Räwer Henrik, Braun von Reinersdorff A, Ochotta T, Rasche C
Health Care Management Institute (HCMI), c/o Fr. A. Lehrbach-Bleher, EBS Universität für Wirtschaft und Recht, Hauptstraße 31, 65375 Oestrich-Winkel, Deutschland.
Urologe A. 2011 Dec;50(12):1550-9. doi: 10.1007/s00120-011-2745-x.
The provision of outpatient services will be confronted by increased market concentration. Under these circumstances, individual medical practices are predicted to have a minimal chance for survival since by nature the specialized physician can only accommodate the considerably heterogeneous needs of the patients up to justifiable limits. Due to patients' higher rate of mobility in the elective process, specialty physicians in rural areas are obliged to transform their practices into professional service enterprises. While hospitals are attempting to combat a continuing economization of the health care sector, in part by applying aggressive leadership and management methods, an increasing polarization can be noted in the outpatient setting. Also in the field of urology, patients consider themselves medical treatment clients who are unwilling to be relegated to cases of the often criticized"5-minute medicine."
门诊服务的提供将面临市场集中度提高的问题。在这种情况下，个体医疗业务预计生存机会极小，因为从本质上讲，专科医生只能在合理范围内满足患者差异极大的需求。由于患者在选择过程中的流动性较高，农村地区的专科医生不得不将他们的业务转变为专业服务企业。医院一方面试图通过采用积极的领导和管理方法来应对医疗保健部门持续的节约成本问题，另一方面在门诊环境中可以注意到日益加剧的两极分化。同样在泌尿外科领域，患者将自己视为医疗客户，不愿意沦为常被批评的“五分钟诊疗”案例。
