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Application of multi-criteria decision-making approach in healthcare surgical management 多标准决策方法在医疗外科管理中的应用
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-05-25 DOI: 10.1002/mcda.1753
Bhaskar B. Gardas, Nilesh P. Ghongade, Annasaheb H. Jagtap

The decision-making process in healthcare systems, especially in the area of surgical management is generally considered to have a low level of transparency; hence, effective decision-making plays a vital role in the case sector. Non-union of a fracture is dependent on many critical causative factors and in the past healthcare management studies, several research activities highlighted the influence of various causative factors on non-union. However, none of the studies neither tried to prioritise the factors nor identified the interrelationship between them. In the present research, through literature review and opinions of seven surgeons' 10 causative factors of non-union were shortlisted and they were analysed and modelled by a multi-criteria decision-making tool. The total interpretive structural modelling (TISM) methodology was used for identifying the mutual relationships among the causative factors and for developing a hierarchical structure. Also, the MICMAC approach was employed to identify the significant/dominant factors. The results of the TISM approach and MICMAC analysis revealed that ‘Alcohol abuse’ was found to be the most significant causative factor followed by ‘use of tobacco’, and ‘inappropriate dynamisation’ was found to be the least important. This study intends to guide the medical practitioners and healthcare managers in understanding the mutual influence of the causative factors and prioritisation of the same. Further, it helps them to carry out the surgical management effectively.

医疗保健系统的决策过程,特别是在手术管理领域,通常被认为透明度较低;因此,有效的决策在案例部门中起着至关重要的作用。骨折不愈合取决于许多关键的致病因素,在过去的医疗管理研究中,一些研究活动强调了各种致病因素对骨折不愈合的影响。然而,没有一项研究试图确定这些因素的优先顺序,也没有确定它们之间的相互关系。在本研究中,通过文献综述和7位外科医生的意见,筛选出10个导致骨不连的因素,并通过多标准决策工具对其进行分析和建模。总解释结构建模(TISM)方法用于确定因果因素之间的相互关系,并用于开发层次结构。此外,采用MICMAC方法来确定显著/主导因素。TISM方法和MICMAC分析的结果显示,“酗酒”是最重要的致病因素,其次是“使用烟草”,而“不适当的动力”是最不重要的。本研究旨在指导医疗从业人员和卫生保健管理人员了解致病因素的相互影响和优先级相同。此外,它有助于他们有效地进行手术管理。
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引用次数: 10
Improving the urban heritage based on a tourism risk assessment using a hybrid fuzzy MADM method: The case study of Tehran's central district 基于旅游风险评估的混合模糊MADM方法改善城市遗产——以德黑兰中心区为例
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-05-17 DOI: 10.1002/mcda.1746
Ali Hosseini, Ahmad Pourahmad, Athareh Ayashi, Gwo-Hshiung Tzeng, Audrius Banaitis, Atiyeh Pourahmad

A primary reason for the failure of renewal plans for the heritage of urban areas is ignorance of the risk factors of tourism. Urban heritage sites are valuable tourism resources and focus on tourism activities. These sites are affected by risks and negative events. Assessing tourism risks requires an in-depth knowledge of the current situation. Thus, in order to reduce the risk of tourism on urban heritage, it is necessary to assess the risk of tourist destinations. This study assesses the urban heritage of central districts in Tehran with an emphasis on tourism risk as a real case study. This study provides an in-depth review of the dimensions and criteria for evaluating tourism risks from the perspectives of social culture, environment, finance, safety and security. Fourteen criteria developed on the basis of the fuzzy decision-making trial and evaluation laboratory (FDEMATEL) method are adopted for this assessment to construct the fuzzy influential network relation map and find the fuzzy influential weights; this is known as the DEMATEL-based analysis network process (called DANP). The hybrid modified fuzzy VIKOR method is adopted to evaluate and reduce the tourism risk towards for closing the gap zero. Finally, an empirical case of Tehran city illustrates the availability and effectiveness of the proposed methods. The results revealed that safety and security risks have the greatest influence. The remaining dimensions are sociocultural, financial, and environmental risks. According to the model and the results of the risk assessment in tourism, this method is a reasonable solution for the assessment and risk analysis in real-world problems. The proposed method can be a useful tool for managers in tourism and urban planning.

