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Factors that Influence Effectiveness of Outsourcing of Catering Services in Public Hospitals in Kenya

机译:影响肯尼亚公立医院餐饮服务外包有效性的因素

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This study sought to to assess the factors that influence effectiveness of outsourcing of catering services in Public Hospitals in Kenya. The study was guided by the following specific objectives: to examine the factors which contribute to the effectiveness of outsourcing of catering services in public hospitals in Kenya; to evaluate the benefits derived from outsourcing of catering services by public hospitals in Kenya; to assess the challenges to effective implementation of outsourcing of catering services in public hospitals in Kenya; and to establish possible interventions that could be employed to enhance effectiveness of outsourcing of catering services in public hospitals in Kenya. A descriptive survey focusing on Coast Provincial General Hospital and Nyeri General Hopsital was undertaken. There were three respondents from each of the two hospitals – The hospital administrator, the head of procurement function and the head of catering services. For purposes of the current study, the data was analyzed by employing descriptive statistics such as percentages, frequencies and tables. Computation of frequencies in tables, charts and bar graphs was used in data presentation. In addition, the researcher used standard deviations and mean scores to present information pertaining to the study objectives. The information was presented and discussed as per the objectives and research questions of the study. The findings of the study include the following: The type of services outsourced by public hospitals in Kenya: Information Technology; Human Resources; Facilities and real estate management; Accounting and Auditing; Cleaning Services; Customer Care; Security services; and Maintenance of the Information Technology system and equipment. The factors that influence outsourcing of services in state corporations: Competition for professional services; Operational Costs; Nature of business of the corporation; Changing working environment; Management Policies; Government rules and regulations; and Procurement processes and policies. The benefits derived from outsourcing of services include the introduction of workforce flexibility by outsourcing the peripheral workforce; the problem of managing industrial relations is minimized; Increase the proportion of white collar employees at the expense of blue-collar employees, a move aimed at improving the status of manager; reduced costs and increased efficiency; and Focus on core competencies (the specialized nature of an organization’s competitive advantage). The findings of study indicate that the major challenges faced by state corporations in Kenya in implementation of outsourcing process include the following:- Lack of clear policy framework and guidelines; Weak enforcement mechanisms; Centralized and lack of transparency in outsourcing; Contracts do not always meet the specific needs of user-institutions; Opposition from the staff and resistance to change; If a services provider does not have efficiency, then it is unlikely to expect efficiency transfer to clients; The external systems may not be compatible with internal ones; One time results from outsourcing are unsuitable and costs are likely to escalate because of the power asymmetries that enable the service provider to charge high premium for add-on-services; and Lack of user involvement in design – over engineered applications. The findings of study indicate that the possible interventions that organizations could employ to enhance effectiveness in outsourcing include:- The organization should try to outsource project management responsibility; The outsourcing project scope ought to be defined; There is need to clearly define expectations from the project; The need to clearly define the Key performance indicators; The need to effectively manage internal conflicts / politics; and Business case / total costs are not realistic Key w ords: Effectiveness, Outsourcing, Catering services, Public Hospitals.
机译:这项研究旨在评估影响肯尼亚公立医院餐饮服务外包有效性的因素。该研究以以下具体目标为指导:研究有助于促进肯尼亚公立医院餐饮服务外包有效性的因素;评估肯尼亚公立医院从餐饮服务外包中获得的收益;评估在肯尼亚公立医院有效实施餐饮服务外包所面临的挑战;并制定可能的干预措施,以提高肯尼亚公立医院餐饮服务外包的有效性。对沿海省总医院和涅里总医院进行了描述性调查。两家医院中的每一个都有三名受访者–医院管理员,采购职能负责人和餐饮服务负责人。为了本研究的目的,通过使用描述性统计数据(例如百分比,频率和表格)对数据进行了分析。在数据表示中使用表格,图表和条形图中的频率计算。此外,研究人员使用标准差和均值来呈现与研究目标有关的信息。根据研究的目的和研究问题对信息进行了介绍和讨论。该研究的结果包括:肯尼亚公立医院外包的服务类型:信息技术;人力资源;设施和房地产管理;会计与审计;清洁服务;客户服务;安全服务;信息技术系统和设备的维护。影响国有企业服务外包的因素:专业服务竞争;运营成本;公司业务性质;不断变化的工作环境;管理政策;政府规章制度;采购流程和政策。服务外包带来的好处包括通过外包外围劳动力来引入劳动力灵活性。劳资关系管理的问题降到最低;增加白领雇员的比例,以牺牲蓝领雇员为代价,此举旨在提高经理的地位;降低成本,提高效率;并专注于核心能力(组织竞争优势的特殊性)。研究结果表明,肯尼亚的国营公司在实施外包过程中面临的主要挑战包括:-缺乏清晰的政策框架和指导方针;执法机制薄弱;集中化,外包缺乏透明度;合同并不总是能够满足用户机构的特定需求;员工反对和抵制变革;如果服务提供商没有效率,则不太可能期望将效率转移给客户。外部系统可能与内部系统不兼容;外包带来的一次性结果是不合适的,并且由于功率不对称性使服务提供商可以对附加服务收取高额费用,因此成本可能会上升。以及用户缺乏参与设计的能力–超过了工程应用的能力。研究结果表明,组织可以采取的增强外包有效性的干预措施包括:-组织应尝试将项目管理职责外包;应该确定外包项目的范围;需要明确定义项目的期望;需要明确定义关键绩效指标;有效管理内部冲突/政治的需要;和业务案例/总成本不切实际关键指标:有效性,外包,餐饮服务,公立医院。

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