Provide a model for selecting and evaluating outsourcing service providers based on a hierarchical analysis approach in hospitals

ارائه مدل انتخاب و ارزیابی تامین‏کنندگان خدمات برون سپاري بر پایه‏ي رویکرد تحلیل سلسله مراتبی در بیمارستانها

In any industry, the selection and evaluation of suppliers for progress and development is critical. Given the widespread use of corporate systems and the emphasis on concepts of quality improvement, managers are trying to reach boundaries beyond money and materials to discover a new range of opportunities in today's world.

In most business processes, it is essential for companies to be able to trust suppliers, suppliers who deliver high quality goods / services in the shortest time and at the right price.

In recent years, Hasheminejad Hospital has either outsourced some of its non-therapeutic services or decided to outsource it to the private sector, selecting and evaluating the provider of the critical and main issue in outsourcing hospital services. Therefore, in this study, the issue of selecting and evaluating suppliers for outsourced services in hospitals has been addressed.

Suppliers were selected and evaluated in several stages. And 4- Analysis of results.

Phase 1: Based on the studies, 25 criteria for selecting and evaluating suppliers were identified. Were.

Phase Two: Then the identification criteria were categorized into three areas: service characteristics, supplier characteristics, and communication criteria in the supply chain. The level is drawn, the designed chart includes 4 levels: the first level: ‌ The highest level is the decision level, at this level the suppliers are selected and evaluated, the second level: :the level of criteria, مع

At this level, three main criteria are: service characteristics, ‌ Supplier characteristics and communication criteria in the supply chain. Third level: In the third level, indicators and criteria for selection and evaluation are identified. چهارمFourth level, ‌In this level, which is called the options level, ‌ Suppliers are located,

Phase 3 and 4: The questionnaires were provided to specialists and experts, which consisted of the hospital director, the hospital quality manager, the human resources manager, the hospital's research assistant, the director of Moheb Hospital, and other experts and specialists in this field. And completed in the form of an interview. The collected data were analyzed in Expert Choice 11 software.

Dr. Massoud Etemadian, Faculty Member of Iran University of Medical Sciences, Member of the Founding Board of Hospital Management Research Center

Dr. Pejman Shadpour, Deputy Director of Education and Research at Hasheminejad Hospital and Director of the Hospital Management Research Center

Fatemeh Semnani, ‌ Director of Hasheminejad Hospital Quality Improvement, Director of Hospital Management Research Center

Engineer Roh Angiz Asadi, Master of Industrial Engineering, Hospital Management Research Center

Design and development of a practical model of factors affecting the establishment and implementation of public-private partnerships for Iranian hospitals

طراحی و تدوین مدل کاربردی عوامل مؤثر بر ایجاد و اجرای مشارکت بخش دولتی و غیردولتی برای بیمارستانهای ایران

According to the World Bank in 2002, the participation of the public and private sectors is a powerful political tool for sustaining public hospitals and increasing the quality of their services, so it is recommended that developing countries, like advanced countries, adapt to the situation. Provide their country. Since the participation of the public and non-governmental sectors in the health sector of countries is subject to specific legal, political, social and cultural approaches and methods of those countries and the type of attitude towards health services, all these conditions are necessary in designing the participation model. The governmental and non-governmental sectors should be studied and all the basic and executive requirements and variables should be included in the country.

In the first phase of this research, after the theoretical study of various models of public and non-governmental sector participation models, 7 countries that had successful experience in this type of hospital participation were selected. These countries included Canada, the United Kingdom, Germany, Brazil, India, Thailand, and Lesotho, which were studied and compared as adaptive paradigms.

After selecting countries as adaptive paradigms, variables and factors affecting the creation and implementation of public and non-governmental hospital participation model in these countries as well as Iran were extracted using content analysis method and its data were collected in a matching matrix. Came.

After comparative study and identification of dimensions and variables affecting the studied models, a questionnaire was prepared and compiled to explain the proposed model for Iran and its validation. Finally, 220 questionnaires were distributed to hospital experts in selected cities of Iran.

Using exploratory factor analysis, the 30 variables in this questionnaire were loaded on 5 general factors (model dimensions). In order to confirm the factors extracted from the questionnaire in question, the confirmatory factor analysis model was implemented using AMOS software.

Thus, as a result of the present study, 5 general factors affecting the creation and implementation of the public-private partnership model for Iranian hospitals were confirmed, including: legislative factor, policy factor, financial factor, capacity building factor, and community-centered factor. Each of these main factors has been determined and explained in detail in this research with the details of the sub-factors that make up the entire model of public-private partnership participation for Iranian hospitals.

The model designed in this study for Iranian hospitals is a comprehensive and complete model that provides all the requirements and conditions for creating and implementing a public and non-governmental hospital sector participation plan and includes all variables and successful practices in different countries. Different ways have been done, however similar to the requirements of a particular country

is not; Rather, it is a suitable model for Iran's economic, social and cultural conditions, which cover all levels of the country, from government legislation to the Ministry of Health and its subdivisions.

Dr. Mehdi Barzegar, Executive Vice President of Moheb Kowsar Hospital and Member of the Research Council of the Hospital Management Research Center,

Dr. Mohammad Reza Akhoondi Nasab, Faculty Member of Iran University of Medical Sciences

Dr. Elham Afzal, Head of Research, Hospital Management Research Center