Self-efficiency assessment of sustainable dynamic network healthcare service system under uncertainty: Hybrid fuzzy DEA-MCDM method

Document Type : Article

Authors

1 Department of Industrial Engineering and Management, Shahrood University of Technology, Shahrood, 3619995161, Iran

2 Department of Industrial Engineering, Faculty of Engineering, University of Kashan, Kashan, 8731753153, Iran

Abstract

In this paper, sustainability-related factors driving success of healthcare system management include a group of hospitals are considered. A three-pronged approach is considered based on the internal functions of the hospital, which are affecting the social responsibility as well as functions related to the service recipients from health centers. A novel comprehensive multi-period evaluation of hospitals’ performance is considered by the proposed dynamic network. This hybrid data envelopment analysis-based fuzzy multi-criteria decision-making model incorporates fuzzy DEMATEL and best-worst method provides several useful managerial insights using a realistic case study from Iran for sustainable management of the healthcare system. Obtained results indicate the importance of considering potential inter-related relations between network nodes on comprehensive performance assessment of healthcare service system.

Keywords


References:
1. Lorenzoni, L., Belloni, A., and Sassi, F. "Health-care expenditure and health policy in the USA versus other high-spending OECD countries", Lancet, 384, pp. 83- 92 (2014).
2. Green, L.V., Savin, S., and Lu, Y. "Primary care physician shortages could be eliminated through use of teams, non-physicians, and electronic communication", Health Aff, 32(1), pp. 11-19 (2013).
3. Carter, C.R. and Rogers, D.S. "A framework of sustainable supply chain management: Moving toward new theory", International Journal of Physical Distribution & Logistics Management, 38(5), pp. 360-387 (2008).
4. Lee, C.K.M. and Lam, J.S.L. "Managing reverse logistics to enhance sustainability of industrial marketing", Industrial Marketing Management, 41(4), pp. 589-598 (2012).
5. Nidumolu, R., Prahalad, C.K., Rangaswami, M.R., Innovative and sustainable healthcare management strategies for growth, United Kingdom (2012).
6. Buck, D. and Gregory, S., Improving the Public's Health, The Kings Funds, pp. 1-60 (2013).
7. Bloom, D.E. and Canning, D. "Population health and economic growth", Commission on Growth and Development Working, 24, World Bank, Washington, DC, World Bank (2008).
8. Weisz, U., Haas, W., Pelikan, J.M., et al. "Sustainable hospitals: A socio-ecological approach", GAIA, 20(3), pp. 191-198 (2011).
9. Health Research & Educational Trust, Environmental Sustainability in Hospitals: The Value of Efficiency, Chicago, IL: Health Research & Educational Trust (2014).
10. Lim, S. and Zhu, J. "A note on two-stage network DEA model: Frontier projection and duality", Eur. J. Oper. Res, 248(1), pp. 342-346 (2016).
11. Oukil, A. "Ranking via composite weighting schemes under A DEA cross-evaluation framework", Computers & Industrial Engineering, 117, pp. 217-224 (2018).
12. Ghorashi, N., Rad, A., and Eslami, M. "The study on factors of health economics and economic growth in Iran", Journal of Community Health Research, 2(3), pp. 208-219 (2013).
13. Weisz, U., Haas, W., Pelikan, J.M., et al. "Sustainable hospitals: A socio-ecological approach", GAIAEcological Perspectives for Science and Society, 20(3), pp. 191-198 (2011).
14. CABE, Future Health: Sustainable Places for Health and Well-Being (2009).
15. Cantor, V.J.M. and Poh, K.L. "Integrated analysis of healthcare efficiency: A systematic review", Journal of Medical Systems, 42(8), pp. 1-23 (2018).
16. Ortiz-Barrios, M.A., Escorcia-Caballero, J.P., Sanchez-Sanchez, F., et al. "Efficiency analysis of integrated public hospital networks in outpatient internal medicine", Journal of Medical Systems, 41, pp. 163-181 (2017).
