{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T09:48:07Z","timestamp":1649152087967},"reference-count":65,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:p>Este artigo tem como objetivo investigar a decis\u00e3o de externaliza\u00e7\u00e3o, integrada na gest\u00e3o da cadeia de suprimentos no setor da sa\u00fade, nomeadamente os motivos e condicionantes da decis\u00e3o, os crit\u00e9rios de escolha das atividades a entregar a terceiros, os tipos de acordos poss\u00edveis e o impacto que a decis\u00e3o tem na organiza\u00e7\u00e3o e na pratica. Atrav\u00e9s do estudo de caso de uma unidade de sa\u00fade prestadora de cuidados continuados de forma inovadora, com grandes n\u00edveis de customiza\u00e7\u00e3o e em in\u00edcio de atividade, investigou-se todo o processo de terceiriza\u00e7\u00e3o em contexto do in\u00edcio do ciclo de vida de uma organiza\u00e7\u00e3o (n\u00e3o no contexto comum de mudan\u00e7a organizacional) e construiu-se uma matriz de avalia\u00e7\u00e3o de risco para atividades terceirizadas de modo a permitir a defini\u00e7\u00e3o do processo de monitoriza\u00e7\u00e3o da performance a implementar. Este estudo visa compreender como se avaliam e balizam os riscos da adop\u00e7\u00e3o de uma estrat\u00e9gia de terceiriza\u00e7\u00e3o e sugere um modelo de monitoriza\u00e7\u00e3o, com recurso a ferramentas de gest\u00e3o de risco. Concluiu-se que uma abordagem de Gest\u00e3o de Risco pode ser uma solu\u00e7\u00e3o para monitoriza\u00e7\u00e3o de terceiriza\u00e7\u00e3o em atividade que se iniciam. Retiram-se, ainda, conclus\u00f5es acerca da insatisfa\u00e7\u00e3o com os resultados da estrat\u00e9gia de externaliza\u00e7\u00e3o adotada.<\/jats:p>","DOI":"10.1590\/s1413-81232012000500012","type":"journal-article","created":{"date-parts":[[2012,5,23]],"date-time":"2012-05-23T10:09:41Z","timestamp":1337767781000},"page":"1179-1190","source":"Crossref","is-referenced-by-count":1,"title":["Terceiriza\u00e7\u00e3o em cuidados continuados: uma abordagem de gest\u00e3o de risco"],"prefix":"10.1590","volume":"17","author":[{"given":"Cristina Machado","family":"Guimar\u00e3es","sequence":"first","affiliation":[{"name":"Instituto Universit\u00e1rio de Lisboa, Portugal"}]},{"given":"Jos\u00e9 Crespo de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Instituto Universit\u00e1rio de Lisboa, Portugal"}]}],"member":"530","reference":[{"key":"ref1","series-title":"The Black Book of Outsourcing: How to Manage The Changes, Challenges and Opportunities","author":"Brown D","year":"2005"},{"issue":"4","key":"ref2","first-page":"43","article-title":"Strategic Outsourcing","volume":"35","author":"Quinn JB","year":"1994","journal-title":"Sloan Management Review","ISSN":"http:\/\/id.crossref.org\/issn\/0019-848X","issn-type":"print"},{"issue":"4","key":"ref3","first-page":"13","article-title":"Outsourcing Innovation: The New Engine of Growth","volume":"41","author":"Quinn JB","year":"2000","journal-title":"Sloan Management Review","ISSN":"http:\/\/id.crossref.org\/issn\/0019-848X","issn-type":"print"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/00115514-200107000-00007","article-title":"Managing Strategic Outsourcing in the Healthcare Industry","volume":"46","author":"Roberts V","year":"2001","journal-title":"Journal of Healthcare Management","ISSN":"http:\/\/id.crossref.org\/issn\/1096-9012","issn-type":"print"},{"issue":"2","key":"ref5","first-page":"58","article-title":"Transformational Outsourcing","volume":"45","author":"Linder JC","year":"2004","journal-title":"MIT Sloan Management Review"},{"key":"ref6","series-title":"Terceiriza\u00e7\u00e3o para a Mudan\u00e7a Radical: Uma Abordagem Sustentada para a Transforma\u00e7\u00e3o da Empresa","author":"Linder JC","year":"2008"},{"key":"ref7","article-title":"Output based Facilities Management Specifications in the National Health Service: Literature review and directional outcomes","author":"Heavisides R","year":"2001","journal-title":"Occupier.org"},{"issue":"10","key":"ref8","first-page":"44","article-title":"Possibilities and Pitfalls of Outsourcing","volume":"59","author":"Hazelwood SE","year":"2005","journal-title":"Healthcare Financial Management","ISSN":"http:\/\/id.crossref.org\/issn\/0735-0732","issn-type":"print"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1108\/13598540610703864","article-title":"Outsourcing decision support: a survey of benefits, risks, and decision factors","volume":"11","author":"Kremic TO","year":"2006","journal-title":"Supply Chain Management: An International Journal"},{"key":"ref10","series-title":"Designing & Managing The Supply Chain, Concepts, Strategies & Case Studies","author":"Simchi-Levi D","year":"2003","edition":"2"},{"issue":"1","key":"ref11","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1287\/orsc.5.1.14","article-title":"A Dynamic Theory of Organizational Knowledge Creation","volume":"5","author":"Nonaka