<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html> <head> <title>UTas ePrints - Lessons learnt from literature: Exploring outsourcing in rural hospitals and health services in Tasmania</title> <script type="text/javascript" src="http://eprints.utas.edu.au/javascript/auto.js"><!-- padder --></script> <style type="text/css" media="screen">@import url(http://eprints.utas.edu.au/style/auto.css);</style> <style type="text/css" media="print">@import url(http://eprints.utas.edu.au/style/print.css);</style> <link rel="icon" href="/images/eprints/favicon.ico" type="image/x-icon" /> <link rel="shortcut icon" href="/images/eprints/favicon.ico" type="image/x-icon" /> <link rel="Top" href="http://eprints.utas.edu.au/" /> <link rel="Search" href="http://eprints.utas.edu.au/cgi/search" /> <meta content="Le, Quynh" name="eprints.creators_name" /> <meta content="McManamey, Rosa" name="eprints.creators_name" /> <meta content="Quynh.Le@utas.edu.au" name="eprints.creators_id" /> <meta content="Rosa.McManamey@utas.edu.au" name="eprints.creators_id" /> <meta content="article" name="eprints.type" /> <meta content="2007-07-09" name="eprints.datestamp" /> <meta content="2008-01-08 15:30:00" name="eprints.lastmod" /> <meta content="show" name="eprints.metadata_visibility" /> <meta content="Lessons learnt from literature: Exploring outsourcing in rural hospitals and health services in Tasmania" name="eprints.title" /> <meta content="pub" name="eprints.ispublished" /> <meta content="321299" name="eprints.subjects" /> <meta content="public" name="eprints.full_text_status" /> <meta content="The copyright of this paper belongs to the New Community Quarterly, Inc. 2006 (http://www.newcq.org)." name="eprints.note" /> <meta content="The focus of this paper is on the literature exploring outsourcing, its principles and rationale and its application in rural hospitals and health services in Tasmania. While only a relatively small body of literature exists directly relating to the practice in hospitals and health services in Australia, literature related to workforce issues in rural areas represents a major body of research. Workforce issues in rural Tasmania contributing to the growth in outsourcing health care services are dramatically exacerbated by its fast becoming Australia's state with oldest population and increasing shortages across the full range of health care professions being a concern. While a major and highly successful trend in business management, literature related to outsourcing applied to health care services reveals far more complex issues involved in the implementation and modes of delivery. Where literature on health care outsourcing services in hospitals show and delineate various drivers and modes of delivery, the principle of outsourcing, applied to small rural hospital and services globally appears increasingly primarily based on a tactical imperative. Outsourcing as a tactical imperative reveals workforce issues pertaining to aging population, chronic disease and the need of innovation in government and cross-sector planning and use of health care in current health care policy documents (Productivity Commission Report, 2005). This paper examines research gaps which are present in health outsourcing practices and lessons learnt from the literature for rural Tasmanian hospitals and health services. " name="eprints.abstract" /> <meta content="2007-02" name="eprints.date" /> <meta content="published" name="eprints.date_type" /> <meta content="New Community Quarterly" name="eprints.publication" /> <meta content="4" name="eprints.volume" /> <meta content="4" name="eprints.number" /> <meta content="10-14" name="eprints.pagerange" /> <meta content="UNSPECIFIED" name="eprints.thesis_type" /> <meta content="TRUE" name="eprints.refereed" /> <meta content="1448-0336" name="eprints.issn" /> <meta content="http://www.newcq.org/" name="eprints.official_url" /> <meta content="Alford, J. and O'Neill, D. (1994). The contract state: Public management and the Kennett Government. Geelong: Deakin University Press. (ALGA), A. L. G. A. (2005a). Inquiry into Health Funding. Viewed on 30th August 2005 from http://www.alga.asn.au/submissions/2005/healthFunding.php. (ALGA), A. L. G. A. (2005b). Submission: Inquiry into health funding. 