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Dış Laboratuvar Hizmet Alımının Maliyet Karlılık Analizi: Bir Üniversite Hastanesi Örneği

Year 2021, Volume: 12 Issue: 1, 110 - 117, 23.02.2021

Abstract

Çalışmanın amacı, bir Üniversite Hastanesinin genetik tıp laboratuvar hizmetlerinin dış kaynaktan sağlanmasının maliyet karlılığını inceleyerek yönetsel kararlar açısından faydalı bilgiler sunmaktır. Çalışmada Düzce Üniversitesi Sağlık Uygulama ve Araştırma Merkezi (Hastanesi) genetik tıp laboratuvarının ihale yoluyla dış kaynak kullanımına ait veriler kullanılmıştır. Veriler, retrospektif olarak hastane otomasyon sistemi aracılığıyla elde edilmiştir ve döküman analizi uygulanmıştır. Dış laboratuvara gönderilen tetkiklerden 2017 yılında %52, 2018 yılında %57 ve 2019 yılında %60 kar elde edildiği belirlenmiştir. Ayrıca 2019 yılında, dış laboratuvara gönderilen tetkik miktarı bir önceki yıla göre %20 oranında düşmesine rağmen aynı yıl karlılığın %3 arttığı tespit edilmiştir. Çalışma, Sağlık Uygulama Tebliğine (SUT) göre yüksek puanlı işlemlerin düşük ihale katsayısı ile dış laboratuvara gönderilmesinin karlılığı daha üst seviyelere çıkarabileceğini ortaya koymuştur.

References

  • Atasever, M., Karaca, Z. ve Uçar, A. E. (2018). Türkiye Sağlık Hizmet Alımları Rehberi (1.Baskı). Yazarın Kendi Yayını.
  • Avery, G. (2000). Outsourcing public health laboratory services: A blueprint for determining whether to privatize and how. Public Administration Review, 60(4), 330–337.
  • Borchardt, J. K. (2009). Outsourcing. Lab Manager. [Çevrim-içi: https://www.labmanager.com/business-management/outsourcing-20149#.WqK8nnxG3RY], Erişim tarihi: 03.09.2020.
  • Bowers, J. A. (1995). A cost benefit analysis of outsourced laboratory services. Journal of Healthcare Resource Management, 13(11), 13–17.
  • Bozdemir, E. ve Öcel, Y. (2016). Hastanelerde dış kaynak kullanımının maliyet minimizasyonu açısından analizi: Bolu İzzet Baysal Eğitim ve Araştırma Hastanesi manyetik rezonans (MR) cihazı örneği. Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 20(3), 1051-1070.
  • Quest Diagnostics. (2014). 70% of medical decisions are based on lab results. Professional Laboratory Services. [Çevrim-içi: https://pdf4pro.com/download/70-of-medical-decisions-are-based-on-lab-results-5978f5.html], Erişim tarihi: 25.10.2020.
  • Diana, M. L. (2009). Exploring information systems outsourcing in U.S. hospital-based health care delivery systems. Health Care Management Science, 12(4), 434–450.
  • Freinberg, B. & Kaden, P. A. (2006). Pros and cons of outsourcing laboratory services. Journal of Oncology Practice, 2(4), 162–163.
  • Greaver, M. F. (1999). Strategic outsourcing; A structured approach to outsourcing decisions an ınitiatives. New York: American Management Association (AMACOM).
  • Hensley, S. (1997). Outsourcing boom. Survey shows more hospitals turning to outside firms for a broad range of services. Modern Healthcare, 27(35), 51–56.
  • Jensen, P. H. & Stonecash, R. E. (2005). Incentives and the efficiency of public sector-outsourcing contracts. Journal of Economic Surveys, 19(5), 767–787.
  • Koçel, T. (2015). İşletme Yöneticiliği (16.baskı). İstanbul: Beta Yayınları.
  • Lee, J. (2014). Outsourcing lab services can save money, but it’s not that simple. Modern Healthcare, 42, 22–24.
  • Penton, M. E., Otto, C. & Hammerschlag, M. R. (2020). Outsourcing microbiology services in medical centers: Is it worth it? Journal of the Pediatric Infectious Diseases Society, 9(3), 293–297.
  • Plebani, M. (2015). Clinical laboratories: Production industry or medical services? Clinical Chemistry and Laboratory Medicine, 53(7), 995–1004.
  • Sarivougioukas, J. C. & Vagelatos, A. T. (2002). IT outsourcing in the healthcare sector: the case of a state general hospital. Proceedings of the 2002 ACM SIGCPR Conference on Computer Personnel Research - SIGCPR ’02, 61. https://doi.org/10.1145/512360.512372.
  • Scott, K. (2017). To outsource or not to outsource. Clinical Laboratory News. [Çevrim-içi: https://www.aacc.org/publications/cln/articles/2017/april/to-outsource-or-not-to-outsource-hospitals-face-touch-decisions-when-it-comes-to-lab-services], Erişim tarihi: 03.09.2020.
  • Shinkman, R. (2000). Outsourcing on the upswing. Health providers are farming out more services to spend less money. Modern Healthcare, 30(37), 46–50.
  • Welch, G. & Richman, S. (2019). A Business Perspective of Laboratory Outsourcing Arrangements. [Çevrim-içi: https://arup.utah.edu/media/labOutsource-2019/lecture-slides.pdf], Erişim tarihi: 25.10.2020.

