The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in Isfahan

Introduction: Outsourcing in health care sector is a cost-effective strategy that can lead to increased quality of services provided to patients. The aim of this study was to determine the types of outsourced services in educational hospitals in Isfahan and to investigate the viewpoints of managers...

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Main Authors: Saeed karimi, Maryam Yaghoubi, Zahra Agharahimi, Hadi Hayati Abbarik, Roghaye Mohammadi Bakhsh
Format: Article
Language:fas
Published: Vesnu Publications 2011-12-01
Series:مدیریت اطلاعات سلامت
Online Access:http://him.mui.ac.ir/index.php/him/article/view/416
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author Saeed karimi
Maryam Yaghoubi
Zahra Agharahimi
Hadi Hayati Abbarik
Roghaye Mohammadi Bakhsh
author_facet Saeed karimi
Maryam Yaghoubi
Zahra Agharahimi
Hadi Hayati Abbarik
Roghaye Mohammadi Bakhsh
author_sort Saeed karimi
collection DOAJ
description Introduction: Outsourcing in health care sector is a cost-effective strategy that can lead to increased quality of services provided to patients. The aim of this study was to determine the types of outsourced services in educational hospitals in Isfahan and to investigate the viewpoints of managers about the impact of outsourcing. Methods: This descriptive survey was carried out in 2010. Research population was all senior managers of educational hospitals and the Treatment Deputy of Isfahan University of Medical Sciences (n = 60). Data collection tool was a checklist and a questionnaire about factors related to outsourcing. The reliability and validity of the checklist and questionnaire have been confirmed (a = 0.80). Data is analyzed with SPSS18 software. Results: Among the treatment-paraclinical items, inpatient wards, physiotherapy, radiology and ultrasound had the highest rates of outsourcing (33%). Among non-medical services, housekeeping and facility engineering maintenance had the largest rates of outsourced units (100%). Of 60 managers, 53 agreed to answer the questionnaire (response rate = 88%). In managers' view, paying more attention to internal and external customers in private sector (57.2%) was the most important advantage of outsourcing. However, increased costs increase for patients (45.6%) was the most important disadvantage. Moreover, they considered forgetting the goal of outsourcing (efficiency) (60.6%) as the main barrier. Conclusion: Overall, managers thought outsourcing in health services organizations as rather acceptable. However, they also believed the barriers in implementation of outsourcing needed to be removed first. Fundamental infrastructure developments such as making competing market, promoting outsourcing-related culture, education, modifying the attitudes of managers and establishing incentive policies are required for successful implementation of outsourcing. Keywords: Managers; Outsourcing; Health Services.
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spelling doaj.art-961fd3c4dbee4b49884ca623f45cd7e42022-12-21T23:36:55ZfasVesnu Publicationsمدیریت اطلاعات سلامت1735-78531735-98132011-12-0185277The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in IsfahanSaeed karimi0Maryam Yaghoubi1Zahra Agharahimi2Hadi Hayati Abbarik3Roghaye Mohammadi Bakhsh4Associate Professor, Health Services Management, Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.PhD Student, Health Services Management, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.MSc Student, Student Research Committee, Health Services Management, Isfahan University of Medical Sciences, Isfahan, Iran.MSc Student, Student Research Committee, Health Services Management, Isfahan University of Medical Sciences, Isfahan, Iran.MSc Student, Student Research Committee, Health Services Management, Isfahan University of Medical Sciences, Isfahan, Iran.Introduction: Outsourcing in health care sector is a cost-effective strategy that can lead to increased quality of services provided to patients. The aim of this study was to determine the types of outsourced services in educational hospitals in Isfahan and to investigate the viewpoints of managers about the impact of outsourcing. Methods: This descriptive survey was carried out in 2010. Research population was all senior managers of educational hospitals and the Treatment Deputy of Isfahan University of Medical Sciences (n = 60). Data collection tool was a checklist and a questionnaire about factors related to outsourcing. The reliability and validity of the checklist and questionnaire have been confirmed (a = 0.80). Data is analyzed with SPSS18 software. Results: Among the treatment-paraclinical items, inpatient wards, physiotherapy, radiology and ultrasound had the highest rates of outsourcing (33%). Among non-medical services, housekeeping and facility engineering maintenance had the largest rates of outsourced units (100%). Of 60 managers, 53 agreed to answer the questionnaire (response rate = 88%). In managers' view, paying more attention to internal and external customers in private sector (57.2%) was the most important advantage of outsourcing. However, increased costs increase for patients (45.6%) was the most important disadvantage. Moreover, they considered forgetting the goal of outsourcing (efficiency) (60.6%) as the main barrier. Conclusion: Overall, managers thought outsourcing in health services organizations as rather acceptable. However, they also believed the barriers in implementation of outsourcing needed to be removed first. Fundamental infrastructure developments such as making competing market, promoting outsourcing-related culture, education, modifying the attitudes of managers and establishing incentive policies are required for successful implementation of outsourcing. Keywords: Managers; Outsourcing; Health Services.http://him.mui.ac.ir/index.php/him/article/view/416
spellingShingle Saeed karimi
Maryam Yaghoubi
Zahra Agharahimi
Hadi Hayati Abbarik
Roghaye Mohammadi Bakhsh
The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in Isfahan
مدیریت اطلاعات سلامت
title The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in Isfahan
title_full The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in Isfahan
title_fullStr The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in Isfahan
title_full_unstemmed The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in Isfahan
title_short The Viewpoints of Managers about Advantages, Disadvantages and Barriers in Health Care Outsourcing in Isfahan
title_sort viewpoints of managers about advantages disadvantages and barriers in health care outsourcing in isfahan
url http://him.mui.ac.ir/index.php/him/article/view/416
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