城市地区遗产更新计划失败的一个主要原因是忽视了旅游业的风险因素。城市遗产地是宝贵的旅游资源,是旅游活动的重点。这些站点受到风险和负面事件的影响。评估旅游风险需要对现状有深入的了解。因此,为了降低旅游对城市遗产的风险,有必要对旅游地的风险进行评估。本研究评估了德黑兰中心区的城市遗产,重点是旅游风险作为一个真实的案例研究。本文从社会文化、环境、金融、安全保障等方面对旅游风险评估的维度和标准进行了深入的探讨。采用基于模糊决策试验与评价实验室(FDEMATEL)方法制定的14条评判标准进行评价,构建模糊影响网络关系图,确定模糊影响权重;这被称为基于dematel的分析网络过程(称为DANP)。采用混合修正模糊VIKOR法对旅游风险进行评价,并将旅游风险降低到接近零的水平。最后,以德黑兰市为例,说明了所提方法的有效性。结果显示,安全和安保风险的影响最大。剩下的维度是社会文化、金融和环境风险。根据旅游风险评估的模型和结果,该方法为现实问题的评估和风险分析提供了合理的解决方案。所提出的方法可以成为旅游和城市规划管理人员的有用工具。
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引用次数: 10
Min cost improvement and max gain stability in multicriteria sorting methods on combinatorial domains 组合域上多准则排序方法的最小成本改进和最大增益稳定性
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-04-29 DOI: 10.1002/mcda.1743
Nawal Benabbou, Hugo Martin, Patrice Perny

Various multicriteria sorting methods have been proposed in the literature to assign the feasible alternatives into predefined categories. We consider here problems involving a set of totally ordered categories representing different achievement levels in the satisfaction of criteria. As in many existing methods, the assignment rule of an alternative to a category is based on the comparison of its performance vector to reference profiles defining lower bounds of the categories. Within this standard setting we address a new problem that consists in finding how to modify a given solution, within a combinatorial set of alternatives, to upgrade it in the upper category (or higher) at minimum cost. We also consider the problem of identifying the sequence of solutions that minimize the total cost while satisfying some budget constraint at every step, and the problem of determining how to modify the current solution to save money while staying in the same category. We first propose a general approach based on mixed integer (linear or quadratic) programming to solve these problems. Then, we implement this approach on various multiobjective combinatorial problems, such as multi-agent assignment problems and multiobjective knapsack problems. Numerical tests are provided to establish the feasibility of the approach on instances of different sizes.

文献中提出了各种多准则排序方法,将可行的备选方案分配到预定义的类别中。我们在这里考虑的问题涉及一组完全有序的类别,代表不同的成就水平在标准的满足。与许多现有方法一样,类别的替代方案的分配规则是基于其性能向量与定义类别下界的参考配置文件的比较。在这个标准设置中,我们解决了一个新问题,即如何在一组组合的备选方案中修改给定的解决方案,以最小的成本将其升级到更高的类别(或更高)。我们还考虑了在每一步都满足预算约束的情况下确定总成本最小的解决方案序列的问题,以及确定如何修改当前解决方案以在保持同一类别的情况下节省资金的问题。我们首先提出了一种基于混合整数(线性或二次)规划的通用方法来解决这些问题。然后,我们将该方法应用于各种多目标组合问题,如多智能体分配问题和多目标背包问题。通过数值试验验证了该方法在不同尺寸实例上的可行性。
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引用次数: 1
Multi-criteria supply chain network design using interactive decision maps 使用交互式决策地图的多标准供应链网络设计
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-04-25 DOI: 10.1002/mcda.1744
Rui Fragoso, Vladimir Bushenkov, Manoel João Ramos

Growing concerns about sustainability lead decision-makers to include in the supply chain network design, environmental and social impacts as well as economic objectives, which requires a balanced multi-criteria approach. In this paper, a multi-objective mixed integer model for a regional supply chain network of a fish processing industry is developed. The model and decision-making process is analysed using approximation and visualization of Pareto frontier in criteria space in the form of Interactive Decision Maps. For test purposes, the data of the network of tilapia fillet processing in West Paraná, Brazil, are used. A reasonable strategy is formulated, representing a compromise between different conflicting criteria in the supply chain — profit, carbon dioxide emissions, number of suppliers, number of hired workers, costs and revenue.

