Evaluation of hospital indicators using multicriteria decision analysis
DOI:
https://doi.org/10.33448/rsd-v11i16.37550Keywords:
PROMETHEE GDSS; Balanced scorecard; Hospital management; Group decision; Hospital.Abstract
Good strategic planning seeks to guide public organizations so that they find opportunities and anticipate threats, and this path is monitored through performance indicators. This study defined criteria based on the perspectives of the BSC to evaluate the performance indicators of a Federal University Hospital. Thus, the work proposed an ordering of the indicators through PROMETHEE-GDSS, in which PROMETHEE II was used in the phases of individual and global assessment, in order to obtain an ordering of net flows. As the main result, it was found that the methodology used provided greater flexibility in the choice of the most relevant Key Performance Indicators (KPIs) that would lead to the achievement of the institutional vision. In addition, the work allowed to indicate a reduction of 50% of the indicators used in the hospital management dashboard, which will allow the monitoring correlated to the organizational strategy.
References
Albuquerque, C & Martins M (2017). Indicadores de desempenho no Sistema Único de Saúde: uma avaliação dos avanços e lacunas. Saúde Debate. 41(Especial), 118-137.
Alday, H. E. & C. (2017). O planejamento estratégico dentro do conceito de administração estratégica. Revista da FAE, 3(2).
Almeida, A. T. de. (2013). Processo de decisão nas organizações: construindo modelos de decisão multicritério. São Paulo: Atlas.
Almeida, A.T., & Costa, A.P.C.S. (2002) Modelo de Decisão Multicritério para Priorização de Sistemas de Informação com base no Método PROMÉTHÉE. Gestão & Produção, 9(2), 201-214.
Amaral, T. M., & Costa, A. P. (2014). Improving decision-making and management of hospital resources: An application of the PROMETHEE II method in an Emergency Department. Operations Research for Health Care, 3(1), 1-6.
Amaral, T. M. (2013). Modelo de Avaliação Multicritério para a Teoria das Restrições Aplicado em Serviços Hospitalares de Urgência e Emergência. Tese (Doutorado em Engenharia de produção). Universidade Federal de Pernambuco.
Bari, P & Karade, P. (2021). Application of PROMETHEE-GAIA method to priority sequencing rules in a dynamic job shop for single machine. Materials Today: Proceedings. In Press, Corrected ProofWhat are Corrected Proof articles.
Behzadian, M., Kazemzadeh, R. B., Albadvi, A., & Aghdasi, M. (2010). PROMETHEE: A comprehensive literature review on methodologies and applications. European Journal of Operational Research, 200(1), 198-215.
Brans, J. P. & Mareschal, B. (2020). Prométhée-Gaia: une méthodologie d'aide à ladécisionenprésence de critèresmultiples. Éditions de l'Université de Bruxelles.
Brans, J. P. & Mareschal, B. (2005). PROMETHEE methods. In: FIGUEIRA, J.; GRECO, S.; EHRGOTT, M. Multiple criteria decision analysis: State of the art surveys, Springer Science, Boston.
Bystrzanowska, M, Tobiszewski, M. (2018). How can analysts use multicriteria decision analysis? TrAC Trends in Analytical Chemistry. 105, 98-105.
Cavalcante, C. A. V.; & Almeida, A. T. de. (2005). Modelo multicritério de apoio a decisão para o planejamento de manutenção preventiva utilizando PROMETHEE II em situações de incerteza. Pesquisa Operacional, 25(2), 279-296.
Chang, S.; Hsiao, H.; Huang, L.; & Chang, H. (2011). Taiwan quality indicator project and hospital productivity growth. Omega, 39(1), 14-22.
Cinelli, M, Kadzińskia, M, Gonzalez M & Słowińskiac R. (2020). How to support the application of multiple criteria decision analysis? Let us start with a comprehensive taxonomy. Omega. 96, 102-261.
Correia, T., Gomes I, Nunes P & Dussault, G. (2020). Health workforce monitoring in Portugal: Does it support strategic planning and policy-making? Health Policy. 124(3), 303-310.
Durucasu, H., Aytekin, A., Saraç, B., & ORAKÇI, E. (2017). Current application fields of ELECTRE and PROMETHEE: A literature review. Alphanumeric Journal, 5(2), 229-270.
Fontana, M. E.; & Morais, D. C. (2017). Water distribution network segmentation based on group multi-criteria decision approach. Production, v. 27.
Gauld, R., AL-Wahaibi S., Chisholm J., Crabbe R., Kwon B., OH T., Palepu R., Rawcliffe N. & Sohn S. (2011). Scorecards for health system performance assessment: the New Zealand example. Health Policy, 103(2), p. 200-208.
