Abstract
Ambulatory clinics at public teaching institutions often have less potential for generating revenues than the inpatient services. In times of fiscal constraint, they are, therefore, vulnerable targets for cutbacks in services. A financial crisis in the Bexar County Hospital District led to administrative changes which caused a 20 percent decline in outpatient visits for the entire year. This resulted in a 10 percent fall in the inpatient census and adverse effects on teaching programs and on hospital finances. A regression of inpatient activity with outpatient activity showed a highly significant correlation (r =.57, p less than.01). The decline in the inpatient census contributed to a renewed institutional commitment to ambulatory services. In addition to their direct role in patient care and training, the outpatient clinics thus appear to be essential to the success of inpatient teaching programs. These data emphasize the importance of “vertical integration” (that is, ownership of facilities providing several levels of care) of services to the survival of academic health centers.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 302-308 |
| Number of pages | 7 |
| Journal | Academic Medicine |
| Volume | 59 |
| Issue number | 4 |
| State | Published - 1984 |
| Externally published | Yes |
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Keywords
- Costs and cost analysis
- Fees, medical
- Hospitals, teaching (Economics)
- Hospitals, teaching (Organization & administration)
- Hospitals, teaching (Utilization)
- Human
- Inpatients
- Outpatient clinics, hospital (Economics)
- Outpatient clinics, hospital (Organization & administration)
- Outpatient clinics, hospital (Utilization)
- Texas
ASJC Scopus subject areas
- Medicine(all)
- Education
Cite this
The effect of outpatient visit volume on inpatient teaching services. / Deyo, Richard (Rick).
In: Academic Medicine, Vol. 59, No. 4, 1984, p. 302-308.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The effect of outpatient visit volume on inpatient teaching services
AU - Deyo, Richard (Rick)
PY - 1984
Y1 - 1984
N2 - Ambulatory clinics at public teaching institutions often have less potential for generating revenues than the inpatient services. In times of fiscal constraint, they are, therefore, vulnerable targets for cutbacks in services. A financial crisis in the Bexar County Hospital District led to administrative changes which caused a 20 percent decline in outpatient visits for the entire year. This resulted in a 10 percent fall in the inpatient census and adverse effects on teaching programs and on hospital finances. A regression of inpatient activity with outpatient activity showed a highly significant correlation (r =.57, p less than.01). The decline in the inpatient census contributed to a renewed institutional commitment to ambulatory services. In addition to their direct role in patient care and training, the outpatient clinics thus appear to be essential to the success of inpatient teaching programs. These data emphasize the importance of “vertical integration” (that is, ownership of facilities providing several levels of care) of services to the survival of academic health centers.
AB - Ambulatory clinics at public teaching institutions often have less potential for generating revenues than the inpatient services. In times of fiscal constraint, they are, therefore, vulnerable targets for cutbacks in services. A financial crisis in the Bexar County Hospital District led to administrative changes which caused a 20 percent decline in outpatient visits for the entire year. This resulted in a 10 percent fall in the inpatient census and adverse effects on teaching programs and on hospital finances. A regression of inpatient activity with outpatient activity showed a highly significant correlation (r =.57, p less than.01). The decline in the inpatient census contributed to a renewed institutional commitment to ambulatory services. In addition to their direct role in patient care and training, the outpatient clinics thus appear to be essential to the success of inpatient teaching programs. These data emphasize the importance of “vertical integration” (that is, ownership of facilities providing several levels of care) of services to the survival of academic health centers.
KW - Costs and cost analysis
KW - Fees, medical
KW - Hospitals, teaching (Economics)
KW - Hospitals, teaching (Organization & administration)
KW - Hospitals, teaching (Utilization)
KW - Human
KW - Inpatients
KW - Outpatient clinics, hospital (Economics)
KW - Outpatient clinics, hospital (Organization & administration)
KW - Outpatient clinics, hospital (Utilization)
KW - Texas
UR - http://www.scopus.com/inward/record.url?scp=84947648313&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84947648313&partnerID=8YFLogxK
M3 - Article
VL - 59
SP - 302
EP - 308
JO - Academic Medicine
JF - Academic Medicine
SN - 1040-2446
IS - 4
ER -