title: Assessing uncertainty in outsourcing clinical services at tertiary health centers.
abstract: When tertiary health centers face capacity constraint, one feasible strategy to meet service demand is outsourcing clinical services to qualified community providers. Clinical outsourcing enables tertiary health centers to meet the expectations of service timeliness and provides good opportunities to collaborate with other health care providers. However, outsourcing may result in dependence and loss of control for the tertiary health centers. Other parties involved in clinical outsourcing such as local partners, patients, and payers may also encounter potential risks as well as enjoy benefits in an outsourcing arrangement. Recommendations on selecting potential outsourcing partners are given to minimize the risks associated with an outsourcing contract.
authors.affiliation: University of Michigan Medical School, 1301 Catherine, Ann Arbor, MI 48109, USA. jbilli@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: D000554:Ambulatory Care Facilities; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D006301:Health Services Needs and Demand; D006801:Humans; D009936:Organizational Innovation; D020416:Outsourced Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration; D035501:Uncertainty; D014481:United States