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Decision Support Procedure for Medical Equipment Maintenance Management

Masmoudi, Malek; Houria, Zeineb Ben PhD; Al Hanbali, Ahmad; Masmoudi, Faouzi

doi: 10.1097/JCE.0000000000000135

Hospitals outsource several activities of the service support in order to focus on the core healthcare production as maintenance service. Recently, faced to the sophistication and the costs of medical equipment that continue to escalate, governments have implemented new reforms to control costs and improve the efficiency and the quality. Hospitals become interested in minimizing the total operational cost, by optimizing healthcare production planning and their support activities. Reorganizing the medical equipment maintenance service becomes a priority for the hospital managers to reduce the cost and the dependency on external parties while ensuring that the medical devices are safe, accurate, and operating at the required level of performance. In this article, we propose an efficient procedure to take the appropriate decisions for medical equipment maintenance such as the selection of maintenance strategy, the insourcing/outsourcing, and the selection of contracts’ type and content. A practical application of this procedure in the Tunisian context is considered. Nevertheless, our procedure is general and can be tailored to hospitals in both developed and developing countries.

Corresponding author: Malek Masmoudi, is assistant professor in industrial engineering at the University of Jean-Monnet, Saint Etienne in France. He obtained his doctor of philosophy degree in industrial engineering from the University of Toulouse in France. He can be reached at

Zeineb Ben Houria, PhD, is a student of doctor of philosophy degree at National school of Engineers of Sfax at the University of Sfax in Tunisia. She is working on the optimization of the maintenance of medical equipments with a collaborative project with Habib Bouguiba Tunisian Hospital. Her research interests include maintenance optimization models and mathematical modeling. She received her bachelor of science degree in industrial engineering from the National School of Engineers of Bizerta, Tunisia.

Ahmad Al Hanbali, is associate professor in industrial engineering and business information systems at the University of Twente, Enschede, the Netherlands. He is a full member of the Beta Research School, the Netherlands; the International Society of Inventory Research; Twente Is Maintenance Excellence; and Service Logistics Forum. He was a member of many technical program committees of international conferences. He served as a reviewer for several international journals.

Faouzi Masmoudi, is full professor at the National School of Engineers of Sfax in Tunisia and a researcher at the Mechanics Modelling and Production Research Unit (U2MP). He obtained his doctor of philosophy degree in computer-integrated manufacturing (1988) from ENSAM, Paris, France.

The authors declare no conflicts of interest.

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