[Ambulatory operations and day surgery in the hospital--financing from the viewpoint of the hospital].

An hospital's decision to support an outpatient clinic often ignores factors such as staff and management as well as economic data. The immediate or short-term outpatient care procedures require an high level of attention and are exceptionally problematic. The hospital cannot often meet the corresponding technical infrastructure and logistics. The outpatient clinic care basically follows 3 different organizational structures: Hospital-integrated (operates in conjunction with the inpatient business), Hospital-separated (operates in the hospital as an independent station), Satellite-care (operates as an autonomous business entity on the hospital grounds). These organizations have vastly different requirements concerning space resources, financing, and staff. Especially problematic is the lack of financing from government funding for the establishment of necessary building structures and the purchase of technical equipment. Most overlooked in the operation of an outpatient clinic is the effective utilization and availability of the hospital's management and professional staff. It is hard to efficiently manage the hospital's interdisciplinary technical staff that supports the clinic. The economic evaluation of outpatient service is difficult to assess due to a lack of medical quality criteria and binding guidelines on standard compensation and training regulations.