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Learning From Customers: Individual and Organizational Effects in Outsourced Radiological Services

机译:向客户学习:外包放射服务的个人和组织影响

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摘要

The ongoing fragmentation of work has resulted in a narrowing of tasks into smaller pieces that can be sent outside the organization and, in many instances, around the world. This trend is shifting the boundaries of organizations and leading to increased outsourcing. Though the consolidation of volume may lead to productivity improvement, little is known about how this shift toward outsourcing influences learning by providers of outsourced services. When producing output, the content of the knowledge gained can vary from one unit to the next. One dimension along which output can vary—a dimension with particular relevance in outsourcing—is the end customer for whom it is produced. The performance benefits of such customer experience remain largely unexamined. We explore this dimension of volume-based learning in a setting where doctors at an outsourcing firm complete radiological reads for hospital customers. We examine more than 2.7 million cases read by 97 radiologists for 1,431 customers and find evidence supporting the benefits of customer-specific experience accumulated by individual radiologists. Additionally, we find that variety in an individual’s customer experience may increase the rate of individual learning from customer-specific experience for a focal task. Finally, we find that the level of experience with a customer for the entire outsourcing firm also yields learning and that the degree of customer depth moderates the impact of customer-specific experience at the individual level. We discuss the implications of our results for the study of learning as well as for providers and consumers of outsourced services.
机译:持续的工作分散导致将任务缩小到较小的部分,这些部分可以发送到组织外部,在许多情况下可以发送到世界各地。这种趋势正在改变组织的边界并导致外包增加。尽管数量的合并可能会导致生产率的提高,但人们对这种向外包的转变如何影响外包服务提供商的学习了解甚少。在产生输出时,所获得的知识的内容可以在一个单元之间变化。输出可以变化的一个维度(与外包特别相关的维度)是为其生产产品的最终客户。这种客户体验的性能优势在很大程度上尚未得到检验。在外包公司的医生为医院客户完成放射学阅读的环境中,我们探索了基于量学习的这一维度。我们检查了97位放射科医生为1,431位客户所读取的270万例病例,并找到了证据支持个别放射科医生积累的特定于客户的经验的益处。此外,我们发现,个人客户体验的多样性可能会提高针对特定任务从特定于客户的体验中学习的速度。最后,我们发现整个外包公司在客户方面的经验水平也可以带来学习,并且客户深度的程度可以缓和特定级别的客户特定经验的影响。我们讨论了研究结果对学习研究以及外包服务的提供者和消费者的意义。

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