Improving Managerial Decisions in the Health Care Sector : Application of Promethee II Method to Public Hospitals

• Autorzy: Katarzyna Miszczyńska
• Języki publikacji: EN

Abstrakty

EN

Many hospital rankings are based on algorithms and weights elicited by experts. The paper attempts to build rankings of Polish district hospitals using the TOPSIS method and to examine the sensitivity of the results to the changes in weights. We considered 11 large and 34 medium-sized hospitals. The criteria set consists of man-days total, profit/loss on sales, contract with the National Health Fund, return on assets (ROA) and return on equity (ROE). Because of this, rankings take into account different spheres in which hospitals perform, including the financial aspect and their main goal, i.e. treating patients. The results show that despite the overall high similarity of rankings, the benchmarking based on rankings should be done with care as the positions of some individual hospitals changed to a great degree. (original abstract)

Słowa kluczowe

PL

Ranking; Szpitalnictwo; Strategiczna Karta Wyników; Podejmowanie decyzji; Wielokryterialne podejmowanie decyzji; Ocena efektywności; Szpitale publiczne

EN

Ranking; Hospital service; Balanced Scorecard (BSC); Decision making; Multiple-criteria decision making; Effectiveness evaluation; Public hospitals

• Czasopismo: Operations Research and Decisions
• Rocznik: 2020
• Tom: 30
• Numer: nr 4
• Strony: 65-79