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Competitive Tendering and Contracting by Public Sector Agencies, AGPS, Melbourne, AGPS, Melbourne Commission, I. (1996b). Competitive Tendering and Contracting by Public Sector Agencies: Overview, Melbourne Coombs, H. C. (1976). Report of the Royal Commission on Australian Government Administration, Canberra Corbett, M. (2005). Outsourcing: The Next Decade. Viewed on 20 September 2005 from http://www.ceo-journal.com/articles/outsourcing/ceo006_InternationalAssociationOutsourcingProfessionals.htm. Duckett, S. J. (2005a). Australian Health Review, 29, 201-210. Duckett, S. J. (2005b). Interventions to facilitate health workforce restructure. Viewed on 15 September 2005 from http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1200557. Fairbrother, P., Paddon, M. and Teicher, J. (2002). Introduction: Corporatisation and privatisation in Australia. In Fairbrother, P., Paddon, M. and Teicher, J. (Eds). Privatisation: Globalisation and Labour: Studies from Australia. Sydney: Federation Press. Feigenbaum, H. B. and Henig, J. R. (1994). The political underpinning of privatization: a typology. In Wright, V. and Perotti, R. (Eds). Privatization and Public Policy: Volume II. (3-26). Cheltenham: The International Library of Comparative, published 2000, Edward Elgar. Humphry, R. (2000). Review of the Whole of Government Information Technology Outsourcing Initiative, Commonwealth of Australia, Jenson and Stonecash (2004). The Efficiency of Public Sector Outsourcing Contracts: A Literature Review*. Viewed on 4 October 2005 from http://www.melbourneinstitute.com/wp/wp2004n29.pdf. Kakabadse, A. and Kakabadse, N. (2003). Knowledge and Process Management, 21 (1), 60-71. Kiel, T. (1997). Harvard Business Review, 73 (3), 11-12. Klotz, D. E. and Chatterjee, K. (1995). Management Science, 41 (8), 1317-1327. Moran, A., Nancarrow, S. and Butler, A. (2005). There's no place like home: A pilot study of perspectives of international health and social care professionals working in the UK. Viewed on 10 October 2005 from http://www.anzhealthpolicy.com/content/2/1/25. Nancarrow, S. (2003). Sociology of Health and Illness, 27, 897. (NCCA), N. C. C. A. (2004). Assessment of governmentsÃÂÃÂÃÂÃÂÃÂÃÂÃÂâÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂÃÂàprogress in implementing the National Competition Policy and Related Reforms: 2004. Viewed on 10 October 2005 from http://www.ncc.gov.au/articleZone.asp?articleZoneID=525. NOLG and Publications (2003, 2002-2003). Report on the operation for the Local Government (Financial Assistance Act) 1995: Appendix G - Progress in Improving Efficiency and Effectiveness of Local Government. Viewed on 10 October 2005 from http://www.dotars.gov.au/localgovt/publications/national_report/02_03/appendix_g/appendix_g_part3.aspx. Pearshall, J. and Trumble, B. (1996). The Oxford English Reference Dictionary. Oxford: Oxford University Press. Porter, M. (1980). Competitive Strategy: Techniques for analyzing Industries and Competitors. New York: The Free Press, New York. Quiggin, J. (1994). Australian Economic Review, 27, 97-102. Report, P. C. R. (2005). Australia's Health Workforce, Productivity Commission. Viewed on 15 January 2006 from http://www.pc.gov.au/study/healthworkforce/finalreport/healthworkforce.pdf. Savas, E. S. (2000). Privatization and Public-Private Partnerships. New Jersey: Chatham House. Suomi, R. and Tahkapaa, J. (2004). Governance Structures for IT in the Health Care Industry. In Grembergen, W. V.(Ed, (Eds). Strategies for Information Technology Governance. (357). Idea Group Inc (IGI). Williamson, O. (1979). Journal of Law and Economics, 22, 233-61. Young, S. H. (2000). Labour and Industry, 10 (3), 97-118. Young, S. H. (2003). The International Electronic Journal of Rural and Remote Health Research Education Practice and Policy, 3 (Online) (124) Young, S. H. (2005). Emerald International Journal of Public Sector Management, 18, 25-36. " name="eprints.referencetext" /> <meta content="Le, Quynh and McManamey, Rosa (2007) Lessons learnt from literature: Exploring outsourcing in rural hospitals and health services in Tasmania. New Community Quarterly, 4 (4). pp. 10-14. ISSN 1448-0336" name="eprints.citation" /> <meta content="http://eprints.utas.edu.au/1327/1/Le-McManamey-2.pdf" name="eprints.document_url" /> <link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /> <meta content="Lessons learnt from literature: Exploring outsourcing in rural hospitals and health services in Tasmania" name="DC.title" /> <meta content="Le, Quynh" name="DC.creator" /> <meta content="McManamey, Rosa" name="DC.creator" /> <meta content="321299 