使用混合决策方法确定医疗保健流程管理的最佳投资组合

IF 0.6 Q4 ENGINEERING, INDUSTRIAL Industrial Engineering and Management Systems Pub Date : 2021-07-01 DOI:10.22116/JIEMS.2020.226032.1352
Armin Cheraghalipour, E. Roghanian
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引用次数: 1

摘要

由于各个行业的不断进步,关注组织的内部流程更加明显,以保持在竞争现场。因此,许多组织尝试使用重新设计来简化和评估他们的内部流程。通过回顾已进行的研究,可以指出再造项目实施中存在的问题之一是最佳过程组合的选择。因此,本研究旨在通过考虑两个关键假设,包括实现组织目标的改进和员工阻力,为再造项目中选择过程提供一个双目标数学模型。为此,首先由专家确定各过程对组织目标的影响,然后采用模糊最佳最差法确定各过程对组织目标的权重。最后,利用增广e约束方法对模型进行求解,选择出最优的过程组合。此外,作为一个现实世界的案例研究,Sari的公立医院被用来设置模型参数的值。最后,对所得结果进行了报告,并通过灵敏度分析提出了几点建议。结果表明,员工阻力的变化直接影响到第二个目标函数,而各个过程创造的改进的变化影响到第一个目标函数。此外,成本的变化对两个目标函数的影响都很小。
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Determining the optimal portfolio for healthcare processes management using a hybrid decision-making approach
Due to the increasing progress in various industries, paying attention to the internal processes of the organizations is more visible to stay on the competitive scene. Therefore, many organizations attempt to simplify and evaluate their internal processes using re-engineering. By reviewing the conducted studies, it can be stated that one of the existing problems in the implementation of re-engineering projects is the selection of the optimal portfolio of processes. Hence, this study aims to provide a bi-objective mathematical model for selecting processes in the re-engineering project by considering two key assumptions include improvement in achieving organizational goals and staff resistance. To this end, first, the impact of processes on organizational goals is specified by experts and then the goals’ weights are obtained using a fuzzy Best Worst Method. Finally, the proposed model is solved by an augmented e-constraint method and the optimal portfolio of processes is selected. Also, a public Hospital of Sari as a real-world case study is employed to set the values of model parameters. Finally, the obtained results are reported and using a sensitivity analysis, several directions are provided. The results show that changes in the staff resistance directly affects the second objective function, while changes in the improvement created by each process affect the first objective function. Also, changes in costs have little effect on either objective functions.
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来源期刊
CiteScore
2.20
自引率
28.60%
发文量
45
期刊介绍: Industrial Engineering and Management Systems (IEMS) covers all areas of industrial engineering and management sciences including but not limited to, applied statistics & data mining, business & information systems, computational intelligence & optimization, environment & energy, ergonomics & human factors, logistics & transportation, manufacturing systems, planning & scheduling, quality & reliability, supply chain management & inventory systems.
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