"The why"
I've been working over 15 years in the IT industry and have realised that the best way of streamlining operations and support is by combining the concept of selling services (instead of hours) along with a tool built for managing those services.
For the past 10 years i've been working with some of the leading providers of MSP-tools. The prize set on these comercial tools is quite high and there are usually few licence models to choose from. A smaller it-company will find the cost hard to motivate and in turn have dificulties converting its busines model in order to make more mone