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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The wind drift and evaporation losses (WDEL) are high in arid, semi-arid and windward areas, and reduce the efficiency of the sprinkler irrigation system; therefore, this study was carried out in order to achieve a practical criterion and provide a relationship for accurate estimation of the wind drift and evaporation losses in different atmospheric conditions. The experiments were done at the Meteorological Station of the Faculty of Agriculture of Ferdowsi University of Mashhad using a line-source sprinkler irrigation system based on the single sprinkler installation method. To achieve the objectives of this plan, factorial experiment was performed on PGP sprinkler with regard to the two factors, the pressure of the sprinkler function (with three levels 1.6, 2.5 and 3.4 bar) and the diameter of the nozzle (with three levels of 4, 5 and 6 mm) with three replications (morning, noon and night). Assessing the result of the data variance analysis showed that the effects of pressure, aperture diameter, and time on the wind drift and evaporation losses are not significant. Investigating the main effects of these factors showed that the effect of aperture diameter on irrigation losses is significant at the level of the 1%. In order to further investigate, the comparison of mean losses data in three aperture diameter was done using Duncan′s test. The results indicated that aperture 4 with the losses of 44% had a significant difference with other diameters. This result suggests an increase in losses for smaller diameters due to the small droplets and the increase in wind drift. Also, the comparison of the mean losses data in three times showed that irrigation at noon with the losses of 44% had a significant difference compared to other times due to a significant increase in temperature and radiation of the sun and saturation vapor pressure deficit, and there is no significant difference between morning and evening irrigation. Also, analysis of variance showed that the effect of water pressure change between 1.6 and 4.3 bar does not have a significant effect on the WDEL in this sprinkler. In general, the results showed that increasing wind speed increases the losses of evaporation and wind. Also, this study suggested that changing the irrigation time in areas with hot and dry days, from day to night in summer, leads to a significant reduction of the wind drift and evaporation losses.

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