Niknam Noureddin, Gorji Hasan Abolghasem, Langarizadeh Mostafa
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2020 Oct 30;9:294. doi: 10.4103/jehp.jehp_132_20. eCollection 2020.
Outsourcing, as one of the important managerial strategies to improve performance, has become one of the main areas of research in hospital management studies. The aim of this study was to identify the challenges of outsourcing hospital services in Iran.
This research was conducted in a qualitative manner with the aim of determining the challenges of outsourcing hospital services in Iran. The research community consisted of managers and experts in the field of outsourcing. 21 managers and staff experts of the Ministry of Health, universities, and hospitals affiliated to Iran University of Medical Sciences, Tehran, and Shahid Beheshti, were selected as the target for the interview. Finally, the data were analyzed using content analysis method.
Outsourcing challenges were extracted and reported in the form of 6 theme topics and 40 subthemes. The main issues included legal and political challenges, finance, human resources, organizational, managerial, and private sector.
Outsourcing hospital services in all six areas faced serious challenges. To this end, partnership between the private and government sectors through outsourcing requires the continuous development of effective political, organizational, and managerial capacity in order to guide and manage this process properly and efficiently to ensure that the goals and policies in the field of health. It is clearly understood and not forgotten or neglected.
外包作为提高绩效的重要管理策略之一，已成为医院管理研究的主要领域之一。本研究旨在确定伊朗医院服务外包面临的挑战。
本研究采用定性研究方法，旨在确定伊朗医院服务外包面临的挑战。研究群体包括外包领域的管理人员和专家。选择了伊朗医科大学、德黑兰的沙希德·贝赫什提大学附属的卫生部、大学和医院的21名管理人员和专家作为访谈对象。最后，采用内容分析法对数据进行分析。
外包挑战以6个主题和40个子主题的形式提取并报告。主要问题包括法律和政治挑战、财务、人力资源、组织、管理和私营部门。
医院服务外包在所有六个领域都面临严峻挑战。为此，通过外包实现私营部门与政府部门之间的合作需要持续发展有效的政治、组织和管理能力，以便正确有效地指导和管理这一过程，确保卫生领域的目标和政策得到明确理解，不被遗忘或忽视。