I","year":"1994","journal-title":"Organization Science"},{"issue":"7","key":"ref12","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1108\/02635570410550287","article-title":"The role of clockspeed in outsourcing decisions for new technologies: insights from the prisioner's dilemma","volume":"104","author":"Perrons RK","year":"2004","journal-title":"Industrial Management & Data Systems"},{"issue":"5","key":"ref13","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1287\/orsc.7.5.477","article-title":"A Resource-Based Theory of the Firm: Knowledge versus Opportunism","volume":"7","author":"Conner KR","year":"1996","journal-title":"Organization Science"},{"key":"ref14","series-title":"Strategic Supply Chain Alignment Best Practice in Supply Chain Management","volume-title":"The healthcare supply chain: Applying best-practice remedies to the healthcare sector","author":"Wigglesworth K","year":"1998"},{"key":"ref15","first-page":"246","article-title":"Privatization as descentralization strategy","volume":"14","author":"Atun R","year":"2006","journal-title":"Report to the World Health Organization Regional Office for Europe"},{"issue":"7","key":"ref16","first-page":"7","article-title":"Decentralization and privatization in Portuguese health reform","volume":"4","author":"Campos AC","year":"2004","journal-title":"Revista Portuguesa de Sa\u00fade P\u00fablica"},{"issue":"5","key":"ref17","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1108\/01409170610674374","article-title":"Managerial perceptions on volume flexible strategies and performance in health care services","volume":"29","author":"Jack EP","year":"2006","journal-title":"Management Research News"},{"issue":"1","key":"ref18","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1071\/AH070140","article-title":"Terceiriza\u00e7\u00e3o: two case studies from the Victorian public hospital sector","volume":"31","author":"Young S","year":"2007","journal-title":"Australian Health Review","ISSN":"http:\/\/id.crossref.org\/issn\/0156-5788","issn-type":"print"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1080\/10967490701515572","article-title":"Outsourcing: uncovering the complexity of the decision","volume":"10","author":"Young S","year":"2007","journal-title":"International Public Management Journal"},{"key":"ref20","series-title":"Organizational environments: Ritual and rationality","author":"Meyer JW","year":"1992"},{"issue":"2","key":"ref21","doi-asserted-by":"crossref","first-page":"149","DOI":"10.2307\/2095567","article-title":"Structural inertia and organizational change","volume":"49","author":"Hannan MT","year":"1984","journal-title":"American Sociological Review","ISSN":"http:\/\/id.crossref.org\/issn\/0003-1224","issn-type":"print"},{"issue":"4","key":"ref22","first-page":"17","article-title":"Le role des facteurs institutionnels dans la decision d'externaliser","volume":"11","author":"Martin A","year":"2007","journal-title":"Management International"},{"issue":"2","key":"ref23","doi-asserted-by":"crossref","first-page":"147","DOI":"10.2307\/2095101","article-title":"Institutional isomorphism and collective rationality","volume":"48","author":"DiMaggio PJ","year":"1983","journal-title":"American Sociological Review","ISSN":"http:\/\/id.crossref.org\/issn\/0003-1224","issn-type":"print"},{"key":"ref24","series-title":"Managing the unexpected: assuring high performance in an age of complexity","author":"Weick KE","year":"2001"},{"issue":"1","key":"ref25","doi-asserted-by":"crossref","first-page":"109","DOI":"10.2307\/41166113","article-title":"Relational quality: managing trust in corporate alliances","volume":"44","author":"Arino AJ","year":"2001","journal-title":"California Management Review","ISSN":"http:\/\/id.crossref.org\/issn\/0008-1256","issn-type":"print"},{"issue":"5\/6","key":"ref26","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1108\/17410400710757123","article-title":"A performance measurement system for facility management: The case study of a medical service authority","volume":"56","author":"De Toni AF","year":"2007","journal-title":"International Journal of Productivity and Performance Management"},{"issue":"5\/6","key":"ref27","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1108\/02635570310480015","article-title":"A conceptual model of supply chain flexibility","volume":"103","author":"Duclos LK","year":"2003","journal-title":"Industrial Management & Data Systems"},{"issue":"7","key":"ref28","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1016\/j.compind.2005.03.001","article-title":"A review of performance measurement: Towards performance management","volume":"56","author":"Folan P","year":"2005","journal-title":"Computers in Industry"},{"issue":"1\/2","key":"ref29","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1108\/01443570110358468","article-title":"Performance measures and metrics in a supply chain