Identifying the factors which i̇s affecting the outsourcing of enterprises / businesses with structural equation modeling

Outsourcing has been an important management strategy lately in parallel with fast changes in management and production processes. This fast change has caused important changes on structure and operations of companies. Companies want to focus on basic abilities; they transfer the produced good and services that are produced without basic talents to the expert suppliers of that field in order to produce more value creating goods and services and to meet the expectations of the clients. Thus companies can meet the needs of clients fast in accordance with the market conditions and they raise the customer satisfaction. Outsourcing, which has been applied in order to lower the expenditures in the beginning, began to be a management application to be used more in connection with the reasons such as improving competition, need to focus on basic talents, increasing quality, gaining flexibility, process renewal, gaining speed, following technological innovations. The aim of this study is to draw a framework aimed at the implementation of outsourcing in healthcare institutions. This study made with the aim of this framework consists of three parts. In the first part of the study conceptional information about the definition and importance of the outsourcing took part. In the second part conceptional framework that aims at the advantages, disadvantages of outsourcing process was drawn. In the third part effects of outsourcing implementation on healthcare institutions in competition and cost manners according to the 218 surveys that healthcare institutions made in 18 provinces in Black Sea Regions was examined. Keywords: Outsourcing