17. Cook, W.D., Liang, L., and Zhu, J. "Measuring performance of two-stage network structures by DEA: A review and future perspective", Omega, 38, pp. 423- 430 (2010).
18. Cook, W.D., Tone, K., and Zhu, J. "Data envelopment analysis: Prior to choosing a model", Omega, 44, pp. 1-4 (2014).
19. Bhat, R., Verma, B.B., and Reuben, E. "Hospital efficiency: An empirical analysis of district hospitals and grant in aid hospitals in Gujarat", Journal of Health Management, 3(2), pp. 167-197 (2001).
20. Ozgen, H. and Ozcan, Y. "Longitudinal analysis of efficiency in multiple output dialyses", Health Care Management Sciences, 7, pp. 253-261 (2004).
21. Kontodimopoulos, N. and Niakas, D. "Efficiency measurement of hem dialysis units in Greece with data envelopment analysis", Health Policy, 71, pp. 195-204 (2005).
22. Ng, Y.C. "The productive efficiency of Chinese hospitals", China Economic Review, 22(3), pp. 428-439 (2011).
23. Ng, Y.C. "The productive efficiency of the health care sector of China", Rev. Reg. Stud, 38(3), pp. 381-393 (2008).
24. Li, H., Dong, S., and Liu, T. "Relative efficiency and productivity: A preliminary Eexploration of public hospitals in Beijing", China, BMC Health Serv. Res, 14(1), pp. 158-169 (2014).
25. Du, J., Wang, J., Chen, Y., et al. "Incorporating health outcomes in Pennsylvania hospital efficiency: An additive super-efficiency DEA approach", Annals of Operations Research, 221(1), pp. 161-172 (2014).
26. Feng, S., Shi, L., Zeng, J., et al. "Comparison of primary care experiences in village clinics with different ownership models in Guangdong Province", China, PLoS ONE, 12(1), pp. 1-14 (2017).
27. Arya, A. and Yadav, S.P. "Development of intuitionistic fuzzy super-efficiency slack based measure with an application to health sector", Computers & Industrial Engineering, 115, pp. 368-380 (2018).
28. Hasani, A. and Zegordi, S.H. "A robust competitive global supply chain network design under disruption: The case of medical device industry", International Journal of Industrial Engineering & Production Research, 26(1), pp. 63-84 (2015).
29. Liang, Q. and Mendel, J.M. "Interval type-2 fuzzy logic systems: theory and design", IEEE Transactions on Fuzzy Systems, 8(5), pp. 535-550 (2000).
30. Castillo, O. and Melin, P. "A review on interval type-2 fuzzy logic applications in intelligent control", Information Sciences, 279, pp. 615-631 (2014).
31. Withanachchi, N., Uchida, Y., Nanayakkara, S., et al. "Resource allocation in public hospitals: Is it effective?", Health Policy (New York), 80(2), pp. 308- 313 (2007).
32. Korhonen, P. and Syrjanen, M. "Resource allocation based on efficiency analysis", Management Science, 50(8), pp. 1134-1144 (2004).
33. Luscombe, R. and Kozan, E. "Dynamic resource allocation to improve emergency department efficiency in real time", European Journal of Operational Research, 255(2), pp. 593-603 (2016).
34. Lozano, S. and Villa, G. "Centralized resource allocation using data envelopment analysis", Journal of Productivity Analysis, 22(1-2), pp. 143-161 (2004).
35. Khushalani, J. and Ozcan, Y.A. "Are hospitals producing quality care efficiently? An analysis using dynamic network data envelopment analysis (DEA)", Socio- Economic Planning Sciences, 60, pp. 15-23 (2017).
36. Omrani, H., Shafaat, K., and Emrouznejad, A. "An integrated fuzzy clustering cooperative game data envelopment analysis model with application in hospital efficiency", Expert Systems with Applications, 114, pp. 615-628 (2018).
37. Motevali Haghighi, S. and Torabi, S.A. "A novel mixed sustainability-resilience framework for evaluating hospital information systems", International Journal of Medical Informatics, 118, pp. 16-28 (2018).
38. Zare, H., Tavana, M., and Mardani, A. "Hybrid data envelopment analysis and game theory model for performance measurement in healthcare", Health Care Management Science, 22, pp. 475-488 (2019).