Public Health and Health Services not elsewhere classified" name="DC.subject" /> <meta content="The focus of this paper is on the literature exploring outsourcing, its principles and rationale and its application in rural hospitals and health services in Tasmania. While only a relatively small body of literature exists directly relating to the practice in hospitals and health services in Australia, literature related to workforce issues in rural areas represents a major body of research. Workforce issues in rural Tasmania contributing to the growth in outsourcing health care services are dramatically exacerbated by its fast becoming Australia's state with oldest population and increasing shortages across the full range of health care professions being a concern. While a major and highly successful trend in business management, literature related to outsourcing applied to health care services reveals far more complex issues involved in the implementation and modes of delivery. Where literature on health care outsourcing services in hospitals show and delineate various drivers and modes of delivery, the principle of outsourcing, applied to small rural hospital and services globally appears increasingly primarily based on a tactical imperative. Outsourcing as a tactical imperative reveals workforce issues pertaining to aging population, chronic disease and the need of innovation in government and cross-sector planning and use of health care in current health care policy documents (Productivity Commission Report, 2005). This paper examines research gaps which are present in health outsourcing practices and lessons learnt from the literature for rural Tasmanian hospitals and health services. " name="DC.description" /> <meta content="2007-02" name="DC.date" /> <meta content="Article" name="DC.type" /> <meta content="PeerReviewed" name="DC.type" /> <meta content="application/pdf" name="DC.format" /> <meta content="http://eprints.utas.edu.au/1327/1/Le-McManamey-2.pdf" name="DC.identifier" /> <meta content="http://www.newcq.org/" name="DC.relation" /> <meta content="Le, Quynh and McManamey, Rosa (2007) Lessons learnt from literature: Exploring outsourcing in rural hospitals and health services in Tasmania. 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Tasmania</h1> <p style="margin-bottom: 1em" class="not_ep_block"><span class="person_name">Le, Quynh</span> and <span class="person_name">McManamey, Rosa</span> (2007) <xhtml:em>Lessons learnt from literature: Exploring outsourcing in rural hospitals and health services in Tasmania.</xhtml:em> New Community Quarterly, 4 (4). pp. 10-14. ISSN 1448-0336</p><p style="margin-bottom: 1em" class="not_ep_block"></p><table style="margin-bottom: 1em" class="not_ep_block"><tr><td valign="top" style="text-align:center"><a onmouseover="EPJS_ShowPreview( event, 'doc_preview_1709' );" href="http://eprints.utas.edu.au/1327/1/Le-McManamey-2.pdf" onmouseout="EPJS_HidePreview( event, 'doc_preview_1709' );"><img alt="[img]" src="http://eprints.utas.edu.au/style/images/fileicons/application_pdf.png" class="ep_doc_icon" border="0" /></a><div class="ep_preview" id="doc_preview_1709"><table><tr><td><img alt="" src="http://eprints.utas.edu.au/1327/thumbnails/1/preview.png" class="ep_preview_image" border="0" /><div class="ep_preview_title">Preview</div></td></tr></table></div></td><td valign="top"><a href="http://eprints.utas.edu.au/1327/1/Le-McManamey-2.pdf"><span class="ep_document_citation">PDF</span></a> - Requires a PDF viewer<br />441Kb</td></tr></table><p style="margin-bottom: 1em" class="not_ep_block">Official URL: <a href="http://www.newcq.org/">http://www.newcq.org/</a></p><div class="not_ep_block"><h2>Abstract</h2><p style="padding-bottom: 16px; text-align: left; margin: 1em auto 0em auto">The focus of this paper is on the literature exploring outsourcing, its principles and rationale and its application in rural hospitals and health services in Tasmania. While only a relatively small body of literature exists directly relating to the practice in hospitals and health services in Australia, literature related to workforce issues in rural areas represents a major body of research. Workforce issues in rural Tasmania contributing to the growth in outsourcing health care services are dramatically exacerbated by its fast becoming Australia's state with oldest population and increasing shortages across the full range of health care professions being a concern. While a major