Cost-Profitability Analysis of Laboratory Outsourcing: Example of an University Hospital

Year 2021, Volume: 12 Issue: 1, 110 - 117, 23.02.2021

Abstract

The aim of the study is to provide useful information for managerial decisions by examining the cost-profitability of a university hospital that provide to outsourcing genetic medicine laboratory services. Data on outsourcing of Düzce University Health Practice and Research Center genetic medicine laboratory through tenders were used in the study. The data were obtained retrospectively through the hospital automation system and document analysis method was applied. From the genetic samples sent to the reference laboratory, it was determined that a profit of 52% in 2017, 57% in 2018 and 60% in 2019. In addition, although the amount of genetic samples sent to the reference laboratory decreased by 20% compared to the previous year in 2019, it was determined that the profitability increased by 3% in the same year. The study revealed that according to the Health Implementation Communiqué (SUT), sending high-scoring samples to a reference laboratory with a low bid coefficient may increase the profitability to higher levels.

References

  • Atasever, M., Karaca, Z. ve Uçar, A. E. (2018). Türkiye Sağlık Hizmet Alımları Rehberi (1.Baskı). Yazarın Kendi Yayını.
  • Avery, G. (2000). Outsourcing public health laboratory services: A blueprint for determining whether to privatize and how. Public Administration Review, 60(4), 330–337.
  • Borchardt, J. K. (2009). Outsourcing. Lab Manager. [Çevrim-içi: https://www.labmanager.com/business-management/outsourcing-20149#.WqK8nnxG3RY], Erişim tarihi: 03.09.2020.
  • Bowers, J. A. (1995). A cost benefit analysis of outsourced laboratory services. Journal of Healthcare Resource Management, 13(11), 13–17.
  • Bozdemir, E. ve Öcel, Y. (2016). Hastanelerde dış kaynak kullanımının maliyet minimizasyonu açısından analizi: Bolu İzzet Baysal Eğitim ve Araştırma Hastanesi manyetik rezonans (MR) cihazı örneği. Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 20(3), 1051-1070.
  • Quest Diagnostics. (2014). 70% of medical decisions are based on lab results. Professional Laboratory Services. [Çevrim-içi: https://pdf4pro.com/download/70-of-medical-decisions-are-based-on-lab-results-5978f5.html], Erişim tarihi: 25.10.2020.
  • Diana, M. L. (2009). Exploring information systems outsourcing in U.S. hospital-based health care delivery systems. Health Care Management Science, 12(4), 434–450.
  • Freinberg, B. & Kaden, P. A. (2006). Pros and cons of outsourcing laboratory services. Journal of Oncology Practice, 2(4), 162–163.
  • Greaver, M. F. (1999). Strategic outsourcing; A structured approach to outsourcing decisions an ınitiatives. New York: American Management Association (AMACOM).
  • Hensley, S. (1997). Outsourcing boom. Survey shows more hospitals turning to outside firms for a broad range of services. Modern Healthcare, 27(35), 51–56.
  • Jensen, P. H. & Stonecash, R. E. (2005). Incentives and the efficiency of public sector-outsourcing contracts. Journal of Economic Surveys, 19(5), 767–787.
  • Koçel, T. (2015). İşletme Yöneticiliği (16.baskı). İstanbul: Beta Yayınları.
  • Lee, J. (2014). Outsourcing lab services can save money, but it’s not that simple. Modern Healthcare, 42, 22–24.
  • Penton, M. E., Otto, C. & Hammerschlag, M. R. (2020). Outsourcing microbiology services in medical centers: Is it worth it? Journal of the Pediatric Infectious Diseases Society, 9(3), 293–297.
  • Plebani, M. (2015). Clinical laboratories: Production industry or medical services? Clinical Chemistry and Laboratory Medicine, 53(7), 995–1004.
  • Sarivougioukas, J. C. & Vagelatos, A. T. (2002). IT outsourcing in the healthcare sector: the case of a state general hospital. Proceedings of the 2002 ACM SIGCPR Conference on Computer Personnel Research - SIGCPR ’02, 61. https://doi.org/10.1145/512360.512372.
  • Scott, K. (2017). To outsource or not to outsource. Clinical Laboratory News. [Çevrim-içi: https://www.aacc.org/publications/cln/articles/2017/april/to-outsource-or-not-to-outsource-hospitals-face-touch-decisions-when-it-comes-to-lab-services], Erişim tarihi: 03.09.2020.
  • Shinkman, R. (2000). Outsourcing on the upswing. Health providers are farming out more services to spend less money. Modern Healthcare, 30(37), 46–50.
  • Welch, G. & Richman, S. (2019). A Business Perspective of Laboratory Outsourcing Arrangements. [Çevrim-içi: https://arup.utah.edu/media/labOutsource-2019/lecture-slides.pdf], Erişim tarihi: 25.10.2020.
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Enver Bozdemir 0000-0002-0845-1602

Melek Terzi 0000-0001-8586-7874

Publication Date February 23, 2021
Submission Date November 2, 2020
Published in Issue Year 2021 Volume: 12 Issue: 1

Cite

APA Bozdemir, E., & Terzi, M. (2021). Dış Laboratuvar Hizmet Alımının Maliyet Karlılık Analizi: Bir Üniversite Hastanesi Örneği. Gümüşhane Üniversitesi Sosyal Bilimler Dergisi, 12(1), 110-117. https://doi.org/10.36362/gumus.819964