对可持续性的日益关注促使决策者将供应链网络设计、环境和社会影响以及经济目标纳入其中,这需要一种平衡的多标准方法。本文建立了鱼类加工业区域供应链网络的多目标混合整数模型。以交互式决策地图的形式,利用标准空间中的帕累托边界的逼近和可视化来分析模型和决策过程。为了测试目的,使用了巴西西帕拉纳罗非鱼鱼片加工网络的数据。一个合理的策略被制定出来,代表了供应链中不同的冲突标准之间的妥协——利润、二氧化碳排放、供应商数量、雇佣工人数量、成本和收入。
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引用次数: 1
Multi-criteria decision-making approach for modular enterprise resource planning sorting problems 模块化企业资源规划排序问题的多准则决策方法
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-04-15 DOI: 10.1002/mcda.1745
Silvia Carpitella, Antonella Certa, Joaquín Izquierdo, Marco La Cascia

Implementing Enterprise Resource Planning (ERP) systems is currently recognized as a best practice with wide associated possibilities of business improvement for companies. Integrating these kinds of systems with business processes in the most efficient way requires to endeavour as much as possible simplifications for final users, which can be pursued by optimizing crucial software characteristics. The present article proposes a novel Multi-Criteria Decision-Making (MCDM) approach to deal with such an issue. Specifically, the ELECTRE (ELimination Et Choix Traduisant la REalité) TRI technique is suggested to assign ERP modules into predefined and ordered categories according to maintainability and usability, which are useful drivers in evaluating which module of an ERP software should be enhanced with priority. The results prove to have whole beneficial impact on system performance with relation to a case study: improvement evaluations will be identified based on the classes the ERP modules are assigned to by the method.

实施企业资源计划(ERP)系统是目前公认的最佳实践,具有广泛的业务改进可能性。以最有效的方式将这些类型的系统与业务流程集成需要尽可能地为最终用户简化,这可以通过优化关键的软件特性来实现。本文提出了一种新的多准则决策方法来解决这一问题。提出了一种基于可维护性和可用性的ERP模块划分技术,该技术可以根据可维护性和可用性将ERP模块划分为预定义和有序的类别,这是评估ERP软件中哪些模块应该优先增强的有用驱动因素。通过一个案例研究,结果证明对系统性能有全面的有益影响:改进评估将根据该方法分配给ERP模块的类别来确定。
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引用次数: 4
TSMAA-TRI: A temporal multi-criteria sorting approach under uncertainty TSMAA - TRI:不确定条件下的时间多准则排序方法
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-03-05 DOI: 10.1002/mcda.1742
Youness Mouhib, Anissa Frini

In recent years, the Quebec government has highlighted the importance of making decisions that are both sustainable and robust under climate change uncertainties. This paper aims to answer the following question: How to sort the alternatives according to their degree of sustainability achievement while evaluations are uncertain and temporal? The general objective of the paper is to propose a first temporal sorting method under stochastic uncertainty. The proposed method, called TSMAA-Tri, will assign each alternative to a predefined category based on a generalization of SMAA-Tri to a temporal context (multi-period evaluation of alternatives) where alternative evaluations are stochastic. The method starts performing Monte Carlo simulations to generate stochastic evaluation values. Each simulation (scenario of uncertainty) will generate a specific value for each criterion using the corresponding probability distribution. Then, aggregation consists in applying SMAA Tri at each period and performing a triple aggregation: (a) uncertainty aggregation; (b) multi-criteria aggregation; and (c) temporal aggregation. Multi-criteria aggregation consists in applying the SMAA-TRI method at each period. Then, two ways of temporal aggregation are proposed, based either on acceptability index or on outranking index of boundary profile. The proposed method is illustrated for sustainable forest management to show its applicability.

