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Ambulatory Surgical Centres (ASCs) are healthcare facilities focussing on delivering same-day surgical care, including diagnostic and surgical (preventive) procedures. These are also called outpatient surgery centres and same day care centres in certain countries such as the U.K., Germany and certain Asian countries. Ambulatory surgical centres are highly regulated by federal and state entities to ensure safety and quality.
The first ASC was established in 1970, in Phoenix, Arizona. As per the Center of Medicare and Medical Services, the number for Medicare certified ASCs in the U.S. totalled 5,400 in 2015. Various specialties offered in ASCs include ophthalmology, orthopaedics, gastroenterology, pain management, urology, dermatology and others. Most ASCs today are owned and operated by community physicians. Some ASCs are jointly owned by local hospitals and physicians.
Market Value and Forecast
In terms of revenue, the global ambulatory surgical centres market is anticipated to grow at a CAGR of 4.1% during the forecast period and is projected to be valued at US$ 113,046.7 million by the end of 2027.
Market Dynamics
Growth of the global ambulatory surgical centres market is principally driven by a growing focus on containment of healthcare costs and increased Medicare spending on ASCs. ASCs are primarily focussed on increasing number of facilities and types of procedures performed. Increasing the types of procedures provided offers ASCs with greater variety of reimbursement opportunities. ASCs across the world are constantly making efforts to expand their range of services to drive patient influx and increase revenues. The growth of ASC surgeries is likely to continue to outpace hospital outpatient surgical growth. Also technological advancements and market consolidation have led to ASCs supporting more complex cases such as major spine, total hip, platelet, and plasma therapy cases.
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Various healthcare organisations such as Health Maintenance Organizations (HMOs), healthcare systems and large group practices are developing multiple speciality facilities within the premises of their primary healthcare facility thus establishing attractive global market share. This helps the facility to grow at a faster pace and gain larger market share. Thus, the market is facing immense competition and market contributors are finding it difficult to reap profits.
The major trend witnessed in the global ambulatory surgical centres market is a declining number of free standing ambulatory surgical centres, whereas more centres are built within a larger facility that offers a wider array of ambulatory care services to achieve economies of scale and gain a competitive edge.
Market Segmentation, by Centre Type
Based on product type, the market is segmented into single speciality centres and multispecialty centres. In terms of revenue share, the multispecialty centres segment dominated the global ambulatory surgical centres market in 2016 and is expected to retain its dominance throughout the forecast period. The single speciality centres segment is expected to witness relatively higher growth rates in the global ambulatory surgical centres market over the forecast period.
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Market Segmentation, by Modality Type
Based on modality type, the global ambulatory surgical centres market is segmented into hospital-based ambulatory surgical centre and freestanding ambulatory surgical centre. In terms of revenue share, the hospital-based ambulatory surgical centre segment dominated the global ambulatory surgical centres market in 2016 by registering higher CAGR as compared to other modality type segments. The freestanding ambulatory surgical centre segment is expected to witness relatively higher growth rates in the global ambulatory surgical centres market over the forecast period.
Market Segmentation, by Services
Based on service type, the global ambulatory surgical centres market is segmented into diagnostic services and surgical services. In terms of revenue share, the surgical services segment dominated the global ambulatory surgical centres market in 2016 by registering higher CAGR as compared to other service type segments. The diagnostic services segment is expected to witness relatively higher growth rates in the global ambulatory surgical centres market over the forecast period.
Market Segmentation, by Speciality Area
Based on speciality area, the market is segmented into gastroenterology, ophthalmology, orthopaedics, pain/neurology, urology, dermatology and others. In terms of revenue share, the gastroenterology segment dominated the global ambulatory surgical centres market in 2016 and is expected to dominate throughout the forecast period. The ophthalmology segment is expected to witness relatively higher growth rates registering higher CAGR as compared to other speciality area segments in the global ambulatory surgical centres market over the forecast period.
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