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

A. Miguel-Cruz, A. Rios-Rincón, G.L. Haugan

Resultado de la investigación: Contribución a RevistaArtículo

4 Citas (Scopus)

Resumen

Objective. 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.
Idioma originalEnglish (US)
Páginas (desde-hasta)193-199
Número de páginas7
PublicaciónRevista Panamericana de Salud Publica/Pan American Journal of Public Health
Volumen35
N.º3
EstadoPublished - mar 2014

Huella dactilar

Outsourced Services
Longitudinal Studies
Maintenance
Equipment and Supplies
Private Hospitals
Delivery of Health Care
Public Health
Colombia
Public Hospitals
Proportional Hazards Models

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title = "Outsourcing versus in-house maintenance of medical devices: A longitudinal, empirical study",
abstract = "Objective. 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 Bogot{\'a}, 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.",
author = "A. Miguel-Cruz and A. Rios-Rinc{\'o}n and G.L. Haugan",
note = "Cited By :1 Export Date: 19 March 2018 CODEN: RPSPF Correspondence Address: Miguel-Cruz, A.; Escuela de Medicina y Ciencias de la Salud, Universidad Del Rosario, Bogot{\'a}, Colombia; email: antonio.miguel@urosario.edu.co References: Blumberg, D.F., New strategic directions in acquiring and outsourcing high-tech services by hospitals and implications for clinical engineering organizations and ISO (2004) Clinical Engineering Handbook, pp. 137-146. , Dyro JF. San Diego (United States): Elsevier Academic Press; (2010) Medical Devices Outsourcing : A Global Strategic Business Report, , www.strategyr.com/Medical_Device_Outsourcing_Market_Report.asp, Global Industry Analysts, Inc. Accessed 8 March 2012; Smithson, P., Dickey, D., (2004) Outsourcing Clinical Engineering Service, pp. 135-137. , Dyro JF. Clinical Engineering Handbook. San Diego (United States): Elsevier, Academic Press;; Miguel, C.A., Rios, A.R., Medical device maintenance outsourcing: Have operation management research and management theories forgotten the medical engineering community? A mapping review (2012) Eur J Oper Res, 221 (1), pp. 186-197; Macher, J., Richman, B.D., Transaction cost economics: An assessment of empirical research in the social sciences (2008) Bus & Polit, 19 (1), pp. 1-63; Karimi, A., Rivard, S., Wu, S., Goyette, S., An assessment of the use of transaction cost theory in information technology outsourcing (2011) J Strategic Inf Syst, 20 (2), pp. 125-138; Williamson, O.E., The transaction cost of economics: The governance of contractual relations (1979) J Law & Econ, 22 (2), pp. 233-261; Williamson, O.E., The economics of organization: The transaction costs approach (1981) AM J Sociol, 87 (3), pp. 539-577; Coles, J.W., Hesterly, W.S., The impact of firm-specific assets and the interaction of uncertainty: An examination of make or buy decisions in public and private hospitals (1998) Journal of Economic Behavior and Organization, 36 (3), pp. 383-409. , PII S0167268198001024; Coles, J.W., Hesterly, W.S., Transaction costs, quality, and economies of scale: Examining contracting choices in the hospital industry (1998) Journal of Corporate Finance, 4 (4), pp. 321-345. , PII S092911999800011X; Williamson, O.E., Strategizing, economizing and economic organization (1991) Strategic Manage J, 12, pp. 75-94. , Winter; Portney, L.G., Watkins, M.P., (2000) Foundations of Clinical Research: Application to Practice, , New Jersey: Prentice-Hall, Inc;; Hosmer, W.H., Lemeshow, S., May, S., (2008) Applied Survival Analysis Regression Modelling of Time-to-event Data. Series in Probability and Statistics. 2nd Ed, , New Jersey: John Wiley and Sons;; Miguel-Cruz, A., Haugan, G.L., Rincon, A.M.R., The effects of asset specificity on maintenance financial performance: An empirical application of Transaction Cost Theory to the medical device maintenance field (2014) Eur J Oper Res., , In press; Cruz, A.M., Perilla, S.P., Pabon, N.N., Clustering techniques: Measuring the performance of contract service providers (2010) IEEE Eng Med Biol., 29 (2), pp. 116-129",
year = "2014",
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journal = "Revista Panamericana de Salud Publica/Pan American Journal of Public Health",
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Outsourcing versus in-house maintenance of medical devices: A longitudinal, empirical study. / Miguel-Cruz, A.; Rios-Rincón, A.; Haugan, G.L.

