The effect of outpatient visit volume on inpatient teaching services

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish (US)
Pages (from-to)302-308
Number of pages7
JournalAcademic Medicine
Volume59
Issue number4
StatePublished - 1984
Externally publishedYes

Fingerprint

Inpatients
Teaching
Outpatients
teaching program
Censuses
census
outpatient clinic
County Hospitals
patient care
financial crisis
Ownership
revenue
Ambulatory Care Facilities
finance
district
commitment
Patient Care
regression
health
Health

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 journalArticle

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