[Research Report] The ambulatory surgical centers market size is projected to grow from US$ 36.99 billion in 2022 to US$ 60.30 billion by 2031; it is estimated to record a CAGR of 6.5% during 2022-2031.

Market Insights and Analyst View:

Ambulatory surgery, also known as outpatient surgery or day surgery, refers to a medical procedure and surgery that are performed in a hospital surgery center or clinic where the patient does not require an overnight stay. This surgery care has become increasingly popular due to advancements in medical technology and the desire to minimize the cost and convenience associated with hospital stays. Many surgical procedures can be performed on an outpatient basis, ranging from minor procedures such as mole removal and cataract surgery to more complex surgeries like knee Arthroscopy or hernia repair. Ambulatory surgery is generally more cost-effective than inpatient procedure as it eliminates the need for an extended hospital state. Patients receiving ambulatory surgery are usually given preoperative instructions, including fasting guidelines, medication management, and transportation arrangements. Ambulatory surgery centers are equipped with the necessary surgical equipment recovery areas and the staff to ensure patient safety and comfort. As the number of surgical procedures performed in an ambulatory setting increases, comparisons of ambulatory surgery with inpatient surgery. The surgery is helpful in the evaluation of post-surgical complications, hospital cost savings, and patient experience of care surveys.

Growth Drivers:

According to the 2021 population statistics by the US Census Bureau, the geriatric population reached 55.8 million, i.e., 16.8% of the national population; nearly 1 in 6 people in the country were aged 65 and above in 2021. As per the data published by the Fraser Institute, the share of Canada’s population aged 65 or older increased from 14% in 2010 to 19% in 2022 and is expected to reach 22.5% by 2031. In Brazil, the aging population is increasing rapidly. According to the data from the Pan American Health Organization (PAHO), Brazil has ~30 million people aged 60 and above (i.e., 13% of the country's population). The population of this age group is further expected to reach ~50 million (i.e., 24% of the total population) by 2031. The Eurostat statistics indicate that over one-fifth (21.1%) of the European population was aged 65 or more in 2022. According to an article published by UpToDate Inc. in August 2021, the incidence rate of epilepsy rises with age and is highest among patients aged 75 and above.

Aged grown-ups are more likely to bear hospitalization than grown-ups in middle age, with nearly 17% of Americans 65 times and aged rehabilitated at least formerly during that time, while only 8% of grown-ups 45 to 64 times needed hospitalization. The leading judgments for admission among aged cases include sepsis and cardiovascular complaints. Aged grown-ups have an analogous average length of stay (five days) compared to grown-ups 45 to 64. Yet aged grown-ups bear further support after discharge, maybe because of medical complexity and functional disability. Grown-ups 65 times and aged bear post-acute care, similar to home health or professed nursing installation (SNF) care, nearly 70% of the time at discharge, compared with middle-aged (45 to 64 times) grown-ups who admit post-acute care only 23% of the time. Therefore, due to the growing geriatric population, there is a notable surge in conditions such as muscular pain, bone disorder, and infections, owing to which the market for ambulatory surgical centers witnesses significant growth. 

Strategic Insights

Report Segmentation and Scope:

The “Ambulatory Surgical Centres” is segmented based on type, specialty, surgery, and geography. The market is segmented based on type into hospital-based ambulatory surgery centers and free-standing ambulatory surgery centers. In terms of specialty, the ambulatory surgical centers market is segmented into single-specialty centers and multispecialty centers. Based on surgery, the market is categorized into obstetrics/gynecology, ophthalmology, dental, otolaryngology, endoscopy, orthopedic, and others. The ambulatory surgical centers market, based on geography is segmented into North America (US, Canada, and Mexico), Europe (Germany, France, Italy, UK, Spain, and Rest of Europe), Asia Pacific (Australia, China, Japan, India, South Korea, and Rest of Asia Pacific), Middle East & Africa (South Africa, Saudi Arabia, UAE, and Rest of Middle East & Africa), and South & Central America (Brazil, Argentina, and Rest of South & Central America).

Segmental Analysis:

The ambulatory surgical centers market, by type, is segmented into hospital-based ambulatory surgery centers and free-standing ambulatory surgery centers. The hospital-based ambulatory surgery centers segment held the largest share of the market in 2022 and is estimated to register the highest CAGR during 2022-2031. Hospital-based ambulatory surgery centers include medical care for non-life-threatening conditions. Hospital-based ambulatory surgical centers are medical facilities that provide surgical services to the patient on an outpatient basis, meaning the patient undergoes surgeries and can return home on the same day. These centers are typically located within or affiliated with the hospital, which allows them to provide a wide range of surgical procedures and maintain a high level of medical support and resources. Hospital-based ambulatory surgical centers can offer a broad spectrum of surgical procedures, including orthopedic, ophthalmic, dental, and general surgeries. They are held to a high standard of quality and safety as they must comply with both the ambulatory surgical center regulations and hospital standards. Skilled nursing facilities (SNFs) are an essential part of ambulatory surgical centers. SNFs are short-term care focused on helping patients achieve the ability to resume their activities of daily living after an injury, procedure, or illness. Skilled nursing care can be offered in remote locations depending on the patient’s requirements.