environment","volume":"21","author":"Gunasekaran A","year":"2001","journal-title":"International Journal of Operations & Production Management"},{"issue":"7","key":"ref30","first-page":"31","article-title":"Are your performance measurement systems truly performing?","volume":"80","author":"Henri JF","year":"2006","journal-title":"CMA Management"},{"issue":"2","key":"ref31","first-page":"14","article-title":"The search for meaningful measures","volume":"51","author":"Neely A","year":"2007","journal-title":"Management Services"},{"issue":"13\/14","key":"ref32","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1108\/EUM0000000006204","article-title":"Customer-focused benchmarking for facilities management","volume":"19","author":"Loosemore M","year":"2001","journal-title":"Facilities"},{"key":"ref33","series-title":"Rethinking Performance Measurement: Beyond the Balanced Scorecard","author":"Meyer MW","year":"2002"},{"key":"ref34","series-title":"International logistics and supply chain outsourcing: from local to global","author":"Rushton A","year":"2007"},{"issue":"4","key":"ref35","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1093\/heapol\/16.4.404","article-title":"Monitoring and evaluation of contracts for health service delivery in Costa Rica","volume":"6","author":"Abramson WB","year":"2001","journal-title":"Health Policy and Planning","ISSN":"http:\/\/id.crossref.org\/issn\/0268-1080","issn-type":"print"},{"issue":"2","key":"ref36","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.healthpol.2006.09.012","article-title":"The impact of contracting-out on health system performance: A conceptual framework","volume":"82","author":"Liu X","year":"2007","journal-title":"Health Policy","ISSN":"http:\/\/id.crossref.org\/issn\/0168-8510","issn-type":"print"},{"issue":"11","key":"ref37","doi-asserted-by":"crossref","first-page":"867","DOI":"10.2471\/BLT.06.033027","article-title":"Contracting but not without caution: experience with outsourcing of health services in countries of the Eastern Mediterranean Region","volume":"84","author":"Siddiqi S","year":"2006","journal-title":"Bulletin of the World Health Organization","ISSN":"http:\/\/id.crossref.org\/issn\/0042-9686","issn-type":"print"},{"issue":"2","key":"ref38","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1108\/13581980310810435","article-title":"The FSA approach to the supervision of outsourcing","volume":"11","author":"McCormack P","year":"2003","journal-title":"Journal of Financial and Compliance"},{"issue":"1\/2","key":"ref39","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1108\/02632770210414281","article-title":"Managing FM (support services): business risks in the healthcare sector","volume":"20","author":"Okoroh MI","year":"2002","journal-title":"Facilities"},{"issue":"8","key":"ref40","first-page":"17","article-title":"Using FMEA to Assess Outsourcing Risk","volume":"40","author":"Welborn C","year":"2007","journal-title":"Quality Progress","ISSN":"http:\/\/id.crossref.org\/issn\/0033-524X","issn-type":"print"},{"issue":"9","key":"ref41","first-page":"41","article-title":"You've Outsourced The Operation, but Have You Outsourced the Risk?","volume":"22","author":"Whitmore HB","year":"2006","journal-title":"Financial Executive","ISSN":"http:\/\/id.crossref.org\/issn\/0015-1998","issn-type":"print"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1057\/palgrave.jors.2602412","article-title":"An emergent framework for supply chain risk management and performance measurement","volume":"58","author":"Ritchie B","year":"2007","journal-title":"Journal of the Operational Research Society","ISSN":"http:\/\/id.crossref.org\/issn\/0160-5682","issn-type":"print"},{"key":"ref43","series-title":"Norma de Gest\u00e3o de Riscos","year":"2003"},{"issue":"7\/8","key":"ref44","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1108\/02632770410547570","article-title":"Healthcare facilities management: state of the art review","volume":"22","author":"Shohet I","year":"2004","journal-title":"Facilities"},{"issue":"6","key":"ref45","first-page":"10","article-title":"Supply Chain Management: New Opportunities for Risk Managers","volume":"53","author":"Atkinson W","year":"2006","journal-title":"Risk Management","ISSN":"http:\/\/id.crossref.org\/issn\/0035-5593","issn-type":"print"},{"issue":"3","key":"ref46","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1080\/02642060701207080","article-title":"Outsourcing in the German Hospital Sector","volume":"27","author":"Augurzky B","year":"2007","journal-title":"The Service Industries Journal"},{"issue":"6","key":"ref47","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1108\/09526860610687600","article-title":"Quality management standards for facility services in the Italian health care sector","volume":"19","author":"Cezarotti V","year":"2006","journal-title":"Int J Health Care Qual Assur Inc Leadersh Health Serv","ISSN":"http:\/\/id.crossref.org\/issn\/1366-0756","issn-type":"print"},{"issue":"9","key":"ref48","doi-asserted-by":"crossref","first-page":"819.e9","DOI":"10.1016\/j.amjmed.2006.07.024","article-title":"Medical Errors Arising from Outsourcing Laboratory and Radiology Services","volume":"120","author":"Chasin BS","year":"2007","journal-title":"Am J Med."