Outpatient services and primary care: scoping review, substudies and international comparisons

"There is little conclusive evidence on the cost-effectiveness of the provision of more care in the community. In developing new models of care for the NHS, it should not be assumed that community-based care will be cheaper than conventional hospital-based care. Possible reasons care in the community may be more expensive include supply-induced demand and addressing unmet need through new forms of care and through loss of efficiency gained from concentrating services in hospitals."

Outpatient services and primary care: scoping review, substudies and international comparisons 
E Winpenny, C Miani, E Pitchforth, S Ball, E Nolte, S King, et al.
Health Services Delivery Research 2016;4(15)

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