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Outsourcing versus in-house maintenance of medical devices: A longitudinal, empirical study

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dc.creatorMiguel-Cruz A.spa
dc.creatorRios-Rincón A.spa
dc.creatorHaugan G.L.spa
dc.date.accessioned2020-05-26T00:00:28Z
dc.date.available2020-05-26T00:00:28Z
dc.date.created2014spa
dc.description.abstractObjective. To determine what factors have a significant influence on the performance of medical device maintenance outsourcing, and to determine how the performance of external governance structures differs depending on whether a hospital is private or public. Methods. This was a longitudinal study of 590 maintenance transactions at 20 hospitals in Bogotá, Colombia, involving 764 medical devices and 72 maintenance service providers. Maintenance performance data (i.e., turn-around time in hours; TAT) for the service providers (either in-house or outsourced) were primarily collected over a 20-month period, from December 2009-August 2011, by means of a monitoring procedure; then, a hazards model was run. Results. The availability of specific repair parts, in-stock, in the city in which the medical devices were located, had a positive impact on the performance of both internal and external governance structures. Online service also had a positive impact on both, with a stronger positive impact on the performance of internal governance than on that of external governance. For transactions governed by external structures, better performance was seen in private hospitals than in public ones. In public health institutions, internal governance showed better performance than external governance. Both internal and external governance structures showed better performance in private healthcare institutions than in public ones. Conclusions. In public health institutions, internal governance shows better performance than external governance; this suggests that healthcare managers should reconsider the trend to eliminate in-house maintenance service staff in public healthcare institutions.eng
dc.format.mimetypeapplication/pdf
dc.identifier.issn16805348
dc.identifier.issn10204989
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23226
dc.language.isoengspa
dc.publisherPan American Health Organizationspa
dc.relation.citationEndPage199
dc.relation.citationIssueNo. 3
dc.relation.citationStartPage193
dc.relation.citationTitleRevista Panamericana de Salud Publica/Pan American Journal of Public Health
dc.relation.citationVolumeVol. 35
dc.relation.ispartofRevista Panamericana de Salud Publica/Pan American Journal of Public Health, ISSN:16805348, 10204989, Vol.35, No.3 (2014); pp. 193-199spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84902122378&partnerID=40&md5=47833fa3ca7dd838cfa6632fc093e0f0spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordEmpirical analysisspa
dc.subject.keywordEquipmentspa
dc.subject.keywordGovernance approachspa
dc.subject.keywordHealth carespa
dc.subject.keywordHealth policyspa
dc.subject.keywordHealth servicesspa
dc.subject.keywordHospital sectorspa
dc.subject.keywordMaintenancespa
dc.subject.keywordOutsourcingspa
dc.subject.keywordPublic healthspa
dc.subject.keywordQuality controlspa
dc.subject.keywordColombiaspa
dc.subject.keywordClinical trialspa
dc.subject.keywordColombiaspa
dc.subject.keywordComparative studyspa
dc.subject.keywordDevicesspa
dc.subject.keywordFinancial managementspa
dc.subject.keywordHospital servicespa
dc.subject.keywordLongitudinal studyspa
dc.subject.keywordMulticenter studyspa
dc.subject.keywordStatistics and numerical dataspa
dc.subject.keywordColombiaspa
dc.subject.keywordEquipment and suppliesspa
dc.subject.keywordLongitudinal studiesspa
dc.subject.keywordMaintenance and engineeringeng
dc.subject.keywordOutsourced servicesspa
dc.subject.keywordColombiaspa
dc.subject.keywordContract servicesspa
dc.subject.keywordEquipment failurespa
dc.subject.keywordOutsourced servicesspa
dc.subject.keywordPreventive maintenancespa
dc.subject.keywordQuality controlspa
dc.titleOutsourcing versus in-house maintenance of medical devices: A longitudinal, empirical studyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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