Document Type : Original Article(s)
Authors
1 Assistant Professor, Health Services Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
2 PhD Candidate, Health Services Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3 Professor, Medical Demography, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
4 Assistant Professor, Health Policy and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
5 Tehran University of Medical Sciences, Vice Chancellor for Administration and Finance, Tehran, Iran.
Abstract
Introduction: Measuring the extent and nature of outsourcing in public hospitals affiliated with Tehran University of Medical Sciences (TUMS), Tehran, Iran was the aim of this study.Methods: In this cross-sectional applied study, we reviewed the relevant literature and interviewed with 5 experts to introduce various indices of measuring the extent and nature of outsourcing. We recommended 6 simple indices. The data was collected from 14 hospitals affiliated with TUMS in 2007.Results: The extent of outsourcing in TUMS hospitals was 12% in average. Moreover, the private sector was in charge of 25% of employments. There were 124 contractual agreements between TUMS hospitals and other parties in 2007. A private institute was the other side of 90% of contracts. The other sides of 68% of contracts were recognized in a competitive space. However, 10% of the contracts had been revised during implementation.Conclusion: Although the extent of outsourcing was not considerable, the implementation process of outsourcing was acceptable.Keywords: Policy; Outsourcing; Contracting; Private Sector; Hospitals, University.
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