فهرست نشریات علمی دسترسی آزاد ایران

Purpose: Outsourcing in healthcare is a cost-effective strategy that can lead to increase servicesquality. The aim of this study was to determine the types of services that have been outsourcedin educational hospitals in Isfahan and to investigate managers’ view about the impact ofOutsourcing. Design/Methodology/Approach: A descriptive-survey study carried out in 2010.Our samples consisted of 100 educational hospital and treatment deputy senior managers ofIsfahan University of Medical Sciences and 53 usable questionnaires were received. Surveyinstrument main points were the extent to which educational hospital outsource services and theimpact of Outsourcing. Reliability and validity of the questionnaire have been verified. Data areanalyzed with SPSS18 software. Findings: The results for medical-diagnostics services showedphysiotherapy, radiology, and ultrasound that have the highest rate (33%) of being outsourced.Between logistic and administrative activities, housekeeping, and facility engineering maintenanceservices are the highest rate of outsourced (100%) and green space, CSR, laundry, and medicalrecords are the lowest rate of outsourced (16%). In managers’ view, in relation to advantagesof outsourcing, pay more attention to internal and external customers in private sector (57.2%)was the highest. In relation to disadvantages of outsourcing, costs increase for the patients(45.6%) was the highest. In relation to barriers of outsourcing, forgetting the goal of outsourcing(efficiency) (60.6%) was the highest. Conclusion: Finally, managers’ views about outsourcingin health services organizations were rather acceptable, but in their views, there are barriers inimplementation of outsourcing and they are focused on removing the barriers before outsourcing.Fundamental infrastructure developments as making competing market, promoting of cultures,education, modifying the management attitude and approach, and establishing incentive policiesare emphasized for successful implementation of outsourcing.