title: Trends and implications of visiting medical consultant outpatient clinics in rural hospital communities.
abstract: The emergence of visiting consultant clinics (VCC) represents an unstudied but potentially important mechanism for importing specialty physician services into rural areas. An analysis of five years of one state's VCC experience reveals a substantial increase in both availability and geographic accessibility. This study documents the market's response to the oversupply and hypercompetition among urban-based physician specialists. Patterns of VCC growth have varied markedly for different specialties.
authors.affiliation: Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City 52242, USA.
authors.forename: D S
authors.initials: DS
authors.lastname: Wakefield
authors.forename: R
authors.initials: R
authors.lastname: Tracy
authors.forename: J
authors.initials: J
authors.lastname: Einhellig
mesh_terms: D004465:Economic Competition; D019538:Health Care Surveys / Q000379:methods; D006780:Hospitals, Rural / Q000191:economics; D007484:Iowa; D008511:Medicine / Q000458:organization & administration*; D010044:Outpatient Clinics, Hospital / Q000191:economics / Q000706:statistics & numerical data; D010820:Physicians / Q000600:supply & distribution; D012017:Referral and Consultation / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D013038:Specialization; D000078329:Workforce