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Bibliometric Analysis of Outsourcing in Healthcare

Year 2022, Volume: 12 Issue: 3, 417 - 431, 20.09.2022
https://doi.org/10.33631/sabd.1072053

Abstract

Aim: The main purpose of the research is to examine how the discussed themes have been improved and interrelated in the publications made in the field of health service’s outsource usage between 1992-2021, with a bibliometric analysis. Material and methods: The data used in the research, which attributed as a secondary data, were obtained from the Web of Science (WoS) Core Collection database. After the inclusion and exclusion criteria on the subject, 680 publications were reached and those publications was analyzed. SciMAT, one of the software that provides bibliometric analysis, was used in the analysis. Strategic diagrams, cluster networks and thematic development map were analyzed as 4 periods, (1992-2000, 2001-2010, 2011-2016, 2017-2020) covering the last 29 years.
Results: While "cost" was the motor theme in the first period (1992-2000), in the following periods "cloud computing, access control, public key encryption, privacy preserving, big data, electronic medical record, technology" were motor themes. Themes obtained by using the thematic development map; cloud computing in healthcare, risks based on outsourcing, general operational problems and cost issues. The results regarding to the cost are far from certain.
Conclusion: It is important for hospital managers to be aware of cloud computing and to pay attention to the quality level of services while aiming to reduce costs with outsourcing. In order to keep the risks that may arise from outsourcing at a minimum level, it is beneficial to take precautionary measures for risks in outsourcing agreements between health institutions and companies.

References

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Sağlık Hizmetlerinde Dış Kaynak Kullanımının Bibliyometrik Analizi

Year 2022, Volume: 12 Issue: 3, 417 - 431, 20.09.2022
https://doi.org/10.33631/sabd.1072053

Abstract

Amaç: Araştırmanın temel amacı 1992-2021 yılları arasında sağlık hizmetlerinde dış kaynak kullanımı alanında yapılmış yayınlarda ele alınan temaların, günümüze kadar nasıl geliştiğini ve birbirleri ile olan ilişkisini bibliyometrik bir analiz ile incelemektir.
Gereç ve Yöntemler: Araştırmada kullanılan veriler ikincil veri niteliğinde olup, Web of Science (WoS) Core Collection veri tabanından elde edilmiştir. Konu ile ilgili dahil etme ve hariç tutma kriterleri sonrası 680 yayına ulaşılmış ve bu yayınlarla analiz yapılmıştır. Analizde bibliyometrik analiz sağlayan yazılımlardan biri olan SciMAT kullanılmıştır. Stratejik diyagramlar, küme ağları ve tematik gelişim haritası son 29 yılı kapsayacak şekilde 4 periyot (1992-2000, 2001-2010, 2011-2016, 2017-2020) olarak analiz edilmiştir.
Bulgular: İlk dönemde (1992-2000) “cost” motor tema iken, sonraki dönemlerde motor temalar “cloud computing, access control, public key encryption, privacy preserving, big data, electronic medical record, technology”dir. Tematik gelişim haritasından yararlanarak elde edilen temalar; sağlık hizmetlerinde bulut bilişim, dış kaynak kullanımına dayalı riskler, genel işleyişle ilgili problemler ve maliyet konularıdır. Maliyet ile ilgili sonuçlar kesinlikten uzaktır.
Sonuç: Hastane yöneticilerinin bulut bilişim konusunda bilinçlenmeleri, dış kaynak kullanımı (DKK) ile maliyetlerin azaltılmasını hedeflerken aynı zamanda hizmetlerin kalite düzeylerine dikkat etmeleri önem arz etmektedir. DKK’dan kaynaklı oluşabilecek risklerin minimum düzeyde kalabilmesi için sağlık kurumları ve firmalar arasında gerçekleşen DKK anlaşmalarında risklere yönelik ihtiyati tedbirlerin alınmasında fayda vardır.

