Outsourcing in Turkish hospitals: a systematic review

Akbulut, Yasemin; Terekli, Gözde; Yildirim, Türkan

doi:10.1501/ashd_0000000080

Cited by 12 publications

(9 citation statements)

References 6 publications

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“…Outsourcing is the mechanism of assigning some of the central or non-operational activities of the organization to its supplier outside the organization ( 6 ). There are many reasons to outsource services, including reducing costs, increasing efficiency, focusing on core processes, improving skills, reducing service delivery time and increasing competitive advantage ( 6 - 8 ).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing decision making for healthcare services outsourcing: A review and Delphi study

Kavosi

Rahimi

Khanian

et al. 2018

Med. J. Islam. Republic Iran

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Background: Outsourcing is considered as one of the tools for organizational development and promotion of productivity by managers. In recent years, outsourcing of healthcare services has become significant. The aim of this study was to identify the most important factors influencing the decision making of outsourcing healthcare services. Methods: This study is a combined study. First, the literature was examined to identify the factors influencing decision making for outsourcing. Then, with the aim of consensus on the most important factors affecting the decision making of outsourcing in health services, the panel of experts and Delphi technique were used. Sampling was purposeful. Results: In the selected articles, a total of 180 factors were extracted. The members of the panel of experts from these 180 factors selected 29 sub-factors in the form of six main factors: strategy, quality, management, technology, performance feature, and economy, as the most important factors affecting the outsourcing of services. Finally, the results of Delphi showed that 22 sub-factors were more important in outsourcing decision making at healthcare services. Conclusion: The study showed that the decision making to outsource health services is a complex and multi-criteria decision. Therefore, when deciding to outsource healthcare services, attention should be paid to various factors, such as strategy, quality, management, technology, and economics.

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Section: Introductionmentioning

confidence: 99%

Factors influencing decision making for healthcare services outsourcing: A review and Delphi study

Kavosi

Rahimi

Khanian

et al. 2018

Med. J. Islam. Republic Iran

View full text Add to dashboard Cite

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“…Downsizing was identified as one of the main factors in political dimension. This intervention can improve the performance of public hospitals by reducing bureaucratic costs, service delivery duration, increasing efficiency and enhancing skills [34]. In addition, as this study indicated, healthcare technological advances can be assessed and used appropriately to decrease the burden on healthcare system and enhance the efficiency of services.…”

Section: −mentioning

confidence: 92%

A comprehensive environmental scanning and strategic analysis of Iranian Public Hospitals: a prospective approach

et al. 2020

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Objectives: This study was conducted to provide a strategic direction to public hospitals in Iran via environmental scanning in order to equip hospitals to plan and perform proactively and adapt with the everchanging environment. Results: A mixed method study including in-depth interview and survey were used to determine influential environmental factors based on PESTLE (political, economic, social, technological, legal and environmental) and Douglas West framework to determine the effectiveness and feasibility of factors. Issues identified at micro environmental level were over prescription, inequality in distribution of healthcare services and high demands for luxurious health services. Issues identified at the macro environmental level were related to changes in disease patterns, inappropriate hospital budgeting, economic sanctions, government corruption and healthcare centralization. In order to tackle the issues identified, it is paramount to enhance bed distribution management, improve strategic policies for a more equitable payment system, and enhance the efficiency and effectiveness of services by implementing a strategic inventory control. Furthermore, the considerable impact of economic sanctions on financial resources of Iranian hospitals should not be ignored.

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“…In fact, outsourcing is a purchasing mechanism in which an organization purchases a special service at an agreed quality and quantity for a determined period from a service provider which is out of the organization [3,4] and controlled via a contract or collaborative management [5]. Outsourcing could merge private sector advantages-such as efficiency [1,6] and consumer satisfaction [7,8]-into the public sector and avoid its disadvantages-such as inattention to equity and social responsibility [9]. This could result in generating internal market or quasi-market in the public sector that promotes competition [10,11].…”

Section: Introductionmentioning

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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Outsourcing in Turkish hospitals: a systematic review

Cited by 12 publications

References 6 publications

Factors influencing decision making for healthcare services outsourcing: A review and Delphi study

Factors influencing decision making for healthcare services outsourcing: A review and Delphi study

A comprehensive environmental scanning and strategic analysis of Iranian Public Hospitals: a prospective approach

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

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