17.6. Comparing public, private, and outsourced organizations

Public examination of a doctoral dissertation in the field of health management science
Doctoral candidate: M.Sc. Tarja Savolainen
Time and venue 17.6.2011 at 12 noon, Mediteknia Auditorium, Kuopio Campus

Savolainen, Tarja
Comparing public, private, and outsourced organizations.
A case study using multivariate methods of analysis in Southern Finland during the period 2006–2008.

The aim of this study was to compare of public, private and outsourced organizations in the frame of institutional theory. The focus was on the preferences of clients and personnel, clients’ perceptions of service quality and commitment of personnel. Survey data were collected in a three-year period from 2006 to 2008 from clients (N = 1048) and personnel (N = 205). The data were analyzed by multiple classification analysis, discriminant analysis and contextual analysis.

The results indicated that education, good state of health, established doctor-patient relationship and to some extent age, had an influence on evaluations of service quality. Principally, according to clients´ evaluations phone service, registration and interior design differed most in all three years. Clients in the private health clinic had a positive attitude to ownership and competition in society. The preferences of clients in the outsourced public health center did not change over three years. Like the clients, the personnel in the private health clinic also had a positive attitude to ownership and competition in society. In the third year also the personnel in the outsourced public health center also supported private values more than in previous years.

The main issues that influenced the commitment of personnel, and also distinguished the groups, were salary and other incentives, the opportunity to exert an influence over one’s own work, its’ organizing and planning. According to the results, the private clinic was able to meet these expectations best. In the third year the commitment of the personnel in the outsourced public health center improved. The result is consistent with the changes in preferences.

There have been heavy demands for health care organizations to be renewed quickly. On the other hand health care organizations are institutions which change slowly. In this longitudinal study conducted over a period of three years the changes were slight. According to this study, if we try to find new solutions to health care problems, the institutional nature of health care organizations must be understood.

The doctoral dissertation of M.Sc. Tarja Savolainen, entitled “Comparing public, private, and outsourced organizations. A case study using multivariate methods of analysis in Southern Finland during the period 2006–2008.”, will be examined at the Faculty of Social Sciences and Business Studies. The opponent in the public examination will be Emeritus professor Pentti Meklin of the University of Tampere, and the custos will be Professor Jari Vuori of the University of Eastern Finland.

Photo available for download at http://www.uef.fi/vaitoskuvat

Publishing year: 2011

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