},{"issue":"2","key":"ref49","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1053\/jhin.1999.0616","article-title":"Mopping up hospital infection","volume":"43","author":"Dancer SJ","year":"1999","journal-title":"J Hosp Infect","ISSN":"http:\/\/id.crossref.org\/issn\/0195-6701","issn-type":"print"},{"issue":"3","key":"ref50","first-page":"26","article-title":"The risk of outsourcing IT","volume":"37","author":"Earl MJ","year":"1996","journal-title":"Sloan Management Review","ISSN":"http:\/\/id.crossref.org\/issn\/0019-848X","issn-type":"print"},{"key":"ref51","article-title":"Experience of contracting with the private sector: a selective review","author":"England RE","year":"2004","journal-title":"DFID Health Systems Resource Center"},{"issue":"2","key":"ref52","first-page":"49","article-title":"In-House Versus Off-Site Sterilization","volume":"12","author":"Giarraputo D","year":"1990","journal-title":"Hosp Mater Manage Q","ISSN":"http:\/\/id.crossref.org\/issn\/0192-2262","issn-type":"print"},{"issue":"3","key":"ref53","first-page":"20","article-title":"Hazards of Cleaning","volume":"52","author":"Goggins R","year":"2007","journal-title":"Professional Safety","ISSN":"http:\/\/id.crossref.org\/issn\/0099-0027","issn-type":"print"},{"issue":"5","key":"ref54","first-page":"48","article-title":"Hospitals take on the risk as they turn to hospitals programs","volume":"11","author":"Greeno R","year":"2001","journal-title":"Managed Healthcare Executive"},{"issue":"4","key":"ref55","first-page":"32","article-title":"When Outsourcing Makes Cents","volume":"5","author":"MacCutcheon M","year":"2002","journal-title":"Post-Acute Care"},{"issue":"3","key":"ref56","first-page":"24","article-title":"When outsourcing goes awry","volume":"73","author":"Peisch R","year":"1995","journal-title":"Harvard Business Review","ISSN":"http:\/\/id.crossref.org\/issn\/0017-8012","issn-type":"print"},{"issue":"5","key":"ref57","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1108\/02689239910294655","article-title":"Outsourcing to increase service capacity in a New Zealand Hospital","volume":"13","author":"Renner C","year":"1999","journal-title":"J Manag Med","ISSN":"http:\/\/id.crossref.org\/issn\/0268-9235","issn-type":"print"},{"key":"ref58","series-title":"Strategic Management of the Health Care Supply Chain","author":"Schneller ES","year":"2006"},{"issue":"4\/5","key":"ref59","first-page":"580","article-title":"Measuring reliability of service systems using failure rates: variations and extensions","volume":"21","author":"Gunawardane G","year":"2004","journal-title":"The International Journal of Quality & Reliability Management"},{"key":"ref60","series-title":"Case study research: design and methods","author":"Yin RK","year":"2003","edition":"3"},{"issue":"2","key":"ref61","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1177\/1077800405284363","article-title":"Five Misunderstandings About Case Study Research","volume":"12","author":"Flyvbjerg B","year":"2006","journal-title":"Qualitative Inquiry"},{"issue":"2","key":"ref62","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1108\/01443570210414329","article-title":"Case research in operations management","volume":"22","author":"Voss C","year":"2002","journal-title":"International Journal of Operations & Production Management"},{"issue":"3","key":"ref63","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1108\/02656719810198917","article-title":"The manufacturing TQM and service quality literatures: synergistic or conflicting paradigms","volume":"15","author":"Silvestro R","year":"1998","journal-title":"International Journal of Quality & Reliability Management"},{"key":"ref64","series-title":"Research Methods for Business Students","author":"Saunders M","year":"2007","edition":"4"},{"key":"ref65","series-title":"Qualitative Data Analysis","author":"Miles MB","year":"1994"}],"container-title":["Ci\u00eancia &amp; Sa\u00fade Coletiva"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/csc\/v17n5\/a12v17n5.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,29]],"date-time":"2019-06-29T01:26:32Z","timestamp":1561771592000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1413-81232012000500012&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5]]},"references-count":65,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["S1413-81232012000500012"],"URL":"https:\/\/doi.org\/10.1590\/s1413-81232012000500012","relation":{},"ISSN":["1413-8123"],"issn-type":[{"value":"1413-8123","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5]]}}}