“…In this paper we provide a procedure to define maintenance strategy per medical device unlike other methods proposed in the selection of types of maintenance contracts and service contract provider [6,2], to choose outsourcing or insourcing maintenance levels for all devices and to choose the appropriate contract for each device based on a multi criteria with levels that we validated by experts. We plan to implement this decision support procedure in the software for biomedical maintenance management called Biomed that is used in all hospitals in Tunisia.…”
Section: Discussionmentioning
confidence: 99%
“…For many health-care institutions in developing countries, contracting maintenance services is inevitable because they often neither have properly trained staff nor the material resources available to handle these functions on their own [2]. In fact, in-house maintenance needs special tools and test equipment that may be not available or needs additional costs with a staff that is typically generalist rather than specialist [4].…”
Hospitals outsource several activities of support in order to focus on healthcare production. Maintenance is one of these support activities. Recently, faced with rising healthcare costs, governments have implemented new reforms to control costs and improve efficiency and quality. Hospitals became interested in minimizing the total cost of the activity, by minimizing both healthcare production activities and support activities. In developing countries, medical equipment maintenance is costly and partially mastered most of the time because it is usually managed by external service contracts [1]. Reorganizing medical equipment maintenance service became a priority for hospital managers to reduce the cost and dependency while raising quality and reliability. In this paper, we propose an efficient procedure to take the appropriate decisions for medical equipment maintenance such as the strategy, to insource or outsource and the type of contract in case of outsourcing and its content.
“…In this paper we provide a procedure to define maintenance strategy per medical device unlike other methods proposed in the selection of types of maintenance contracts and service contract provider [6,2], to choose outsourcing or insourcing maintenance levels for all devices and to choose the appropriate contract for each device based on a multi criteria with levels that we validated by experts. We plan to implement this decision support procedure in the software for biomedical maintenance management called Biomed that is used in all hospitals in Tunisia.…”
Section: Discussionmentioning
confidence: 99%
“…For many health-care institutions in developing countries, contracting maintenance services is inevitable because they often neither have properly trained staff nor the material resources available to handle these functions on their own [2]. In fact, in-house maintenance needs special tools and test equipment that may be not available or needs additional costs with a staff that is typically generalist rather than specialist [4].…”
Hospitals outsource several activities of support in order to focus on healthcare production. Maintenance is one of these support activities. Recently, faced with rising healthcare costs, governments have implemented new reforms to control costs and improve efficiency and quality. Hospitals became interested in minimizing the total cost of the activity, by minimizing both healthcare production activities and support activities. In developing countries, medical equipment maintenance is costly and partially mastered most of the time because it is usually managed by external service contracts [1]. Reorganizing medical equipment maintenance service became a priority for hospital managers to reduce the cost and dependency while raising quality and reliability. In this paper, we propose an efficient procedure to take the appropriate decisions for medical equipment maintenance such as the strategy, to insource or outsource and the type of contract in case of outsourcing and its content.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.