Twórcy

autor

Katarzyna Miszczyńska

• University of Lodz, Poland

Bibliografia

• [1] LIBURA M., GRESER J., BOREK E., PERENDYK T., Financing and organization of the health care system in the eyes of patients, Razem dla Zdrowia, Warsaw 2018 (in Polish).
• [2] KLUCZYŃSKA M., GRZYWACZ J., The system of financing public health care in Poland against the background of the Germany experiences, Zesz. Nauk. PWSZ, 2015, 22, 121-132 (in Polish).
• [3] RÓJ J., Service effectiveness as a criterion for choosing the hospital financing mechanism, Legal Mov. Econ. Soc., 2003, 4, 153-171 (in Polish).
• [4] KLECZKOWSKI B.M., Methods for assessing hospital operations and service effectiveness, Public Health, 1969, 12, 1099-1106 (in Polish).
• [5] ZIĘBICKI B., Organizational effectiveness of public sector entities, UEK, Cracow 2014 (in Polish).
• [6] AUSTEN A., Measurement of effectiveness in healthcare organizations, [In:] A. Frączkiewicz-Wronka (Ed.), Measurement of the effectiveness of public bodies based on the example of the healthcare sector, Scientific Works of the University of Economics Karol Adamiecki in Wrocław, Wrocław 2010 (in Polish).
• [7] CHOLEWA-WIKTOR M., Assessment of the effectiveness of public hospital management, J. Manage. Fin., 2013, 2, 39-49 (in Polish).
• [8] MISZCZYŃSKA K., Determinants of public healthcare units' indebtedness. The case of public hospitals in Lodz, Eur. Fin. Syst., Masaryk University, Brno 2018, 420-426.
• [9] MARCINKOWSKA E., Outsourcing in the management of a public business hospital, Wolters Kluwer, Warsaw 2010 (in Polish).
• [10] JOUMARD I., ANDRE C., NICQ C., Health Care Systems: Effectiveness and Institutions, 2010, OECD Economics Department Working Paper No. 769, available at: https://ssrn.com/abstract=1616546 or http://dx.doi.org/10.2139/ssrn.1616546
• [11] VANBERKEL P.T., BOUCHERIE J.R., HANS E.W., Effectiveness evaluation for pooling resources in health care, Oper. Res., 2009, 34, 371-390.
• [12] WILLAN A.R., KOWGIER M.E., Cost-effectiveness analysis of a multinational RCT with a binary measure of effectiveness and an interacting covariate, J. Health Econ., 2008, 17, 777-791.
• [13] KNAPP M., PAN Y.J., MCCRONE P., Cost-effectiveness comparison between antidepressant treatments in depression: evidence from database analyses and prospective studies, J. Affect. Disord., 2012, 139, 113-125.
• [14] JENA A.B., PHILIPSON T.J., Endogenous cost-effectiveness analysis and health care technology adoption, J. Health Econ., 2013, 32, 172-180.
• [15] BLUMENTHAL D., Quality of care - what is it?, N. Engl. J. Med., 1996, 335, 891-894.
• [16] KAPLAN R.S., NORTON D.P., Using balanced scorecard as a strategic management system, Harv. Bus. Rev., 1996 (1), 75-85.
• [17] ØVRETVEIT J., GUSTAFSON D., Using research to inform quality programmes, Br. Med. J., 2003, 326, 759-761.
• [18] BAKER G.R., PINK G.H., A balanced scorecard for Canadian hospitals, Healthc. Manage. Forum, 1995, 8, 7-21.
• [19] INAMDAR N., KAPLAN R.S., BOWER M., Applying the balanced scorecard in healthcare provider organizations, J. Health. Manage., 2002, 47, 179-195.
• [20] ZELMAN W.N., PINK G.H., MATTHIAS C.B., Use of the balanced scorecard in healthcare, J. Health Care Fin., 2003, 29 (4), 1-16.
• [21] NORTHCOTT D., FRANCE N., The balanced scorecard in New Zealand health sector performance management. Dissemination to Diffusion, Austr. Acc. Rev., 2008, 15, 34-46.
• [22] THERIOU N.G., DEMITRIADES E., CHATZOGLOU P., A proposed framework for integrating the balanced scorecard into the strategic management process, Oper. Res. Int. J., 2004, 4, 147-156.
• [23] PAPADOPOULOS D.L., KARRA E.D., Measuring performance of Theagenion Hospital of Thessaloniki, Greece, through a Balance Scorecard, Oper. Res. An Int. J., 2005, 5, 289-304.
• [24] FRĄCZKIEWICZ-WRONKA A., Measurement of the effectiveness of public organizations on the example of the healthcare sector, University of Economics Karol Adamiecki, Katowice 2010 (in Polish).
• [25] MISZCZYŃSKA K., Effectiveness of public hospitals in Łódź, Uniwersytet Łódzki, Łódź 2019 (in Polish).
• [26] VINCKE P., BRANS J., Note. A preference ranking organisation method. The PROMETHEE Method for multiple criteria decision-making, Manage. Sci., 1985, 31, 647-656, https://doi.org/10.1287/mnsc.31.6.647
• [27] AMARAL T.M., COSTA A.P.C., Improving decision-making and management of hospital resources. An application of the PROMETHEE II method in an Emergency Department, Oper. Res. Health Care, 2014, https://doi.org/10.1016/j.orhc.2013.10.002
• [28] BEHZADIAN M., KAZEMZADEH R.B., ALBADVI A., AGHDASI M., PROMETHEE. A comprehensive literature review on methodologies and applications, Eur. J. Oper. Res., 2010, 200, 198-215, https://doi.org/10.1016/j.ejor.2009.01.021
• [29] BOUYSSOU D., PIRLOT M., VINCKE P., MARCHANT T., TSOUKIAS A., Evaluation and Decision Models with Multiple Criteria, Springer Science and Business Media, USA, 2006.
• [30] MARESCHAL B., THE PROMETHEE-GAIA FAQ, (n.d.), https://doi.org/10.1109/IEEM.2009.5373124
• [31] MARIA M., CANEDO L., Electronic government. A multi-criterion approach to prioritizing projects by integrating balanced scorecard methodology indicators, Brazilian J. Oper. Prod. Manage., 2008, 5, 49-71.
• [32] MISZCZYŃSKA K., The application of balanced scorecard method for the selection of factors used in the effectiveness measurement of public hospitals in Poland, 5th SGEM Int. Multidiscip. Sci. Conf. Soc. Sci. ARTS SGEM2018, 2018, https://doi.org/10.5593/sgemsocial2018/1.5/S05.128
• [33] MURAT S., KAZAN H., COSKUN S., An application for measuring performance quality of schools by using the PROMETHEE multi-criteria decision-making method, Proc. Soc. Behav. Sci., 2015, 195, 729-738, https://doi.org/10.1016/j.sbspro.2015.06.344.

Identyfikatory

DOI

10.37190/ord200405