39. Rouyendegh, B.D., Oztekin, A., and Ekong, J. "Measuring the efficiency of hospitals: A fully-ranking DEAFAHP approach", Annals of Operations Research, 278, pp. 361-378 (2019).
40. Ghahremanloo, M., Hasani, A., Amiri, M., et al. "A novel DEA model for hospital performance evaluation based on the measurement of efficiency, effectiveness, and productivity", Engineering Management in Production and Services, 12(1), pp. 7-19 (2020).
41. Bogetoft, P., Fare, R., Grosskopf, S., et al. "Dynamic network DEA: An illustration", Journal of the Operations Research Society of Japan, 52(2), pp. 147-162 (2009).
42. Tone, K. and Tsutsui, M. "Network DEA: A slacksbased measure approach", European Journal of Operational Research, 197, pp. 243-252 (2009).
43. Herrera-Restrepo, O., Triantis, K., Trainor, J., et al. "A multi-perspective dynamic network performance efficiency measurement of an evacuation: A dynamic network-DEA approach", Omega, 60, pp. 45- 59 (2016).
44. Hasseldine, J., Salama, A.I., and Toms, J.S. "Quantity versus quality: The impact of environmental disclosures on the reputations Of UK places", Br. Account. Rev, 37(2), pp. 231-248 (2005).
45. Olfat, L., Amiri, M., Soufi, J.B., et al. "A dynamic network efficiency measurement of airports performance considering sustainable development concept: A fuzzy dynamic network-DEA approach", In Journal of Air Transport Management, 57, pp. 272-290 (2016).
46. Beder, S. "Environmentalists help manage corporate reputation: Changing perceptions not behavior", Ecopolitics, 1(4), pp. 60-72 (2002).
47. Wu, D.R. and Mendel, J.M. "Aggregation using the linguistic weighted average and interval type-2 fuzzy sets", IEEE Trans. Fuzzy Syst, 15, pp. 1145-1161 (2007).
48. Hu, J., Zhang, Y., Chen, X., et al. "Multi-criteria decision making method based on possibility degree of interval type-2 fuzzy number", Knowledge-Based Systems, 43, pp. 21-29 (2013).
49. Abdullah, L. and Zulkifli, N. "Integration of fuzzy AHP and interval type-2 fuzzy DEMATEL: An application to human resource management", Expert Systems with Applications, 42(9), pp. 4397-4409 (2015).
50. Li, G.D., Yamaguchi, D., and Nagai, M. "A grey-based decision making approach to the supplier selection problem", Mathematical and Computer Modeling, 46, pp. 573-581 (2007).
51. Shieh, J.I.,Wu, H.H., and Huang, K.K. "A DEMATEL method in identifying key success factors of hospital service quality", Knowledge-Based Systems, 23, pp. 277-282 (2010).
52. Rezaei, J. "Best-worst multi-criteria decision-making method", Omega, 53, pp. 49-57 (2015).
53. Rezaei, J. "Best-worst multi-criteria decision-making method: Some properties and a linear model", Omega, 64, pp. 126-130 (2016).
54. Opricovic, S. and Tzeng, G.H. "Defuzzification within a multi-criteria decision model", International Journal of Uncertainty, Fuzziness and Knowledge-based Systems, 11, pp. 635-652 (2003).
55. Expert Group on Health System Performance Assessment. "Tools and methodologies to assess the efficiency of health care services in Europe" (Report NO. EW-01-19-365-EN-N), European Commission (2019).
56. Keyvanara, M. and Sajadi, H. "Social responsibility of the hospitals in Isfahan City, Iran: Results from a cross-sectional survey", International Journal of Health Policy and Management, 4(8), pp. 517-522 (2015).
57. Griffiths J. "Environmental sustainability in the national health service in England", Public Health, 120, pp. 609-612 (2006).
58. Tudor, T.L., Bannister, S., Butler, S., et al. "Can corporate social responsibility and environmental citizenship be employed in the effective management of waste?: Case studies from the National Health Service (NHS) in England and Wales Resources", Conservation and Recycling, 52, pp. 764-674 (2008).
Volume 29, Issue 4
Transactions on Industrial Engineering (E)
July and August 2022
Pages 2191-2209
  • Receive Date: 17 September 2019
  • Revise Date: 29 June 2020
  • Accept Date: 14 September 2020