Chen B
Bull Soc Sci Med Grand Duche Luxemb. 1999(4):57-63.
Cost effectiveness and improvement of service quality are the main reasons for outsourcing in hospitals. Long term relationships and customer satisfaction confirm the concept of providing complex services from external specialized companies. There is no standard guideline to determine whether outsourcing should be preferred to inhouse service. Outsourcing is not a guarantee for improved service and a lot of promoted advantages could theoretically also be provided by inhouse service departments. But the effectiveness of inhouse services has to be proven in comparison and competition to external providers. The often named disadvantages of outsourcing have to be considered. Nevertheless they are also not only subject to outsourcing and can also be a problem in inhouse organisations. Furthermore a proper controlling is an important tool to eliminate most of the difficulties in outsourcing projects. In the competition between internal and external service providers concepts of service partnerships that integrate internal and external resources will be the successful ones in the long run. The main potential for improvement is the optimization of the whole process of maintenance management, instead of the mere reduction of head count.
成本效益和服务质量的提升是医院进行外包的主要原因。长期合作关系和客户满意度证实了由外部专业公司提供综合服务这一理念。目前尚无确定外包是否应优于内部服务的标准指南。外包并非服务改善的保证，理论上许多所宣扬的优势内部服务部门也能提供。但内部服务的有效性必须在与外部供应商的比较和竞争中得到证明。必须考虑外包常被提及的劣势。然而，这些劣势并非外包所独有，在内部组织中也可能成为问题。此外，适当的控制是消除外包项目中大多数困难的重要工具。在内部和外部服务提供商的竞争中，整合内部和外部资源的服务伙伴关系理念从长远来看将是成功的。主要的改进潜力在于优化维护管理的整个流程，而非仅仅削减员工数量。