Based on age, the ambulatory surgical centers market is segmented into obstetrics/gynecology, ophthalmology, dental, otolaryngology, endoscopy, orthopedic, and others. The obstetrics/gynecology segment held the largest market share in 2022 and is anticipated to grow at the fastest rate during 2022-2031. A medical center that specializes in obstetrics and gynecology is a healthcare facility designed to provide us with surgical and medical services for women's reproductive health in outpatient settings. It focuses on related to pregnancy, childbirth, and women's reproductive health standard procedures, including histotomy, seizure reading section tubal ligation, and other diagnostic and therapeutic intervention mini procedures are performed using minimally invasive technique searches, laparoscopy or hysteroscopy which can often be carried out in an AC setting.

The ambulatory surgical centers market is segmented based on specialty conditions into single-specialty centers and multispecialty centers. The multispecialty centers segment held the largest market share in 2022. A multispecialty care ambulatory surgical center, sometimes also referred to as a multispecialty outpatient surgery center, is a healthcare facility that provides a wide range of surgical procedures in an outpatient setting. These centers are equipped to perform surgeries that do not require an overnight hospital stay. Multispeciality ambulatory surgical centers offer a broad spectrum of surgical services across different medical specialties, all within the same facilities. It covers a diverse array of surgical procedures such as orthopedics, ophthalmology, gastroenterology, gynecology, and many others. These centers are equipped with modern surgical equipment and technology to provide high-quality care. Centre employees are board-certified surgeons and medical staff who specialize in various fields, ensuring patients receive expert care for their specific surgical needs.

The multispecialty ambulatory surgical center seeks accreditation from organizations such as the Accreditation Association for Ambulatory Healthcare and the Joint Commission to ensure they maintain a high standard of safety and quality. Ambulatory surgical centers often have anesthesia providers on the staff or in collaboration with administrator anesthesia and monitor patients during procedures. These centers focus on creating a comfortable and patient environment to reduce the stress and anxiety associated with surgery.

Regional Analysis:

Based on geography, the ambulatory surgical centers market is divided into five key regions: North America, Europe, Asia Pacific, South & Central America, and Middle East & Africa. North America is likely to capture a significant share of the global market in 2022. The market growth in the region is attributed to the rising prevalence of chronic diseases such as amputations, cardiovascular diseases, neurological disorders, and others, which is increasing the need for ambulatory surgical centers and funding from strategic and private equity investors. In addition, many market players are expanding their geographical footprint in North American countries.

North America, like many other regions around the world, has seen significant advances in noninvasive surgical procedures over the years. Noninvasive surgery is also known as minimally invasive or laparoscopic surgery. This Medical procedure is performed with minimal damage to the body tissue, often resulting in a smaller incision, faster recovery time, and reduced risk compared to traditional open surgeries. These procedures can be used in various medical facilities. Noninvasive surgeries are widely used in North America across the medical field, including general surgeries, gynecology, orthopedics, and cardiology, and more common examples include laparoscopy appendectomy, minimally invasive knee surgeries, and vascular procedures for heart and vascular conditions.

North America is home to many leading medical centers and research institutions that drive innovations in minimally invasive techniques. The development of advanced tools and equipment, such as robotics and high-definition imaging, have improved the precision and safety of these procedures. Market players in North America adopt organic and inorganic strategies to get the maximum share of the market.

North America is home to numerous companies, clinics, and healthcare facilities that specialize in ambulatory care. These organizations offer a wide range of services for primary care and specialized medical treatment to diagnostic procedures and surgeries. Some of the well-known companies and their healthcare provider in North America that offer ambulatory care centers are HCA Healthcare, Tenet Healthcare Association, Kaiser Permanente, Fresenius Medical Care,  DaVita, and Others.

Industry Developments and Future Opportunities:

Various initiatives taken by key players operating in the global Ambulatory surgical centers market are listed below:

1. In July 2023, Adventist HealthCare (AHC) opened its new state-of-the-art Ambulatory Surgery Center located at National Harbor. The Ambulatory Surgery Center will serve as a link between nearby Adventist HealthCare Fort Washington Medical Center and its new primary care facility, located just minutes from each other. Together, each operation will supply the critical services that are essential to meeting the healthcare needs of the community.  
2. In June 2023, Fifteen orthopedic physicians, in partnership with New England Baptist Hospital (NEBH) and Constitution Surgery Alliance (CSA), converted an existing hospital-based surgical facility in Dedham to a new ambulatory surgery center (ASC).

New England Baptist Surgery Center, LLC, will focus on all outpatient orthopedic surgical subspecialties, including total joint replacement, sports medicine, and hand, wrist, elbow, and foot surgeries.

3. In June 2023, Makati Medical Center (MakatiMed) launched its newest facility, the Outpatient Surgical Suite (OSS), which was inaugurated in May 2023. The OSS is set to handle minor surgeries that do not require general anesthesia and is equipped with three (3) Operating Rooms, offering more affordable procedures. The surgery suites can now focus on major surgeries. This OSS will help de-clog both areas and enable us to provide affordable but quality healthcare and procedures for the patients.

Competitive Landscape and Key Companies:

EBOS Group Limited, IntegraMed America, Inc., Nueterra Capital, Aspen Healthcare Limited, Medical Facilities Corporation, TH Medical, AmSurg Corp., United Surgical Partners International, HealthCare Appraisers, Surgery Partners are the major Ambulatory surgical centers companies. These companies focus on new technologies, advancements in existing products, and geographic expansions to meet the growing consumer demand worldwide.  

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REGIONAL FRAMEWORK MARKET PLAYERS

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