FACTORS AFFECTING DECISION-MAKING IN OUTSOURCING HEALTH SERVICES USING A STRUCTURAL EQUATION MODELING APPROACH

BACKGROUND In developing countries, the restructuring of financial resources is one of the components of the health system reform policy. In this regard, outsourcing services is one of the types of interventions that is under consideration. The purpose of this research is to develop a decision-makin...

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Published inJournal of evolution of medical and dental sciences Vol. 8; no. 27; pp. 2137 - 2143
Main Authors Nazari, Morteza, Riahi, Leila, Tabibi, Seied Jamaleddin, Farahani, Mahmoud Mahmoudi Majdabadi
Format Journal Article
LanguageEnglish
Published Akshantala Enterprises Private Limited 08.07.2019
Subjects
Business services
Decision making
Developing countries
Health care industry
Health care reform
Hospitals
Information management
Iran
Outsourcing
Public hospitals
Statistical methods
Iran
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Summary:BACKGROUND In developing countries, the restructuring of financial resources is one of the components of the health system reform policy. In this regard, outsourcing services is one of the types of interventions that is under consideration. The purpose of this research is to develop a decision-making model for outsourcing services in Iranian public hospitals. METHODS This is an exploratory study. For data analysis, the statistical methods of exploratory and deterministic analysis were used with IBM SPSS Statistics 23 and LISREL 8.8 software. RESULTS Effective factors in deciding on outsourcing services in Iran's public hospitals include economic factors with a load factor of 0/70, characteristics of service with a load factor of 0/60, environmental factors with a load factor of 0/46, social factors with a load factor of 0/42, and resource with a load factor of 0/40. Standardized load factor values and T values for significant loading factors' tests indicate that all extracted factors are significant in outsourcing measurements in comparison with T values(p <0.001, T>2). CONCLUSIONS The proposed model for decision making outsourcing services in Iranian public hospitals in the form of a comprehensive and multidimensional concept consists of six effective factors (economic, service, environment, policy, social, and resources). Therefore, consideration of all aspects of its components can lead to the successful outsourcing of services in the public hospitals to achieve the desired goals. KEY WORDS Decision Making, Economics, Hospitals, Outsourced Services
ISSN:2278-4748
2278-4802
DOI:10.14260/jemds/2019/469