Análise de terceirizações em serviços de apoio diagnóstico e terapêutico em hospitais privados: aplicação de modelos de decisão 'Make or Buy' em hospitais

• Autor(a) principal: Veloso, Germany Gonçalves
• Data de Publicação: 2005
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional do FGV (FGV Repositório Digital)
• Texto Completo: http://hdl.handle.net/10438/2290
• topic: Administração hospitalar e de sistemas de saúde; Hospitais - Terceirização; Administração de empresas; Hospitais - Processo decisório; Terceirização; Hospitais - Administração; Hospitais - Administração - São Paulo (SP) - Estudo de casos

The present dissertation examines whether “make or buy” decision models are applicable to private hospital outsourcing decisions. First, it discusses the more representative models concerning outsourcing decisions, in general and related to the healthcare industry. Multiple case study was performed at four private hospitals at São Paulo (Brazil), involving outsourced laboratory, radiology and hemotherapy areas. Individual interviews were conducted with managers and owners of both organizations (hospitals and vendors) using semi-structured questions to ascertain selected, independet and dependent variables. The analysis uses pattern-matching techniques. For the cases that were studied, the findings turned out to match best a combination of Transaction Cost Theory, Agency Theory and Core Competency Perspective. Resource Dependecy Theory and Industry Clockspeed are less powerful for describing what happened. Network Theory partially describes the events for all the cases. The research may contribute for an analytic framework for outsourcing decisions in healthcare sector.