Medicine

    • 1042 Words
    • 5 Pages

    Medicine has changed in the past years in many ways. With the change and inventions of new cures, technology, and less invasive procedures, medicine has become a whole different world. Though there has been many enhancements that increase the productivity and treatment outcomes in medicine, the delivery method and care has changed along with it, and not for always for the best. Hospitals are what people find security and safety from all illness and diseases they have come across, but with the change of the economy and budget cuts, the first thing to cut is patient care and service. When people think of hospitals they think of long lines, waiting for hours for a simple procedure or question, medications that aren’t helpful and no care or relationship with the doctor. Patients get less time with physicians and more time with physician assistants and nurses. Many hospitals and clinics have made it known at the first meeting that after the initial appointment, the remainder of appointments will be either with the nurse practitioner or physician assistant. With less care and relationship from the physician, patients start to wonder why pay high dollar for less service, and that’s where the issue arises.…

    • 1042 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Health Care Economics

    • 754 Words
    • 4 Pages

    The economics of United States health care has been through many changes over its history. There are multiple factors to what caused the changes to the health care system over time with changes such as technological advances in medicine and surgical devices, new medical discoveries, and financial laws pertaining to health care. Just as with other businesses, the health care industry’s economy would depend upon supply and demand of their services. Throughout the time that health care has been undergoing these changes, it remains that the economical situation in health care has been the main focal point to how well that health organizations in the United States will perform.…

    • 754 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    A Review of Lucid Dreaming

    • 4922 Words
    • 20 Pages

    Shapiro, D. H., Wu, J., Buchsbaum, M., Hong, C., Elderkin-Thompson, V., & Hillard, D. (1995).…

    • 4922 Words
    • 20 Pages
    Powerful Essays
  • Powerful Essays

    cost of health care

    • 2693 Words
    • 11 Pages

    The dramatic rise in health care costs over the last century and into the current one has many contributing factors. Although each of these factors is not exclusive, they all have their own distinct personality. Each factor does cross over in to all others to have an affect on each other. We can follow the time line to understand the events that shaped the current costs in healthcare starting with its commercialization and ending with the current reform of the P.P.A.C.A. Comparing the United States health care system to other countries may help with finding solutions and lowering the cost of health care. Technology, or more the advanced technology we posses in the U.S. has had a major impact on the cost of healthcare and the economic influences of our country. The United States health care system has many stakeholders that affect, not only the cost of care, but influence the policies that can shift those costs as well. Health care costs in the United States has, without denial, risen out of control, we need to find recommendations from experts to solve this problem while it still can be and it must be done without losing access of quality care.…

    • 2693 Words
    • 11 Pages
    Powerful Essays
  • Powerful Essays

    Prestowitz, C. V. Jr., L. C. Thurow, R. Scharping, S. S. Cohen, and B. Steil…

    • 8331 Words
    • 34 Pages
    Powerful Essays