References

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  • 2. Bozdemir E, Terzi M. Dış Laboratuvar Hizmet Alımının Maliyet Karlılık Analizi: Bir Üniversite Hastanesi Örneği. Gümüşhane Üniversitesi Sos Bilim Enstitüsü Elektron Derg. 2021;12(1):110–7.
  • 3. Ketler K, Walstrom J. The outsourcing decision. Int J Inf Manage. 1993;13(6):449–59.
  • 4. Hsiao C-T, Pai J-Y, Chiu H. The study on the outsourcing of Taiwan’s hospitals: a questionnaire survey research. BMC Health Serv Res. 2009;9:78:1-9.
  • 5. Tribble DA, Kastango ES. Key Considerations in Pharmacy Outsourcing: Understanding Risks and Managing Liability: http://dx.doi.org/101310/hpj4702-112. 2012;47(2):112–7.
  • 6. Avery G. Outsourcing Public Health Laboratory Services: A Blueprint for Determining Whether to Privatize and How. Public Adm Rev. 2000;60(4):330–7.
  • 7. Bowers JA. A cost benefit analysis of outsourced laboratory services. J Healthc Resour Manag. 1995;13(11):13–7.
  • 8. Freinberg B, Kaden PA. Pros and Cons of Outsourcing Laboratory Services. J Oncol Pract. 2006;2(4):162–3.
  • 9. Shinkman R. Outsourcing on the upswing. Health providers are farming out more services to spend less money. Mod Healthc. 2000;30(37):46–50, 52.
  • 10. Yiğit V, Tengilimoğlu D, Kisa A, Younis MZ. Outsourcing and its implications for hospital organizations in Turkey - PubMed. J Heal Care Financ. 2007;33(4):86–92.
  • 11. Ikediashi DI, Ogunlana SO, Odesola IA. Service quality and user satisfaction of outsourced facilities management (FM) services in nigeria’s public hospitals. Built Environ Proj Asset Manag. 2015;5(4):363–79.
  • 12. Magnezi R, Kedem R, Reuveni H. Outsourcing of primary care: Satisfaction level in the Israeli Defense Forces. Mil Med. 2004;169(5):379–84.
  • 13. Roberts V. Managing strategic outsourcing in the healthcare industry - PubMed. J Heal Manag. 2001;46(4):239–49.
  • 14. Lee J. Strategic risk analysis for information technology outsourcing in hospitals. Inf Manag. 2017;54(8):1049–58.
  • 15. Lee J. Evaluating lab outsourcing. Hospitals seek savings but have to consider quality, service and staff issues. Mod Healthc. 2014;44(35):22-4.
  • 16. Komatsu M. Advantages and disadvantages of outsourcing hospital microbiological testings. Rinsho Byori. 2011;59(10):944–6.
  • 17. Rahimi B, Mizrahi R, Magnezi R. The challenges and opportunities of implementing outsourcing in private and public hospitals in Israel. Harefuah. 2011;150(1):56–66.
  • 18. Young E, Vissapragada R, Bulamu NB, Raju DP, McDonald CR. Outsourcing robotic-assisted operations to private hospitals: Cost analysis of a retrospective cohort. ANZ J Surg. 2021;91(11):2352-2359.
  • 19. Hagen TP, Holom GH, Amayu KN. Outsourcing day surgery to private for-profit hospitals: the price effects of competitive tendering. Heal Econ Policy Law. 2017;1–18.
  • 20. Dalton CM, Warren PL. Cost versus control: Understanding ownership through outsourcing in hospitals. J Health Econ. 2016;48:1–15.
  • 21. Menachemi N, Burkhardt J, Shewchuk R, Burke D, Brooks RG. To outsource or not to outsource: Examining the effects of outsourcing IT functions on financial performance in hospitals. Health Care Manage Rev. 2007;32(1):46–54.
  • 22. Omrani A, Delgoshaei B, Gorgi HA. Identifying factors affecting about outsourcing in paraclinical services: a systematic review of literature. J Fundam Appl Sci. 2018;9(2S):1290-1308.
  • 23. Kasemodel MGC, Makishi F, Souza RC, Silva VL. Following the trail of crumbs: A bibliometric study on consumer behavior in the Food Science and Technology field. Int J Food Stud. 2016;5(1):73–83.
  • 24. Cobo M. SciMAT: Software Tool for the Analysis of the Evolution of Scientific Knowledge. Proposal for an Evaluation Methodology. University of Granada; 2011.
