Borowska Mariola, Augustynowicz Anna, Bobiński Krzysztof, Waszkiewicz Michał, Czerw Aleksandra
Department of Health Economics and Medical Law, Medical University of Warsaw, Poland.
Department of Health Economics and Medical Law, Medical University of Warsaw, Poland; Department of Economics, Law and Management Centre of Postgraduate Medical Education of Warsaw, Poland.
Health Policy. 2020 Apr;124(4):486-490. doi: 10.1016/j.healthpol.2020.01.010. Epub 2020 Jan 31.
In light of insufficient financial resources allocated to the functioning of the health care system in Poland, healthcare entities undertake several restructuring measures aimed at cost reduction, improvement of effectiveness and optimisation of operations. One of the elements of this restructuring is outsourcing.
The objective of the study is to determine the significance of selected factors determining the outsourcing of basic operations in healthcare entities in Poland.
The research tool was the authors' questionnaire. The study was conducted at healthcare entities using the CAWI method in 2018. The outsourcing of laboratory diagnostics, diagnostic imaging and medical personnel was examined.
Out of 750 healthcare entities, 241 outsource medical personnel, 484 outsource laboratory diagnostics, 445 outsource imaging diagnostics. The use of outsourcing primarily results from the excessively high cost of maintaining own employees, the desire to gain access to the top-quality knowledge and technology as well as the need for financial savings.
The scale of outsourcing of medical personnel may be greater than it results from the obtained study results. Excessively high costs of maintaining own employees as the most important reason for using outsourcing is a consequence of high personnel costs occurring in the case of establishing cooperation on the basis of an employment relationship.
鉴于波兰医疗保健系统运作所分配的财政资源不足，医疗保健实体采取了若干旨在降低成本、提高效率和优化运营的重组措施。这种重组的要素之一是外包。
本研究的目的是确定决定波兰医疗保健实体基本业务外包的选定因素的重要性。
研究工具是作者设计的问卷。2018年采用计算机辅助网络调查（CAWI）方法在医疗保健实体中进行了研究。对实验室诊断、诊断成像和医疗人员的外包情况进行了调查。
在750个医疗保健实体中，241个外包医疗人员，484个外包实验室诊断，445个外包成像诊断。外包的使用主要源于维持自有员工成本过高、获取顶级知识和技术的愿望以及节省资金的需要。
医疗人员外包的规模可能比研究结果显示的更大。维持自有员工成本过高作为使用外包的最重要原因，是在基于雇佣关系建立合作时出现高人事成本的结果。
