Ajami Sima, Rajabzadeh Ahmad, Ketabi Saeedeh
Department of Health Information Technology and Management, Isfahan University of Medical Sciences, School of Economics and Administrative Sciences, University of Isfahan, Isfahan, Iran.
Department of Health Information Technology of Seyyed Mostafa Khomeini Hospital of Tabas, Birjand University of Medical Sciences, Tabas, Iran.
J Educ Health Promot. 2014 Nov 29;3:108. doi: 10.4103/2277-9531.145896. eCollection 2014.
Organizations try to outsource their activities as much as possible in order to prevent the problems and use organizational capabilities in Information Technology (IT) field. The purpose of this paper was first, to express the effective criteria for selecting suppliers of IT services, second, to explain the advantages and disadvantages of outsourcing IT in hospitals. This study was narrative review, which search was conducted with the help of libraries, books, conference proceedings, and databases of Science Direct, PubMed, Proquest, Springer, and SID (Scientific Information Database). In our searches, we employed the following keywords and their combinations: Outsourcing, information technology, hospital, decision making, and criteria. The preliminary search resulted in 120 articles, which were published between 2000 and 2013 during July 2013. After a careful analysis of the content of each paper, a total of 46 papers were selected based on their relevancy. The criteria and sub-criteria influencing outsourcing decisions in Iranian hospitals were identified in six major categories including administrative issues, issues related to the service/product, technology factors, environmental factors, risks, and economic factors associated with 15 sub-criteria containing business integration, dependence on suppliers, human resources, focus on core competencies, facilities and physical capital, innovation, quality, speed of service delivery, flexibility, market capabilities, geographical location, security, management control, cost, and financial capability. Identify the advantages and disadvantages of outsourcing and effective criteria in IT services supplier selection causes the managers be able to take the most appropriate decision to select supplier of IT services. This is a general review on influencing criteria for electing of supplier of information technology services in hospitals.
组织尽可能地将其活动外包，以预防问题并利用信息技术（IT）领域的组织能力。本文的目的，其一，是阐述选择IT服务供应商的有效标准；其二，是解释医院外包IT的优缺点。本研究为叙述性综述，借助图书馆、书籍、会议论文集以及科学Direct、PubMed、Proquest、Springer和SID（科学信息数据库）等数据库进行检索。在检索过程中，我们使用了以下关键词及其组合：外包、信息技术、医院、决策制定和标准。初步检索得到120篇文章，这些文章发表于2000年至2013年7月期间。在对每篇论文的内容进行仔细分析后，根据相关性共筛选出46篇论文。影响伊朗医院外包决策的标准和子标准被确定为六大类，包括行政问题、与服务/产品相关的问题、技术因素、环境因素、风险以及经济因素，其中包含15个子标准，如业务整合、对供应商的依赖、人力资源、专注核心竞争力、设施和实物资本、创新、质量、服务交付速度、灵活性、市场能力、地理位置、安全性、管理控制、成本和财务能力。识别外包的优缺点以及IT服务供应商选择中的有效标准，能使管理者能够做出最恰当的决策来选择IT服务供应商。这是对影响医院信息技术服务供应商选择标准的一般性综述。
