Multicriteria decision making for Medical equipment maintenance: Insourcing, outsourcing and service contract

Hospitals outsource several activities of support in order to focus on healthcare production. Maintenance is one of these support activities. Recently, faced with rising healthcare costs, governments have implemented new reforms to control costs and improve efficiency and quality. Hospitals became interested in minimizing the total cost of the activity, by minimizing both healthcare production activities and support activities. In developing countries, medical equipment maintenance is costly and partially mastered most of the time because it is usually managed by external service contracts [1]. Reorganizing medical equipment maintenance service became a priority for hospital managers to reduce the cost and dependency while raising quality and reliability. In this paper, we propose an efficient procedure to take the appropriate decisions for medical equipment maintenance such as the strategy, to insource or outsource and the type of contract in case of outsourcing and its content.