title: Strategic outsourcing of clinical services: a model for volume-stressed academic medical centers.
abstract: Many academic medical centers have significant capacity constraints and limited ability to expand services to meet demand. Health care management should employ strategic thinking to deal with service demands. This article uses three organizational models to develop a theoretical framework to guide the selection of clinical services for outsourcing.
authors.affiliation: Internal Medicine and Medical Education, University of Michigan Medical School, Ann Arbor, USA. Jbilli@med.umich.edu
authors.forename: John E
authors.initials: JE
authors.lastname: Billi
authors.forename: Chih-Wen
authors.initials: CW
authors.lastname: Pai
authors.forename: David A
authors.initials: DA
authors.lastname: Spahlinger
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration* / Q000706:statistics & numerical data; D003362:Cost-Benefit Analysis; D003659:Decision Making, Organizational; D004465:Economic Competition; D006748:Hospital Departments / Q000191:economics / Q000458:organization & administration*; D006764:Hospitals, Community / Q000706:statistics & numerical data; D006801:Humans; D008389:Marketing of Health Services; D008511:Medicine / Q000458:organization & administration*; D008824:Michigan; D017146:Models, Organizational; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D020416:Outsourced Services / Q000458:organization & administration*; D010934:Planning Techniques; D013038:Specialization; D013043:Specialties, Surgical / Q000458:organization & administration*; D014481:United States