近年来,魁北克政府强调了在气候变化不确定性下做出可持续和稳健决策的重要性。本文旨在回答以下问题:在评价具有不确定性和时效性的情况下,如何根据可持续性成就程度对备选方案进行排序?本文的总体目标是提出一种随机不确定性下的第一时序排序方法。所提出的方法称为TSMAA-Tri,将基于SMAA-Tri对时间上下文(备选方案的多周期评估)的概化,将每个备选方案分配到预定义的类别,其中备选方案的评估是随机的。该方法开始执行蒙特卡罗模拟来生成随机评价值。每个模拟(不确定性场景)将使用相应的概率分布为每个准则生成一个特定的值。然后,聚合包括在每个时期应用SMAA Tri,并进行三重聚合:(a)不确定性聚合;(b)多标准汇总;(c)时间聚合。多准则聚合包括在每个周期应用SMAA-TRI方法。在此基础上,提出了基于可接受性指数和基于边界轮廓超序指数的时间聚合方法。本文以森林可持续经营为例,说明了该方法的适用性。
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引用次数: 8
A decision model approach for determining social innovation potential of technological projects 确定科技项目社会创新潜力的决策模型方法
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-02-25 DOI: 10.1002/mcda.1741
Fatih Ozdemir, Ilker Murat Ar, Birdogan Baki

Since project management is inevitably a social effort involving all relevant actors, social aspects have to be emphasized when considering collaborative project management. Social innovation focuses on reacting to social demands and developing innovative solutions to overcome various social issues. Therefore, determining the social innovation potential in the project management process is very important. The main purpose of this study is to propose a Fuzzy Analytic Network Process (FANP) and Fuzzy VIKOR (FVIKOR)-based decision model to determine the social innovation potential of technological projects. The results of FANP revealed that the most important criteria for determining social innovation potential of projects are financial resources, technological developments and social capital. Furthermore, FVIKOR was used for ranking social innovation potential of the selected technological projects. There are several managerial implications of this study. First, we suggest that practitioners should integrate the proposed model into their project evaluation processes. Second, they can also use this model to define the social innovation factors during project selection. Lastly, the proposed model can be employed to prioritize the social innovation factors that enable managers to allocate the appropriate resources to project management process.

由于项目管理不可避免地是一项涉及所有相关参与者的社会努力,因此在考虑协作项目管理时必须强调社会方面。社会创新侧重于对社会需求做出反应,并制定创新的解决方案来克服各种社会问题。因此,在项目管理过程中确定社会创新潜力是非常重要的。本研究的主要目的是提出一种基于模糊分析网络过程(FANP)和模糊VIKOR (FVIKOR)的决策模型来确定科技项目的社会创新潜力。FANP结果显示,决定项目社会创新潜力的最重要标准是财政资源、技术发展和社会资本。此外,采用FVIKOR对入选科技项目的社会创新潜力进行排名。这项研究有几个管理意义。首先,我们建议从业者应该将所提出的模型整合到他们的项目评估过程中。其次,他们也可以利用这个模型来定义项目选择中的社会创新因素。最后,该模型可用于对社会创新因素进行优先排序,使管理者能够将适当的资源分配到项目管理过程中。
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引用次数: 1
Analysis of some incentives on two-echelon reverse supply chain with a strategic consumer: The case of unwanted medications in households 具有战略消费者的两级逆向供应链的激励分析:以家庭中不需要的药物为例
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-02-02 DOI: 10.1002/mcda.1736
Iside Rita Laganà, Somayeh Sharifi, Mehrnoosh Khademi, Mehdi Salimi, Massimiliano Ferrara

In this article, there is established a reverse logistics (RL) system to collect unwanted medications (UMs) in households. A reverse supply chain (RSC) is proposed in a decentralized state including manufacturer, and retailer involving a strategic consumer. The novelty of this article is that the model is investigated from the consumer's perspective, whereas in the previous studies, the proposed models were from other upstream members' perspectives such as manufacturer and retailer. Furthermore, inducement and advertising strategies are proposed for stimulating consumers to engage more in an RSC. To analyse the effect of these two strategies, the three-person RSC game-theoretical approach is used. A three-person supply chain consists of a pharmaceutical manufacturer and a retailer who will interact with a strategic consumer in several non-cooperative Stackelberg games. Three Stackelberg games are established and, each member takes a turn as a leadership role and the other two players assume the role of the follower.

