Magnezi Racheli, Dankner Rachel S, Kedem Ron, Reuveni Haim
Center of Health Services and Medical Supplies, Israel Defense Forces, Head of Budget, Health Services Branch, Israel.
Health Policy. 2006 Aug 22;78(1):1-7. doi: 10.1016/j.healthpol.2005.08.004. Epub 2005 Oct 19.
Decision-makers in the Israeli defense force (IDF) have determined that the Medical Corp (MC) would outsource the primary care services required by career soldiers to a skilled civilian health care provider, in an attempt to improve efficiency, quality and "image" of the MC care system, while controlling expenses.
A cross-sectional survey to reveal decision-makers' considerations for outsourcing primary care for career soldiers and to evaluate whether these considerations match career soldiers' satisfaction level parameters was conducted between February 2002 and 2003 in IDF bases and civilian primary care clinics.
Medical Corp decision-makers are concerned about loss of professional prestige and dependence on the civilian system. A high level of satisfaction following outsourcing was found among career soldiers due to: medical staff attitude, pleasant facilities, quality of care, availability and accessibility of medical care. Agreement about five factors was found among decision-makers and career soldiers: working environment, medical personnel attitude, quality and availability of medical care, and patient satisfaction level.
Outsourcing of primary care from military to civilian providers gives high client satisfaction level.
以色列国防军（IDF）的决策者决定，医疗部队（MC）将把职业军人所需的初级保健服务外包给一家专业的民用医疗服务提供商，以期提高MC医疗系统的效率、质量和“形象”，同时控制开支。
2002年2月至2003年期间，在IDF基地和民用初级保健诊所开展了一项横断面调查，以揭示决策者将职业军人初级保健外包的考虑因素，并评估这些考虑因素是否与职业军人的满意度参数相匹配。
医疗部队决策者担心专业声誉受损以及对民用系统的依赖。职业军人对外包后的满意度较高，原因包括：医务人员态度、舒适的设施、护理质量、医疗服务的可及性。决策者和职业军人在五个因素上达成了一致：工作环境、医务人员态度、医疗服务的质量和可及性以及患者满意度。
从军队向民用服务提供商外包初级保健能带来较高的客户满意度。
