Challenges of Implementing Outsourcing of Primary Health Services from The Perspective of Stakeholders

Background The primary function of health systems is to provide high-quality and universal health services. Outsourcing, synonymous with contracting-out, has been common in many market-oriented health care reforms. But Lack of attention to the obstacles and challenges of outsourcing health services such as economic issues, responsibility and accountability, human resources challenges, structural problems and private companies, efficiency and planning challenges may lead to failure and irreparable damage to the health system. The present study aimed at identifying the challenges of Outsourcing Health Services to the Private Sector. Method This is a qualitative study that was conducted with the approach of Directed content analysis in 2023. The sampling method was purposeful and sampling continued until data saturation. Data analysis was done using Colaizzi’s method and MAXQAD software. Results After extracting the data, 3 main classes including Challenges of the contractor, Challenges of the employer (university), Manpower challenges and 14 subclasses were extracted. Conclusion The outcomes of this study revealed that outsourcing is one of the basic needs to advance organizational goals. Nonetheless, its current implementation method is not very appropriate. Challenges identified as obstacles to the proper implementation of the partnership plan with the private sector in the field of health are sometimes an integral part of such plans. These challenges must be resolved before the implementation of the plan and during planning by conducting studies and reviewing the project background. This will help to prevent further problems during the execution.