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A multicriteria decision‐making framework for assessing the performance of gynecobstetrics departments: a case study

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Gynecobstetrics departments (GDs) oversee diagnosing, monitoring, and treating female reproductive diseases as well as assisting women during pregnancy. Their importance motivates the creation of suitable performance evaluation approaches for identifying weaknesses and designing focused interventions. Therefore, the aim of this paper is twofold: (a) provide an approach for GD performance evaluation and (b) propose interventions tackling the GDs’ weaknesses. The fuzzy analytic hierarchy process (FAHP) was first applied to calculate the initial criteria and subcriteria weights under vagueness. Then, the decision‐making trial and evaluation laboratory (DEMATEL) was implemented to evaluate interrelations. FAHP and DEMATEL were later combined to estimate the final criteria and subcriteria weights under vagueness and interdependency. Finally, the technique for order of preference by similarity to ideal solution (TOPSIS) was used to rank the GDs and detect improvement opportunities. A case study of a cluster including three GDs is presented to validate the proposed approach. The results evidenced that patient safety and service quality are the most critical aspects in GD performance evaluation. The results from this application can be used by healthcare managers for designing focused interventions targeting improved performance of GDs. This paper fully exploits the advantages of FAHP, DEMATEL, and TOPSIS methods for evaluating performances of GDs. Furthermore, this study presents a novel decision‐making model representing the multifactorial context of the GD performance.
Original languageEnglish
Number of pages41
JournalInternational Transactions in Operational Research
Early online date12 Feb 2021
Publication statusEarly online - 12 Feb 2021


  • A Multicriteria Decision-Making Framework

    Rights statement: This is the peer reviewed version of the following article: Ortíz‐Barrios, M., Gutiérrez‐Severiche, E., Cómbita‐Niño, D., Jiménez‐Delgado, G., Ishizaka, A., Barbati, M. and Herrera‐Fontalvo, Z. (2021), A multicriteria decision‐making framework for assessing the performance of gynecobstetrics departments: a case study. Intl. Trans. in Op. Res. Ahesd of print, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

    Accepted author manuscript (Post-print), 1.46 MB, PDF document

    Due to publisher’s copyright restrictions, this document is not freely available to download from this website until: 12/02/23

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