GIL, A. C (2017). Como elaborar projetos de pesquisa. 6ª ed. São Paulo: Ed. Atlas.
Grigoroudis E, Orfanoudaki E & Zopounidis C. (2012). Strategic performance measurement in a healthcare organisation: a multiple criteria approach based on balanced scorecard. Omega 40, 104–119.
Ishikawa, A. & Nemery, P. (2013). Multi-Criteria Decision Analysis Methods and Software. Wiley.
Kaplan, Robert S. & Norton, David P. (1997). A estratégia em ação: balanced scorecard. Gulf Professional Publishing,
Khalifa, M.& Khalid, P. (2015). Developing Strategic Health Care Key Performance Indicators: A Case Study on a Tertiary Care Hospital. Procedia Computer Science, 63, 459-466.
Kosherbayeva, L, Kalmakhanov, S., Hailey & D. Pazilov. (2020). Rethinking priorities in hospital management: a case from Central Asia. Health Policy and Technology. 9(3), 391-396.
Leandro, A.S., L.; De Sousa, A. M.; Melo, C. H. S.; Machado, D. C. de S. L.; Da Silva, L. O. N.; Saad, P. F. Lima R. S.; Mendes, R. J.; De Miranda, R. R. A. & Amaral, T. M. (2016). Especialização em Gestão de Hospitais Universitários do SUS: Plano Diretor Estratégico/ Ministério da Educação, Empresa Brasileira de Serviços Hospitalares, Instituto Sírio Libanês de Ensino e Pesquisa. – São Paulo.
Lourenço, A.T. T. (2016). Desempenho estratégico na gestão hospitalar: análise multicritério para suporte ao balanced scorecard. Dissertação de Mestrado. Universidade Tecnológica Federal do Paraná.
Macharis, C.; Brans, J.P.; & Mareschal, B. (1998). The GDSS PROMETHEE Procedure. Journal of Decision Systems. 7, 283-307.
Morais, R. M.; & Costa, A. L. (2014). Um modelo para avaliação de sistemas de informação do SUS de abrangência nacional: o processo de seleção e estruturação de indicadores. Rev. Adm. Pública — Rio de Janeiro 48(3):767-793.
Perondi, B, Miethke-Morais, A., Montal, A. Harima, L. & Segurado, A. (2020). Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil. The Brazilian Journal of Infectious Diseases. 24, 570-574.
Rodrigues TC, Montibeller G, Oliveira MD, Bana & Costa CA. (2017). Modelling multicriteria value interactions with reasoning maps. Eur J Oper Res 258:1054–1071
Samira, E. G. & Ruiz, F. (2019). Building composite indicators using multicriteria methods: a review. Journal of Business Economics.
Sertek, P.; Guindani, R. A.; & Martins, T. S. (2011). Administração e planejamento estratégico. 3. ed. Curitiba: Ibepex.
Shimshak, D.G.; Lenard, M.L.; & Klimberg, R.K. (2009). Incorporating quality into data envelopment analysis of nursing home performance: a case study. Omega The International Journal, 37(3), p. 672-685.
Silva, B L & Amaral, T M. (2021). ANÁLISE DA RENTABILIDADE DE CLIENTES SOB O ENFOQUE DA DECISÃO MULTICRITÉRIO. Produção Online. 21(1).
Silva, F. A. & Mário, P. C. (2015). O processo de formulação e monitoramento do planejamento estratégico de Tribunais de Contas sob a ótica da Nova Sociologia Institucional. Rev. Adm. Pública — Rio de Janeiro 49(6):1401-1427.
Silva, L. C. S. & Khamis, R. B. M. (2018). Os indicadores de saúde e sua importância para a elaboração e revisão de políticas de saúde. Unisanta Law and Social Science; 7(3), 342 – 368.
Silva, V. B. de S.; Schramm, F. & Carvalho, H. R. C. (2014). The use of the PROMETHÉE method for the selection of candidates to Pronatec's scholarship. Production, 24 (3), 548-558.
Tuzkaya, G., Sennaroglu, B., Kalender, Z. T., & Mutlu, M. (2019). Hospital service quality evaluation with IVIF-PROMETHEE and a case study. Socio-Economic Planning Sciences, 68, 100-705.
Vincke, P. (1992). Multicriteria decision-aid. Bruxelles. John Wiley & Sons.
Wątróbski, J., Jankowski, J, Ziemba, P, Karzmarczyk, A & Zioto, M. (2019). Generalised framework for multi-criteria method selection: Rule set database and exemplary decision support system implementation blueprints. Data in Brief. 22, 639.
Weston, M. (2020). Strategic Planning in an Age of Uncertainty: Creating Clarity in Uncertain Times. Nurse Leader. 18(1), 54-58.
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