IDENTIFICATION OF EFFECTIVE INSTRUMENTS IN FORMULATING POLICY OF OUTSOURCING UNIVERSITY HOSPITALS IN IRAN (EXPLORATORY MIXED METHODS STUDY)

The importance of studying Instruments is so great that some experts in the field
of calligraphy; Calligraphy is considered the same as calligraphy Instruments. The field of health,
especially University hospitals, is no exception to this, and given its role in promoting people's health,
it is doubly important. Therefore, the purpose of this study was to identify the effective Instruments in
developing the outline of Iran's University hospitals.
Materials & Methods: This research was of applied and developmental type and its general strategy
was of the type of mixed methods study. In this study, first qualitative data and then quantitative data
were collected and analyzed. In the qualitative section, semi-structured interviews were used to collect
data. For data analysis in this section using MAXQDA18 software and thematic analysis method was
used. In small quantities; data were collected using a researcher-made questionnaire. The sample size in
this section was 148 people. In this section, confirmatory factor analysis was used to validate the model
using Smart PLS3 software and the results of reliability, validity, factor structure fit, model quality and
alignment were reported.
Results: in this study; the instruments of outsourcing policy formation included 53 codes which were
divided into 8 conceptual categories including: organizational Instruments, cultural Instruments, human
capital Instruments, structure, geographical locations, management Instruments, legal Instruments and
financial instruments. Based on the findings of this study, the good fit value obtained had a favorable
coefficient that indicated the overall desirability of the model.
Conclusion: Each type of policy will succeed when it has the right and optimal combination of available
Instruments. Many high goals fail because they do not use the right tools in their policies. Therefore,
considering the existence of different dimensions of effective Instruments in outsourcing of Iranian
university hospitals, paying attention to all dimensions can make the outsourcing policy successful and
lead the organization to the desired and expected goals. Finally, if the Instruments are properly predicted
and selected, the policies will be implemented, otherwise they will be ineffective