Article: Debugging a laboratory outreach program. (effect of marketing pressures on medical staff)

Debugging a laboratory outreach program

Six months after our 220-bed hospital combined laboratory operations with those of a 200-bed hospital, we decided to go further and bring outpatient services into the joint venture. The lab consolidation had lowered costs by eliminating duplication of tests; this new move aimed at generating more revenue.

Competition from large out-of-town laboratories had fragmented the local market of about 200 physicians served by our two institutions. Many clinicians told us they would prefer having outpatient analyses performed by technologists they knew and trusted. In addition, if the same instruments handled their ...

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