Do you think that the specialization in the outpatient world has effected the inpatient arena?

Do you think that the specialization in the outpatient world has effected the inpatient arena?

There are many different types of outpatient facilities such as Dialysis centers, cancer centers, and endoscopy clinics. Do you think that the specialization in the outpatient world has effected the inpatient arena? Why or Why not?