En: Revista Panamericana de Salud Publica/Pan American Journal of Public Health, Vol. 35, N.º 3, 03.2014, p. 193-199.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Outsourcing versus in-house maintenance of medical devices: A longitudinal, empirical study

AU - Miguel-Cruz, A.

AU - Rios-Rincón, A.

AU - Haugan, G.L.

N1 - Cited By :1 Export Date: 19 March 2018 CODEN: RPSPF Correspondence Address: Miguel-Cruz, A.; Escuela de Medicina y Ciencias de la Salud, Universidad Del Rosario, Bogotá, Colombia; email: antonio.miguel@urosario.edu.co References: Blumberg, D.F., New strategic directions in acquiring and outsourcing high-tech services by hospitals and implications for clinical engineering organizations and ISO (2004) Clinical Engineering Handbook, pp. 137-146. , Dyro JF. San Diego (United States): Elsevier Academic Press; (2010) Medical Devices Outsourcing : A Global Strategic Business Report, , www.strategyr.com/Medical_Device_Outsourcing_Market_Report.asp, Global Industry Analysts, Inc. Accessed 8 March 2012; Smithson, P., Dickey, D., (2004) Outsourcing Clinical Engineering Service, pp. 135-137. , Dyro JF. Clinical Engineering Handbook. San Diego (United States): Elsevier, Academic Press;; Miguel, C.A., Rios, A.R., Medical device maintenance outsourcing: Have operation management research and management theories forgotten the medical engineering community? A mapping review (2012) Eur J Oper Res, 221 (1), pp. 186-197; Macher, J., Richman, B.D., Transaction cost economics: An assessment of empirical research in the social sciences (2008) Bus & Polit, 19 (1), pp. 1-63; Karimi, A., Rivard, S., Wu, S., Goyette, S., An assessment of the use of transaction cost theory in information technology outsourcing (2011) J Strategic Inf Syst, 20 (2), pp. 125-138; Williamson, O.E., The transaction cost of economics: The governance of contractual relations (1979) J Law & Econ, 22 (2), pp. 233-261; Williamson, O.E., The economics of organization: The transaction costs approach (1981) AM J Sociol, 87 (3), pp. 539-577; Coles, J.W., Hesterly, W.S., The impact of firm-specific assets and the interaction of uncertainty: An examination of make or buy decisions in public and private hospitals (1998) Journal of Economic Behavior and Organization, 36 (3), pp. 383-409. , PII S0167268198001024; Coles, J.W., Hesterly, W.S., Transaction costs, quality, and economies of scale: Examining contracting choices in the hospital industry (1998) Journal of Corporate Finance, 4 (4), pp. 321-345. , PII S092911999800011X; Williamson, O.E., Strategizing, economizing and economic organization (1991) Strategic Manage J, 12, pp. 75-94. , Winter; Portney, L.G., Watkins, M.P., (2000) Foundations of Clinical Research: Application to Practice, , New Jersey: Prentice-Hall, Inc;; Hosmer, W.H., Lemeshow, S., May, S., (2008) Applied Survival Analysis Regression Modelling of Time-to-event Data. Series in Probability and Statistics. 2nd Ed, , New Jersey: John Wiley and Sons;; Miguel-Cruz, A., Haugan, G.L., Rincon, A.M.R., The effects of asset specificity on maintenance financial performance: An empirical application of Transaction Cost Theory to the medical device maintenance field (2014) Eur J Oper Res., , In press; Cruz, A.M., Perilla, S.P., Pabon, N.N., Clustering techniques: Measuring the performance of contract service providers (2010) IEEE Eng Med Biol., 29 (2), pp. 116-129

PY - 2014/3

Y1 - 2014/3

N2 - Objective. 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.

AB - Objective. 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.

M3 - Article

VL - 35

SP - 193

EP - 199

JO - Revista Panamericana de Salud Publica/Pan American Journal of Public Health

JF - Revista Panamericana de Salud Publica/Pan American Journal of Public Health

SN - 1020-4989

IS - 3

ER -