Bigelow B, Arndt M
Graduate School of Management, Clark University, Worcester, MA.
Hosp Health Serv Adm. 1991 Fall;36(3):351-63.
A common assumption found in literature about hospital-sponsored ambulatory care centers is that they increase inpatient admissions and market share. However, little empirical evidence exists to substantiate these assumptions, and it is reasonable to question their accuracy given the nonemergency, routine nature of many of the visits to ambulatory care centers. This study of hospitals in four Massachusetts markets in which at least one hospital sponsored an ambulatory care center questions whether inpatient admissions and market share are affected. The findings indicate that at least in these four markets, ambulatory care centers do not have the desired effects, relative either to past performance or to competing hospitals.
文献中关于医院资助的门诊护理中心的一个常见假设是，它们会增加住院人数和市场份额。然而，几乎没有实证证据来证实这些假设，而且鉴于许多前往门诊护理中心的就诊都是非紧急的常规性质，对这些假设的准确性提出质疑是合理的。这项对马萨诸塞州四个市场的医院进行的研究（其中至少有一家医院资助了一个门诊护理中心）探讨了住院人数和市场份额是否受到影响。研究结果表明，至少在这四个市场中，相对于过去的表现或竞争医院而言，门诊护理中心并没有产生预期的效果。
