Evaluating the Performance of Hospitals Affiliated to Shiraz University of Medical Sciences based on Medical Professional Ethics Indicators by Fuzzy Data Envelopment Analysis

Document Type : Original Article

Authors

1 Student in Cultural Management and Planning, Economics and Management Faculty, Shiraz Branch, Islamic Azad University, Shiraz, Iran. Student in Cultural Management and Planning, Fars Science and Research Branch, Islamic Azad University, Fars, Iran

2 Department of Industrial Management, Economics and Management Faculty, Shiraz Branch, Islamic Azad University, Shiraz, Iran

3 Department of Management, Economics and Management Faculty, Shiraz Branch, Islamic Azad University, Shiraz, Iran

Abstract

Introduction: One of the most complex decision-making problems for managers is evaluating
the performance of hospitals using various criteria.
Methods: To do this, we first divided the indicators into four categories using the Balanced
Scorecard (BCS) and then analyze the indicators using the Data Envelopment Analysis
(FDEA) method. First, all the relationships between the four perspectives were obtained
using the DEMATEL method and this network structure was used to create the DEA network
model. Satisfactory performance evaluation indicators have been selected by reviewing the
literature and opinions of hospital managers and physicians with real practical experiences
in medical professional ethics. Then, the causality between the four BSC perspectives as well
as the relative weights between the evaluation indicators were determined using test and
decision evaluation (DEMATEL), respectively.
Results: The average efficiency of medical professional ethics based on the results of
growth and training stage was 84.73% , internal process stage 92.09%, capital stage 100%,
and financial stage 95.81%, based on the designed model of an input and output. The steps
were obtained. The results were below the overall performance evaluation of the hospitals.
General performance of hospitals (DMU) No. 1, 3, 5, 8, 12, 13, 17, 21, 22, 23, 24, 25, 27, 28,
29, 30, 31, 32, 33, 35, 36, and 37 were obtained 100%, and 2 hospitals were 92.9% efficient, 4
hospitals 91.5%, 6 hospitals 58.4%, 7 hospitals 67.1%, 9 hospitals 95.1%, 10 hospitals 98.4%,
11 hospitals 98.4%, 13 hospitals 92.6%, 14 hospitals 85.1%, 15 hospitals 88.8%, 16 hospitals
94%, 18 hospitals 87.2%, 19 hospitals 86.3%, and 20 of them were 98/6% efficient.
Conclusion: This study used the non-financial approach of medical ethics to evaluate the
performance of hospitals; it can be said that the method and type of perspective used are
completely new.

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