Exploring Outsourcing Practices in Jordanian Hospitals: Benefits, Challenges, and Strategic Insights

Authors

  • Omar Ayaad Quality and Accreditation Department, Sultan Qaboos Comprehensive Cancer Care and Research Centre, University Medical City. Muscat, Oman

Keywords:

Outsourcing, healthcare management, Jordanian hospitals, service quality, cost reduction, strategic planning, satisfaction levels

Abstract

Background: Outsourcing is widely adopted in healthcare as a strategic approach to managing operational challenges such as cost reduction, service quality enhancement, and access to specialized expertise. However, outsourcing also presents risks, including losing control and supplier dependency. While extensively studied in developed countries, limited research exists on outsourcing practices in healthcare institutions in developing countries like Jordan.

Purpose: This study aims to explore the current status of outsourcing in Jordanian hospitals, examining the extent of outsourcing, the associated advantages and disadvantages, satisfaction levels, challenges faced, and the strategies used for monitoring outsourced services.

Methods: A quantitative research design was employed, utilizing a structured, self-administered questionnaire to collect data from 83 senior managers across government-owned, private, and educational hospitals in Jordan. Descriptive statistics were used to analyze the data, including means, standard deviations, and frequencies.

Results: The study found that outsourcing is prevalent in Jordanian hospitals, with services such as waste disposal, communication, and laundry being the most commonly outsourced. Managers reported benefits such as workforce reduction and cost savings but also noted challenges, including political interference, limited-service providers, and contract management issues. Despite these challenges, high satisfaction levels were reported for catering, radiology, and ambulance services due to solid relationships with suppliers and realized cost reductions.

Conclusion: Outsourcing in Jordanian hospitals offers significant benefits but poses challenges requiring careful management. Effective governance, strategic planning, and continuous monitoring are essential for optimizing outsourcing outcomes. Addressing political and resource-related challenges is crucial for improving the efficacy of outsourcing in Jordan's healthcare sector.

https://doi.org/10.5281/zenodo.13364622 

References

Akbulut, Y., Terekli, G., & Yıldırım, T. (2013). Outsourcing in Turkish hospitals: A systematic review. Ankara Sağlık Hizmetleri Dergisi, 2(11), 25–33.

Akyürek, Ç. E. (2013). Türk sağlık sisteminde dış kaynaklardan yararlanma uygulamalarının yasal altyapısı. Ankara Sağlık Hizmetleri Dergisi, 12(2), 1–23.

AlHarthy, S. H., Mansour, A. M., Al-Mahmoodi, W., Ibrahim, R., Ayaad, O., & Al-Baimani, K. (2024). Referral Process Enhancement: Innovative Approaches and Best Practices. Asian Pacific Journal of Cancer Prevention: APJCP, 25(5), 1691.‏

Al-Mazroei, A. (2015). Factors affecting the implementation of joint ventures: A study of outsourcing in healthcare services in low and middle-income countries (Doctoral dissertation). University of Salford.

AL-Ruzzieh, M. A., Al Rifai, A., & Ayaad, O. (2022). Organisational citizenship behaviour in the healthcare workplace: A scoping review. British Journal of Healthcare Management, 28(6), 1-7.‏

Al-Ruzzieh, M. A., Ayaad, O., & Qaddumi, B. (2022). The role of e-health in improving control and management of COVID 19 outbreak: current perspectives. International Journal of Adolescent Medicine and Health, 34(4), 139-145.‏

Ayaad, O. (2019). Outsourcing in Jordanian Hospitals.‏

Ayaad, O., & Çelik, Y. (2024). Outsourcing in Health Sector: Concept Analysis. Yalloo Journal for Health Sciences, 1(1), 12–17. https://doi.org/10.5281/zenodo.13331378

Ayaad, O., Al-Dewiri, R., Kasht, L., Qaddumi, B., & Ayyad, M. (2022). Adopting lean management in quality of services, cost containment, and time management. Asian Pacific Journal of Cancer Prevention: APJCP, 23(8), 2835.‏

Ayaad, O., Al-Ruzzieh, M. A., Qaddumi, B., Al Hroub, A., Ayyad, M., Abuseif, S., & Çelik, Y. (2022). Outsourcing services in the healthcare sector: balancing risks and benefits. British Journal of Healthcare Management, 28(3), 96-103.‏

Dalton, C. M., & Warren, P. L. (2016). Cost versus control: Understanding ownership through outsourcing in hospitals. Journal of Health Economics, 48, 1–15.

Guimarães, C., & Carvalho, J. De. (2011). Outsourcing in the healthcare sector—A state-of-the-art review. Supply Chain Forum: An International Journal, 12(2), 1–17.

Haroun, A., Ayaad, O., Al-Ruzzieh, M. A., & Ayyad, M. (2022). The role of total quality management in improving patient experiences and outcomes. British Journal of Healthcare Management, 28(10), 1-8.‏

Henley, J. (2006). Outsourcing the provision of software and IT-enabled services to India: Emerging strategies. International Studies of Management and Organization, 36(4), 111–131.

Hill, C. W. L., & Jones, G. R. (2007). Strategic management: An integrated approach. South-Western College Publishing.

Hsiao, C. T., Pai, J. Y., & Chiu, H. (2009). The study on the outsourcing of Taiwan’s hospitals: A questionnaire survey research. BMC Health Services Research, 9, Article 78. https://doi.org/10.1186/1472-6963-9-78

Moschuris, S. J., & Kondylis, M. N. (2006). Outsourcing in public hospitals: A Greek perspective. Journal of Health Organization and Management, 20(1), 4–14.

Mujasi, P. N. (2016). Practices, motivation, perceived benefits and barriers to outsourcing by hospitals in Uganda (Doctoral dissertation). Makerere University.

Runar Edvardsson, I., & Durst, S. (2014). Outsourcing of knowledge processes: A literature review. Journal of Knowledge Management, 18(4), 795–811.

Sekaran, U., & Bougie, R. (2016). Research methods for business (7th ed.). John Wiley & Sons.

WHO. (2015). The National Strategy for Health Sector in Jordan 2015-2019. Retrieved from http://www.hhc.gov.jo/uploadedimages/The National Strategy for Health Sector in Jordan 2015-2019.pdf

Yigit, V., Tengilimoglu, D., Kisa, A., & Younis, M. Z. (2007). Outsourcing and its implications for hospital organizations in Turkey. Journal of Health Care Finance, 33(4), 86–92.

Young, S., & Macinati, M. S. (2012). Health outsourcing/backsourcing: Case studies in the Australian and Italian health sector. Public Management Review, 14(6), 771–794.

Downloads

Published

2024-08-23

How to Cite

Ayaad, O. (2024). Exploring Outsourcing Practices in Jordanian Hospitals: Benefits, Challenges, and Strategic Insights. International Journal of Art, Social, and Managerial Sciences, 1(1), 19–26. Retrieved from https://sobraj.com/index.php/ijasms/article/view/10

Issue

Section

Articles