and highly successful trend in business management, literature related to outsourcing applied to health care services reveals far more complex issues involved in the implementation and modes of delivery. Where literature on health care outsourcing services in hospitals show and delineate various drivers and modes of delivery, the principle of outsourcing, applied to small rural hospital and services globally appears increasingly primarily based on a tactical imperative. Outsourcing as a tactical imperative reveals workforce issues pertaining to aging population, chronic disease and the need of innovation in government and cross-sector planning and use of health care in current health care policy documents (Productivity Commission Report, 2005). This paper examines research gaps which are present in health outsourcing practices and lessons learnt from the literature for rural Tasmanian hospitals and health services. </p></div><table style="margin-bottom: 1em" cellpadding="3" class="not_ep_block" border="0"><tr><th valign="top" class="ep_row">Item Type:</th><td valign="top" class="ep_row">Article</td></tr><tr><th valign="top" class="ep_row">Additional Information:</th><td valign="top" class="ep_row">The copyright of this paper belongs to the New Community Quarterly, Inc. 2006 (http://www.newcq.org).</td></tr><tr><th valign="top" class="ep_row">Subjects:</th><td valign="top" class="ep_row"><a href="http://eprints.utas.edu.au/view/subjects/321299.html">320000 Medical and Health Sciences > 321200 Public Health and Health Services > 321299 Public Health and Health Services not elsewhere classified</a></td></tr><tr><th valign="top" class="ep_row">ID Code:</th><td valign="top" class="ep_row">1327</td></tr><tr><th valign="top" class="ep_row">Deposited By:</th><td valign="top" class="ep_row"><span class="ep_name_citation"><span class="person_name">Dr Quynh Le</span></span></td></tr><tr><th valign="top" class="ep_row">Deposited On:</th><td valign="top" class="ep_row">09 Jul 2007</td></tr><tr><th valign="top" class="ep_row">Last Modified:</th><td valign="top" class="ep_row">09 Jan 2008 02:30</td></tr><tr><th valign="top" class="ep_row">ePrint Statistics:</th><td valign="top" class="ep_row"><a target="ePrintStats" href="/es/index.php?action=show_detail_eprint;id=1327;">View statistics for this ePrint</a></td></tr></table><p align="right">Repository Staff Only: <a href="http://eprints.utas.edu.au/cgi/users/home?screen=EPrint::View&eprintid=1327">item control page</a></p> </td></tr></table> </div> <!-- InstanceEndEditable --></td> </tr> <tr> <td><!-- #BeginLibraryItem "/Library/footer_eprints.lbi" --> <table width="795" border="0" align="left" cellpadding="0" class="footer"> <tr valign="top"> <td colspan="2"><div align="center"><a href="http://www.utas.edu.au">UTAS home</a> | <a href="http://www.utas.edu.au/library/">Library home</a> | <a href="/">ePrints home</a> | <a href="/contact.html">contact</a> | <a href="/information.html">about</a> | <a href="/view/">browse</a> | <a href="/perl/search/simple">search</a> | <a href="/perl/register">register</a> | <a href="/perl/users/home">user area</a> | <a href="/help/">help</a></div><br /></td> </tr> <tr><td colspan="2"><p><img src="/images/eprints/footerline.gif" width="100%" height="4" /></p></td></tr> <tr valign="top"> <td width="68%" class="footer">Authorised by the University Librarian<br /> © University of Tasmania ABN 30 764 374 782<br /> <a href="http://www.utas.edu.au/cricos/">CRICOS Provider Code 00586B</a> | <a href="http://www.utas.edu.au/copyright/copyright_disclaimers.html">Copyright & Disclaimers</a> | <a href="http://www.utas.edu.au/accessibility/index.html">Accessibility</a> | <a href="http://eprints.utas.edu.au/feedback/">Site Feedback</a> </td> <td width="32%"><div align="right"> <p align="right" class="NoPrint"><a href="http://www.utas.edu.au/"><img src="http://www.utas.edu.au/shared/logos/unioftasstrip.gif" alt="University of Tasmania Home Page" width="260" height="16" border="0" align="right" /></a></p> <p align="right" class="NoPrint"><a href="http://www.utas.edu.au/"><br /> </a></p> </div></td> </tr> <tr valign="top"> <td><p> </p></td> <td><div align="right"><span class="NoPrint"><a href="http://www.eprints.org/software/"><img src="/images/eprintslogo.gif" alt="ePrints logo" width="77" height="29" border="0" align="bottom" /></a></span></div></td> </tr> </table> <!-- #EndLibraryItem --> <div align="center"></div></td> </tr> </table> </body> </html>