Factors determining the financial effectiveness of outsourcing in medical entities in Poland

Borowska Mariola, Augustynowicz Anna, Czerw Aleksandra Izabela. Factors determining the financial effectiveness of outsourcing in medical entities in Poland. Journal of Education, Health and Sport. 2018;8(12):546-557. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2525716

http://ojs.ukw.edu.pl/index.php/johs/article/view/6407

https://pbn.nauka.gov.pl/sedno-webapp/works/893688

 

 

 

 

 

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© The Authors 2018;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.

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The authors declare that there is no conflict of interests regarding the publication of this paper.

 

Received: 20.11.2018. Revised: 20.12.2018. Accepted: 24.12.2018.

 

 

 

 

Factors determining the financial effectiveness of outsourcing in medical entities in Poland

Name

Mariola Borowska 

Affiliation

Medical University of Warsaw, Department of Health Economics and Medical Law

Country

Poland

Bio Statement

—

 

Name

Anna Augustynowicz 

Affiliation

Medical University of Warsaw, Department of Health Economics and Medical Law

Country

Poland

Bio Statement

—

 

Name

Aleksandra Izabela Czerw 

Affiliation

Medical University of Warsaw, Department of Health Economics and Medical Law

Country

Poland

Bio Statement

—

Principal contact for editorial correspondence.

 

Abstract

The aim of the paper was to analyze the financial efficiency of outsourcing in connection with basic and auxiliary activity of medical entities in Poland. Research material consisted of 755 questionnaires filled in by the representatives of medical entities. Five of them were completed only partially, and thus they were not qualified for analysis, which means that complete analysis was performed in 750 medical entities, selected at random from the Register of Health Care Providers. The analysis of medical entities was performed in connection with outsourcing activities. The following auxiliary services were examined: cleaning, laundry, catering, property security and waste disposal, together with the services connected with basic activity, such as: medical staff, medical imaging, laboratory diagnostics. Each area was analyzed in connection with the reason for transferring a given activity to an external company, benefits and disadvantages obtained in connection with separating the service from the entity's structure as well as the method for monitoring the external company. Economies that medical entities gained compared to the costs of the same function before its separation were analyzed, together with the fact whether employees of the entity were given the job in the medical entity after its restructuring or not. All of the above mentioned areas were analyzed with relation to entity type, following the division into public and non-public entities.

Key words: outsourcing, health care, financial efficiency of outsourcing, medical entities