ArticleBMC health services research2022
Developing decision model for the outsourcing of medical service delivery in the public hospitals.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Designing a management model for outsourcing non-clinical services in public hospitals in Iran.BMC health services research · 2025Article
- Malaysia's primary healthcare public‒private partnership venture: the Medical Equipment Enhancement Tenure (MEET) initiative.BMC health services research · 2025Article
- Performance analysis of indicators in teaching hospitals after the Health Transformation Plan: a Case Study in Iran.Journal of health, population, and nutrition · 2024Article
- The relationship between succession and intellectual capital with entrepreneurship in hospitals.BMC health services research · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe decision to outsource an activity is one of the most complex organizational decisions. This decision is also influenced by several factors and components. In order to facilitate and optimize it, for the first time in this study, a decision model for outsourcing medical service delivery in public hospitals has been developed.
methodsWe conducted this cross-sectional study in 3 stages: 1) We identified the factors affecting the outsourcing decisions, 2) an expert panel identified the influential factors. After standardization, we distributed 220 questionnaires among university staff managers and heads, nursing managers, and managers of the research units, and 3) Structural Equation Model applied to evaluate the relationship between the variables on AMOS22, at 0.05 significant level.
resultsFindings indicated the optimal level of all fit indices. The path coefficient between all identified factors with the outsourcing decision was positive (t > 1.96). Factors ranging from the most effective to least effective included monitoring and control, service type, human resource, economic and financial, executive capability, external environment, and terms and conditions.
conclusionThe proposed model provides unit evaluation to make the appropriate decision on outsourcing or non-outsourcing. Control and monitoring were the most determining factors. We recommend performing monitoring continuously as a guide and deterrent to error. We also recommend continuous monitoring and control over the quality of outsourced units and stakeholder satisfaction.
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