A Review of Outsourcing of Services in Health Care Organizations

Roberts, James E.; Henderson, John G.; Olive, Larry A.; Obaka, Daniel

doi:10.5171/2013.985197

Cited by 14 publications

(9 citation statements)

References 11 publications

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“…The fourth implication of the study is about the factors affecting the outsourcing decision. There are several factors, which affect the decision of outsourcing as discussed in international literature; and here, most of the respondents have focused on the issue of loss of control and inaccuracy in the measurement of quality of services delivered by the outsourced agents (Roberts et al , 2013).…”

Section: Discussionmentioning

confidence: 99%

Outsourcing of healthcare services in a smart city of Eastern India

Barik¹,

Rout

2021

JFM

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Purpose Owing to the rising costs and shrinking budgets; inefficiency can be observed in the financing and delivery of health service both in the private and public sectors, which is not only causing organizations to reconsider their management patterns but also to use new strategies to achieve competitive merits in the current world of business. Outsourcing is one of the best alternates. The purpose of this paper is to study: the nature and magnitude of outsourcing of health-care services in a Smart City of Eastern India; the motives behind outsourcing: and the factors affecting outsourcing decisions. Design/methodology/approach The study was conducted in Bhubaneswar, a Smart City of Eastern India and capital of Odisha State. Data relating to the outsourcing of health-care services were collected from 40 hospitals (each having a minimum of 10 beds) through a structured schedule. Descriptive statistics were calculated through Statistical Package for Social Science to substantiate the objectives. Findings Most of the clinical services were outsourced by small hospitals, while a significant portion of non-clinical services were outsourced by large and medium hospitals. Reduction in cost and better management control were the major driving forces of outsourcing. Loss of control over service providers and quality of measurement were considered as the main disadvantages in the decision-making process of not outsourcing the services by hospitals. Originality/value The study is the first-ever survey based on empirical evidence about the state of facilities management services outsourced in public and private hospitals in Odisha, India. The paper concluded that the effect of outsourcing did not synchronize successfully as shown in international literature.

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Section: Discussionmentioning

confidence: 99%

Outsourcing of healthcare services in a smart city of Eastern India

Barik¹,

Rout

2021

JFM

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“…Finally, the results of the study showed that in most of the outsourced units with the increase in the number of staff in private sector and with the increase in the number of clients, we experienced increase in profitability and reduced costs for the governmental sector; therefore, outsourcing for medical units can be an effective strategy. As several studies revealed, if outsourcing strategy is done by risk and cost assessment along with careful and measured approach, it can be an effective strategy resulting in benefits for management, staff, contractors, patients, and even hospitals [28][29][30]. Moreover, it is suggested that hospitals, especially the governmental ones, can use outsourcing benefits as a strategy for a full-time service and reduction of the human resource constraints, more manager's effort to hospital management, time-saving, productivity improvement, and staff morale.…”

Section: Discussionmentioning

confidence: 99%

Outsourcing in Shiraz University of Medical Sciences; a before and after study

Barati

Najibi

Yusefi

et al. 2019

J. Egypt. Public. Health. Assoc.

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Background: Outsourcing is a kind of participation between public and private sector. This should be monitored and supervised to enhance the quality of outsourced services and to prevent new problems in this area. Shiraz University of Medical Sciences (SUMS) hospitals increasingly use outsourcing in recent years. Objectives: The present research aimed at comparing outsourced departments of SUMS from economic view, accessibility of services, and service quality during the years 2010-2012. Methods: A before and after descriptive and analytical design was applied in outsourced departments of SUMS in 2014. First, 17 indicators were extracted by Delphi technique. Then, all outsourced units were assessed using economic, access to services, and quality indicators during 2010 to 2012. Results: After outsourcing, in all pharmacies and dentistry units, except one, loss decreased and benefit increased from public sector viewpoint. The number of personnel for one pharmacy and two laboratories was decreased, while it remained unchanged for dentistry units. The total number of clients was increased for all pharmacies and laboratories and decreased for one dentistry unit. Patient satisfaction for pharmacies, laboratories, and dentistry units was 73.4%, 80.3%, and 78.5%, respectively. Also, employer's satisfaction from contraction was 60%, 68%, and 93.3% for pharmacies, laboratories, and dentistry units, respectively. Conclusion: Outsourcing as an effective strategy resulted in increase in the personnel, client, and stakeholder satisfaction. Also, it increased benefit and decreased cost for public sector. It is recommended that rules for the implementation of this strategy and monitoring the private sector should be defined.

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“…A study conducted by Kim S-S in South Korea (2018) represented that some strategies are required to improve the prioritization of perceptible aspects of service quality for customers' satisfaction (10). The study performed by Jeremy G in America (2013) also considered outsourcing an important task which should be accomplished by hospitals (11). In their study, Asadi et al (2017) reported that the substandard service quality, management systems, customer orientation, and information security had a higher effect on supplier selection (12).…”

Section: Introductionmentioning

confidence: 99%

Do medical records outsourcing affect insurance deductions? An Interrupted time series in Qazvin’s trauma center

Khosravizadeh¹,

Shahsavari

Baghian

et al. 2019

jsurgery

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Introduction:The reform in medical records processes is recognized as one of the effective measures implemented for reducing insurance deductions. The present study aimed to evaluate the effect of outsourcing the medical records unit on the insurance deductions in Qazvin Trauma Center within 2013-2018. Methods:The present study was a descriptive and analytical study which was conducted in Qazvin Trauma Center. The intervention variable was the performance of the outsourcing plan in the medical records unit. Changes in the level and trend of basic insurance deductions before and after outsourcing were at the significance level of 0.05 using the independent t-test and segmented regression model in Stata software (version15). Results:The percentages of deductions before and after performing the outsourcing contract were measured at 0.038±0.112 and 0.194±0.068 for the health insurance (P <0.001), respectively. These values were reported as 0.077±0.028 and 0.031±0.126 for the social security insurance (P<0.001), respectively, and they were obtained at 0.105±0.060 and 0.124±0.087 for the armed forces insurance (P=0.369), respectively. Finally, for the relief committee insurance, these percentages were reported as 0.154±0.078 and 0.183±0.080 (P=0.209), respectively. Conclusions:As evidenced by the obtained results, the level of y-intercept increased in all observations after outsourcing. Therefore, it can be concluded that outsourcing the services of the records unit did not directly affect the insurance deductions and the insurance deductions can be attributed to some other reasons, apart from the outsourced tasks.

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A Review of Outsourcing of Services in Health Care Organizations

Cited by 14 publications

References 11 publications

Outsourcing of healthcare services in a smart city of Eastern India

Outsourcing of healthcare services in a smart city of Eastern India

Outsourcing in Shiraz University of Medical Sciences; a before and after study

Do medical records outsourcing affect insurance deductions? An Interrupted time series in Qazvin’s trauma center

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