“…All but one of the six organizations who chose to outsource experienced considerable difficulties and frustrations with their decision. The anticipated savings were repeatedly not realized as there were many hidden costs (Barthélemy 2003, Larsen et al 2013, Le Bon and Hughes 2009, Manning 2014, Sharma 2012, Stringfellow et al 2008, Tate and van der Valk 2008), such as: having to replicate infrastructure to deal with quality assurance, workforce management, and customer complaint escalations (Le Bon and Hughes 2009, Ren and Zhou 2008, Sharma 2012, Stringfellow et al 2008, Tate and van der Valk 2008, Ueltschy et al 2006).…”