在本文中,建立了一个反向物流(RL)系统来收集家庭中不需要的药物(UMs)。提出了一个分散状态下的逆向供应链,包括制造商和零售商,其中有一个战略消费者。本文的新颖之处在于,该模型是从消费者的角度来研究的,而在之前的研究中,所提出的模型是从其他上游成员(如制造商和零售商)的角度来研究的。此外,还提出了诱导和广告策略,以刺激消费者更多地参与RSC。为了分析这两种策略的效果,本文采用了三人RSC博弈论方法。一个三人供应链由制药商和零售商组成,他们将在几个非合作的Stackelberg游戏中与战略消费者互动。建立了三个Stackelberg游戏,每个成员轮流担任领导角色,另外两个玩家担任追随者角色。
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引用次数: 7
Stochastic preemptive goal programming to balance goal achievements under uncertainty 不确定性条件下平衡目标成就的随机抢先目标规划
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-01-27 DOI: 10.1002/mcda.1734
Matthew C. Ledwith, Brandon J. Hufstetler, Mark A. Gallagher

Structured decision-making in the presence of conflicting goals is difficult, and even more so when accounting for uncertainties in the goals or constraints. In this article, we propose a new approach to multi-criteria decision-making that extends the deterministic preemptive goal programming approach to account for such uncertainties. The uncertainties may be characterized in various ways including a Bayesian network or extensive Monte Carlo multi-variate output. We contend the proposed stochastic preemptive goal programming approach is particularly applicable when better goal achievement increases uncertainty or induces risk to other goals. Resulting solutions tend to be a balance of the goals' achievements and robust to minor changes to the goals or constraints. We demonstrate the approach using three illustrative examples: a univariate example, a bivariate example, and a stock portfolio optimization example along with an application to determine military requests for absence. Our preliminary results suggest that a stochastic preemptive goal programming approach represents an effective means of analysing multi-criteria decision-making problems under uncertainty.

在目标相互冲突的情况下进行结构化决策是困难的,当考虑到目标或约束中的不确定性时更是如此。在本文中,我们提出了一种新的多准则决策方法,该方法扩展了确定性抢占式目标规划方法来考虑这种不确定性。不确定性可以用各种方式表征,包括贝叶斯网络或广泛的蒙特卡罗多变量输出。我们认为,提出的随机抢占式目标规划方法特别适用于较好的目标实现增加不确定性或导致其他目标风险的情况。最终的解决方案往往是目标成就的平衡,并且对于目标或约束的微小变化是健壮的。我们使用三个说明性示例来演示该方法:一个单变量示例、一个双变量示例和一个股票投资组合优化示例,以及一个确定军事缺席请求的应用程序。初步结果表明,随机抢占式目标规划方法是一种分析不确定条件下多准则决策问题的有效方法。
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引用次数: 1
Selection criteria for prison locations: Key study of Turkey 监狱选址标准:土耳其重点研究
IF 2 Q2 Business, Management and Accounting Pub Date : 2021-01-25 DOI: 10.1002/mcda.1735
Ahmet Tuğcin Uzuner, Umut Burak Geyikçi

The theory of public finance suggests that public sector intervention in the economy primarily concerns the efficient allocation of resources, equal distribution of wealth, and stabilization of economic activity throughout the operating cycle. Given that prisons are a public investment, this study identified the criteria involved in selecting the location of prisons in Turkey, a topic that has not been discussed before. The criteria for locating these establishments were analysed using an analytical network process in which the weight of each criterion in the total was determined by conducting a face-to-face survey with officials in the justice system who are difficult to access. The results show that political factors (50.89%) had the biggest influence on the location selection of a prison, and the positive impact on economic development of the selected region was only 13.56%. In contrast to the existing literature, location selection in Turkey does not follow the theory of public finance: the economic impacts are not considered, and decisions are taken politically.

公共财政理论认为,公共部门对经济的干预主要涉及资源的有效配置、财富的平等分配和整个经营周期经济活动的稳定。鉴于监狱是一项公共投资,本研究确定了在土耳其选择监狱地点所涉及的标准,这是一个以前从未讨论过的问题。使用分析网络程序对这些机构的定位标准进行了分析,其中通过与难以接触的司法系统官员进行面对面调查来确定每项标准在总数中的权重。结果表明,政治因素对监狱选址的影响最大(50.89%),对所选地区经济发展的积极影响仅为13.56%。与现有文献相比,土耳其的区位选择并不遵循公共财政理论:不考虑经济影响,决策是政治上的。
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引用次数: 2
期刊
Journal of Multi-Criteria Decision Analysis
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