Document Type : Original Article
Authors
1 Department of Health Information Technology of Seyyed Mostafa Khomeini Hospital of Tabas, Birjand University of Medical Sciences, Tabas, Iran
2 Health Management and Economics Research Center, Isfahan University of Medical Sciences, School of Economics and Administrative Sciences, University of Isfahan, Isfahan
Abstract
Organizations try to outsource their activities as much as possible in order to prevent the problems
and use organizational capabilities in Information Technology (IT) field.The purpose of this paper
was first, to express the effective criteria for selecting suppliers of IT services, second, to explain
the advantages and disadvantages of outsourcing IT in hospitals. This study was narrative
review, which search was conducted with the help of libraries, books, conference proceedings,
and databases of Science Direct, PubMed, Proquest, Springer, and SID (Scientific Information
Database). In our searches, we employed the following keywords and their combinations:
Outsourcing, information technology, hospital, decision making, and criteria. The preliminary
search resulted in 120 articles, which were published between 2000 and 2013 during July 2013.
After a careful analysis of the content of each paper, a total of 46 papers were selected based
on their relevancy. The criteria and sub‑criteria influencing outsourcing decisions in Iranian
hospitals were identified in six major categories including administrative issues, issues related
to the service/product, technology factors, environmental factors, risks, and economic factors
associated with 15 sub‑criteria containing business integration, dependence on suppliers, human
resources, focus on core competencies, facilities and physical capital, innovation, quality, speed
of service delivery, flexibility, market capabilities, geographical location, security, management
control, cost, and financial capability. Identify the advantages and disadvantages of outsourcing
and effective criteria in IT services supplier selection causes the managers be able to take the
most appropriate decision to select supplier of IT services. This is a general review on influencing
criteria for electing of supplier of information technology services in hospitals.
Keywords
- Ferdosi M, Farahabadi SM, Jandagheian M, Haghighat M, Naghdi
P. Outsourcing effectiveness of admission units of imaging centers
in Ayatollah Kashani Hospital to non‑governmental sector. Hospital
J 2011;10:52‑61.
2. Torani S, Maleki M, Ghodosi Moghadam S, Gohari M. Comparison
of efficiency and effectiveness of firozgar education drugstore
before and after of outsourcing. Health Manag 2009;12:59‑72.
3. Ajami S, Ketabi S, Saghaeiannejad S, Heidari A. Requirements and
areas associated with readiness assessment of Electronic Health
Records implementation. J Health Adm 2011;14:71‑8.
4. Tohidi H. The Role of Risk Management in IT systems of
organizations. Procedia Comput Sci 2011;3:881‑7.
5. Nahavandi N, Yousefian MH, Bayat A. IT outsourcing strategy selection:
The case of Iranian Banking Industry. Q J New Econ 2008;13:89‑110.
6. Domberger S, Jensen PH, Stonecash RE. Examining the magnitude
and sources of cost savings associated with outsourcing. Public
Perform Manage Rev 2002:148‑68
7. Power M. The outsourcing handbook: How to implement a
successful outsourcing process. London, United Kingdom: Kogan
Page Publishers; 2006.
8. Brooks N. Understanding IT outsourcing and its potential
effects on IT workers and their environment. J Comput Inf Syst
2006;46:46‑53.
9. Isıklar G, Alptekin E, Büyüközkan G. Application of a hybrid
intelligent decision support model in logistics outsourcing. Comput
Oper Res 2007;34:3701‑14.
10. Yang DH, Kim S, Nam C, Min JW. Developing a decision model for
business process outsourcing. Comput Oper Res 2007;34:3769‑78.
11. Ashley E. Outsourcing for dummies. New Jersey: Wiley Publishing;
2008.
12. Tayauova G. Advantages and disadvantages of outsourcing:
Analysis of outsourcing practices of Kazakhstan banks. Procedia
Soc Behav Sci 2012;41:188‑95.
13. Bertolini M, Bevilacqua M, Braglia M, Frosolini M. An analytical
method for maintenance outsourcing service selection. Int J Qual
Reliab Manag 2004;21:772‑88.
14. Kurdia M, Abdul‑Tharim A, Jaffar N, Azli M, Shuib M, Ab‑Wahid A.
Outsourcing in facilities management‑A Literature Review. Procedia
Eng 2011;20:445‑57.
15. Willcocks L, Hindle J, Feeny D, Lacity M. IT and business process
outsourcing: The knowledge potential. Inf Syst Manage 2004;21:7‑15.
16. Pirannejad A, Salami H, Mollaee A. Outsourcing priorities of
government functions: Analytic network process approach. Afr J
Bus Manag 2010;4:1723‑35. - 17. Adeleye BC, Annansingh F, Nunes MB. Risk management practices
in IS outsourcing: An investigation into commercial banks in Nigeria.
Int J Inf Manage 2004;24:167‑80.
18. Hsu CI, Chiu C, Hsu PL. Predicting information systems outsourcing
success using a hierarchical design of case‑based reasoning. Expert
Syst Appl 2004;26:435‑41.
19. Liou JJ, Chuang YT. Developing a hybrid multi‑criteria model
for selection of outsourcing providers. Expert Syst Appl
2010;37:3755‑61.
