Selected factors determining outsourcing of basic operations in healthcare entities in Poland.
Healthcare entity management
Laboratory diagnostics outsourcing
Outsourcing of basic operations
Journal
Health policy (Amsterdam, Netherlands)
ISSN: 1872-6054
Titre abrégé: Health Policy
Pays: Ireland
ID NLM: 8409431
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
27
11
2018
revised:
12
01
2020
accepted:
26
01
2020
pubmed:
18
2
2020
medline:
29
7
2021
entrez:
18
2
2020
Statut:
ppublish
Résumé
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.
Sections du résumé
BACKGROUND
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.
OBJECTIVE
The objective of the study is to determine the significance of selected factors determining the outsourcing of basic operations in healthcare entities in Poland.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.
Identifiants
pubmed: 32063379
pii: S0168-8510(20)30021-X
doi: 10.1016/j.healthpol.2020.01.010
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
486-490Informations de copyright
Published by Elsevier B.V.