  • 25. Cobo MJ, Lõpez-Herrera AG, Herrera-Viedma E, Herrera F. SciMAT: A new science mapping analysis software tool. J Am Soc Inf Sci Technol. 2012;63(8):1609–30.
  • 26. Cobo MJ, López-Herrera AG, Herrera-Viedma E, Herrera F. An approach for detecting, quantifying, and visualizing the evolution of a research field: A practical application to the Fuzzy Sets Theory field. J Informetr. 2011;5(1):146–66.
  • 27. Niknam, Gorji HA, Langarizadeh M. The challenge of outsourcing of hospital services in Iran: A qualitative study. J Educ Health Promot. 2020;9(1):294.
  • 28. Olofsson PT, Aspelin P, Bohlin J, Blomqvist L. The impact of contracts on outsourcing computed tomography examinations from a Swedish public university hospital to a private radiology unit. Radiography. 2019;25(2):148–54.
  • 29. Loh L, Venkatraman N. Determinants of information technology outsourcing: A cross-sectional analysis. J Manag Inf Syst. 1992;9(1):7–24.
  • 30. Low C, Hsueh Chen Y. Criteria for the Evaluation of a Cloud-Based Hospital Information System Outsourcing Provider. J Med Syst. 2012;36(6):3543–53.
  • 31. Yang X, Li T, Xi W, Chen A, Wang C. A blockchain-assisted verifiable outsourced attribute-based signcryption scheme for EHRS sharing in the cloud. IEEE Access. 2020;8:170713–31.
  • 32. Liu J, Huang X, Liu JK. Secure sharing of Personal Health Records in cloud computing: Ciphertext-Policy Attribute-Based Signcryption. Futur Gener Comput Syst. 2015;52:67–76.
  • 33. Li M, Yu S, Zheng Y, Ren K, Lou W. Scalable and secure sharing of personal health records in cloud computing using attribute-based encryption. IEEE Trans Parallel Distrib Syst. 2013;24(1):131–43.
  • 34. Guo C, Zhuang R, Jie Y, Ren Y, Wu T, Choo KKR. Fine-grained Database Field Search Using Attribute-Based Encryption for E-Healthcare Clouds. J Med Syst. 2016;40(11):235.
  • 35. Washer P, Joffe H. The “hospital superbug”: Social representations of MRSA. Soc Sci Med. 2006 Oct 1;63(8):2141–52.
  • 36. Johnson AP. Methicillin-resistant Staphylococcus aureus: the European landscape. J Antimicrob Chemother. 2011;66(suppl_4): iv43-iv48.
  • 37. Wang V, Maciejewski ML, Patel UD, Stechuchak KM, Hynes DM, Weinberger M. Comparison of outcomes for veterans receiving dialysis care from VA and non-VA providers. BMC Heal Serv Res. 2013;13(1):1–9.
  • 38. Sugimoto K, Ogata Y, Kashiwagi M. Factors promoting resident deaths at aged care facilities in Japan: a review. Health Soc Care Community. 2018;26(2):e207–24.
  • 39. Wakefield BJ, Tripp-Reimer T, Rosenbaum ME, Rosenthal GE. Veterans’ Use of Department of Veterans Affairs Care and Perceptions of Outsourcing Inpatient Care. Mil Med. 2007;172(6):565–71.
  • 40. Liu X, Deng RH, Yang Y, Tran HN, Zhong S. Hybrid privacy-preserving clinical decision support system in fog-cloud computing. Futur Gener Comput Syst. 2018;78(2):825.
  • 41. Yang Y, Zheng X, Guo W, Liu X, Chang V. Privacy-preserving fusion of IoT and big data for e-health. Futur Gener Comput Syst. 2018;86:1437–55.
  • 42. Thirumalai CS, Viswanathan P. Modelling a side channel resistant CHAN-PKC cryptomata for medical data security. Multimed Tools Appl. 2019;78(18):25977–97.
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There are 85 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Mehmet Nurullah Kurutkan 0000-0002-3740-4231

Melek Terzi 0000-0001-8586-7874

Publication Date September 20, 2022
Submission Date February 11, 2022
Published in Issue Year 2022 Volume: 12 Issue: 3

Cite

Vancouver Kurutkan MN, Terzi M. Sağlık Hizmetlerinde Dış Kaynak Kullanımının Bibliyometrik Analizi. VHS. 2022;12(3):417-31.