20. Ketabi S, Hagh shenas A, Hadadyan A. Multi‑criteria supplier
selection using fuzzy AHP. Ind Manage Stud 2006;12:73‑96.
21. Araz C, Mizrak Ozfirat P, Ozkarahan I. An integrated multicriteria
decision‑making methodology for outsourcing management.
Comput Oper Res 2007;34:3738‑56.
22. Ghazi Zadeh Fard SZ, Ahmadvand A, Bahr AH. Design of decision
making model to outsource activities in repair and maintenance
division (A Governmental Organization Case Study). Police Hum
Dev 2012;8:55‑72.
23. Razmi J, Faghih‑Roohi S. Decision making about information
systems outsourcing using Fuzzy analysis hierarchy process. Ind
Technol Dev 2010;8:35‑48.
24. Veni KK, Rajesh R, Pugazhendhi S. Development of decision making
model using integrated AHP and DEA for vendor selection. Procedia
Eng 2012;38:3700‑8.
25. Kahraman C, Engin O, Kabak O, Kaya I. Information systems
outsourcing decisions using a group decision‑making approach.
Eng Appl Artif Intell 2009;22:832‑41.
26. Wang JJ, Yang DL. Using a hybrid multi‑criteria decision aid
method for information systems outsourcing. Comput Oper Res
2007;34:3691‑700.
27. Khalfan A, Gough TG. IS/IT Outsourcing Practices in the Public
Sector: A case study of a developing country. Mexico: Research
Report Series‑University of Leeds school of computer studies LU
SCS RR; presented at BITWorld 2000; 2000 (15).
28. Ha SH, Krishnan R. A hybrid approach to supplier selection for
the maintenance of a competitive supply chain. Expert Syst Appl
2008;34:1303‑11.
29. Hafeez K, Malak N, Zhang Y. Outsourcing non‑core assets and
competences of a firm using analytic hierarchy process. Comput
Oper Res 2007;34:3592‑608.
30. Buyukozkan G, Feyzioglu O. An intelligent decision support system
for IT outsourcing. Proceedings of the Third international conference
on Fuzzy Systems and Knowledge Discovery: New York City:
Springer Publishing; 2006: 1303‑12. DOI: 10.1007/11881599_162.
31. Chen LY, Wang TC. Optimizing partners’ choice in IS/IT outsourcing
projects: The strategic decision of fuzzy VIKOR. Int J Prod Econ
2009;120:233‑42.
32. Bottani E, Rizzi A. An adapted multi‑criteria approach to suppliers
and products selection‑An application oriented to lead‑time
reduction. Int J Prod Econ 2008;111:763‑81.
33. Jaskowski P, Biruk S, Bucon R. Assessing contractor selection
criteria weights with fuzzy AHP method application in group decision
environment. Autom Const 2010;19:120‑6.
34. Hassanzadeh A, Razmi J. An integrated fuzzy model for supplier
management: A case study of ISP selection and evaluation. Expert
Syst Appl 2009;36:8639‑48.
35. Yang C, Huang JB. A decision model for IS outsourcing. Int J Inf
Manage 2000;20:225‑39.
36. Kung CY. Using fuzzy sets and grey decision‑making to construct
the performance evaluation model of firm’s outsourcing
management–A case study of avionics manufacturer in Taiwan.
Qual Quant 2006;40:577‑93.
37. Kremic T, Tukel OI, Rom WO. Outsourcing decision support:
A survey of benefits, risks, and decision factors. Supply Chain
Manage An Int J 2006;11:467‑82.
38. Hsu PF, Hsu MG. Optimizing the information outsourcing practices
of primary care medical organizations using Entropy and TOPSIS.
Qual Quant 2008;42:181‑201.
39. Montazer GA, Saremi HQ, Ramezani M. Design a new mixed expert
decision aiding system using fuzzy ELECTRE III method for vendor
selection. Expert Syst Appl 2009;36:10837‑47.
40. Shyur HJ, Shih HS. A hybrid MCDM model for strategic vendor
selection. Math Comput Model 2006;44:749‑61.
41. Barthelemy J. The seven deadly sins of outsourcing. Acad Manage
Exec 2003;17:87‑98.
42. Godwin GU. Using analytic hierarchy process to analyze the
information technology outsourcing decision. Ind Manage Data
Syst 2000;100:421‑9.
43. Kaya I. Evaluation of outsourcing alternatives under fuzzy
environment for waste management. Resour Conserv Recycling
2012;60:107‑18.
44. Ketabi S, Hagh shenas A, Dalvi MR. Performance evaluation using
balanced scorecard through analytic hierarchy process. Manage
Knowl 2007;20:21‑46.
45. Ajami S, Ketabi S. Performance evaluation of medical records
departments by analytical hierarchy process (AHP) approach in the
selected hospitals in Isfahan. J Med Syst 2012;36:1165‑71.
46. Ketabi S, Yaghoubi M, Karimi S, Javadi M. Factors affecting patients’
length of stay in Alzahra hospital based on hierarchical analysis
technique. Health Inf Manage 2011;8:326‑34.