The Outsourcing Model in the Ministry of Health and Medical Education with Fuzzy Delphi Technique in order to Improve the Quality of Health Services with Emphasis on Hospitals

Background: Outsourcing in the Ministry of Health is based on the reforming the structure of the health system and improving the quality of services. Therefore, the present study wanted to present the outsourcing model of services in the Ministry of Health and Medical Education with fuzzy Delphi technique in order to improve the quality of health services with emphasizing on hospitals. Methods: The present research in terms of purpose, data research type, implementation method, was part of the exploratory research which has been done quantitatively and qualitatively in 2021. The statistical population was the outsourcing experts for a study between 59 universities of medical sciences in the country, 50 people were selected by purposive sampling method. They were selected for interviews to collect outsourcing indicators to present a suitable model. The indicators were mined data using the information gain method by Matlab software and the indicators were prioritized according to the scores given. A questionnaire was obtained from the prioritized indicators, which were summarized in 19 dimensions, and the same experts were given to complete in 2 consecutive periods. After completing the questionnaire by experts, fuzzy Delphi method was used for final analysis. Results: According to the obtained model, 44 factors are effective in outsourcing .These factors entered the Delphi poll. During 2 stages of fuzzy Delphi, consensus was reached on all 44 indicators. And the highest degree of expertise agreement with the flexibility component and the lowest level of agreement with the component of the certificate of competency to provide services were outsourced by the company. Conclusion: According to the obtained model, various factors are effective in outsourcing services that need to be considered more in the planning of health centers, especially hospitals. According to the findings, it can be said that the related dimensions with considering the outsourcing services are specifically important .Due to the possibility of outsourcing among many health care units; it can be used for flexibility in providing services and patient satisfaction to manage health centers and hospitals.