Exploring perceptions, motivations, and practices regarding outsourcing support services by general hospitals in Uganda: A mixed methods study

Mujasi, Paschal N.; Nkosi, Zerish Zethu

doi:10.1002/hpm.2773

Cited by 6 publications

(4 citation statements)

References 21 publications

(24 reference statements)

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“…Generally, the conducted researches show that although various models exist to outsource services however, this capacity has not been fully utilized and in most cases one or two models have been considered by policy makers and managers. Low motivation and tendency of managers, lack of complete understanding of outsourcing philosophy, unfamiliarity of managers with common outsourcing models, unsuccessful experiences of outsourcing, lack of eligible private provider and weakness in law and regulation are factors that have hindered outsourcing expansion (Mujasi & Nkosi, 2019;Penton et al, 2020;Shaarbafchizadeh et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Exposure of Public Sector with the Quasi-Market Through Outsourcing: A Case Study in Iran

Omranikhoo

Azmal

Salari

et al. 2022

Preprint

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Objective: Outsourcing as an effective strategy in public management has brought the attention of policy makers for long time ago. This strategy as a public -private partnership arrangement (PPP) was coined to increase efficiency and quality in public organizations .in this study we aimed to investigate the frequency of using common outsourcing models in Bushehr University of Medical Sciences (BUMS).Methods: This is a descriptive and cross-sectional study conducted in year 2020 in BUMS. Research population was all the deputies, hospitals and health networks affiliated to BUMS. This study was carried out in four stages including: literature review, construction of a checklist, quality assurance of gathered data and finally categorization of the outsourced services. Result: Results showed that there was a total of 7 various outsourcing models on which 189 cases of services have been outsourced. 108 cases out of 189 were clinical and the rest non-clinical. Among the outsourcing models, Service purchasing model was the commonest used model and two more models including leases and divesture were lack of use. Conclusion: Results signify that although various outsourcing models are available however, the frequency of outsourced services is still limited, showing that in order to spread the penetration of this strategy it needs to be tackled the obstacles ahead of its successful implementation. Increasing the knowledge of mangers would be definitely an effective solution. Furthermore, capacity –building towards raising the number of private health care providers could facilitate the implementation of outsourcing policy.

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Section: Discussionmentioning

confidence: 99%

Exposure of Public Sector with the Quasi-Market Through Outsourcing: A Case Study in Iran

Omranikhoo

Azmal

Salari

et al. 2022

Preprint

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“…In this approach, we try to use the people’s creative and persistent presence and reduce the government’s presence [ 4 ]. Outsourcing, which includes the benefits of private sector management, such as cost savings, attention to justice and social responsibility, increasing efficiency and customer satisfaction, is a solution [ 5 , 6 ]. Outsourcing means contracting out some internal activities and decision-making to an external supplier.…”

Section: Introductionmentioning

confidence: 99%

Developing decision model for the outsourcing of medical service delivery in the public hospitals

Khosravizadeh

Maleki

Ahadinezhad

et al. 2022

BMC Health Serv Res

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Background The 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. Methods We 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. Results Findings 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. Conclusion The 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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“…Given this, the public sector could improve the efficiency and quality of delivered services due to exposure to a competitive condition. The more competitive a market is, the higher the efficiency and quality of services will be (6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“…Due to its functional nature, the health sector is costly, and using efficiency-oriented strategies in this sector is of high priority (13,14). type policy (8,13,15) gained much attention roughly 15 years ago, coincident with the third four-year national development plan bill (16,17). In line with this policy, Iran's Health Ministry asked its affiliated universities to implement this strategy (18).…”

Section: Introductionmentioning

confidence: 99%

Exposure of Public Sector with the Quasi-market Through Outsourcing: A Case Study in Iran

Omranikhoo

Jame

Lotfi

et al. 2022

Thrita

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Background: Outsourcing as an efficiency-oriented approach was introduced to elevate productivity in the public sector. This strategy as a public-private partnership (PPP) arrangement was coined to increase efficiency and quality in public organizations. Objectives: In this study, we aimed to investigate the quantity of applying common outsourcing models at Bushehr University of Medical Sciences (BUMS). Methods: This descriptive and cross-sectional study was conducted in 2020 at BUMS. The research population was all BUMS deputies, hospitals, and health networks. This study was carried out in four stages, including a literature review, the construction of a checklist, the quality assurance of gathered data, and the attribution of outsourced services to the extracted models. Descriptive indices were calculated using SPSS software version 8. Results: Results showed a total of seven various outsourcing models on which 189 cases of services had been outsourced. Of the 189 cases, 108 were clinical, and the rest were non-clinical. Among the outsourcing models, the service purchasing model was the most typically used, and leases and divestitures were the two least used models. Conclusions: Although various outsourcing models are available, they have been disproportionately utilized, showing that to spread the domain of penetration of this strategy, we need to tackle the obstacles ahead of its successful implementation. Increasing the knowledge of managers could be an effective solution. Furthermore, capacity–building toward raising the number of private healthcare providers could facilitate the implementation of an outsourcing policy.

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Exploring perceptions, motivations, and practices regarding outsourcing support services by general hospitals in Uganda: A mixed methods study

Cited by 6 publications

References 21 publications

Exposure of Public Sector with the Quasi-Market Through Outsourcing: A Case Study in Iran

Exposure of Public Sector with the Quasi-Market Through Outsourcing: A Case Study in Iran

Developing decision model for the outsourcing of medical service delivery in the public hospitals

Exposure of Public Sector with the Quasi-market Through Outsourcing: A Case Study in Iran

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