Turri J J
Health Prog. 1988 Oct;69(8):40-4.
A useful tool to assist management with complex multiple-criteria decision making is the analytic hierarchy process (AHP) microcomputer program. The AHP requires the user to judge the relative importance of each criterion, then specify a preference for each alternative relative to each criterion. The result is a prioritized overall ranking of the decision alternatives. Providence Ventures, Inc., used the AHP to assist a recent hospital client in selecting a magnetic resonance imaging vendor. A committee was appointed to narrow the decision alternatives down to three vendors, using the following criteria: price, technology, sitting, service, service contract, cryogen contract, and patient comfort. A key factor in the AHP is establishing priorities and preferences through the pairwise comparison procedure. The program asks the user, for example, if price and technology are equally important. If the response is no, the user tells the program which is more important and by how much, assigning a weight to each criterion. Similarly the user enters pairwise preferences for the vendors in regard to each criterion. The program then computes the overall decision. The entire process takes 10 to 15 minutes. A tool such as the AHP enables the manager and hospital to gain control of resources by saving time in reaching a decision, double checking other decisions for validity, using the model to audit department head decisions, and standardizing the decision-making process.
一种有助于管理层进行复杂多标准决策的有用工具是层次分析法(AHP)微机程序。层次分析法要求用户判断每个标准的相对重要性,然后针对每个标准指定对每个备选方案的偏好。结果是决策备选方案的优先总体排名。普罗维登斯风险投资公司利用层次分析法协助一家医院客户选择磁共振成像供应商。指定了一个委员会,使用以下标准将决策备选方案缩小到三家供应商:价格、技术、选址、服务、服务合同、低温制冷剂合同和患者舒适度。层次分析法的一个关键因素是通过成对比较程序确定优先级和偏好。例如,程序会询问用户价格和技术是否同样重要。如果回答是否定的,用户要告诉程序哪一个更重要以及重要多少,给每个标准赋予一个权重。同样,用户要输入供应商在每个标准方面的成对偏好。然后程序计算总体决策。整个过程需要10到15分钟。像层次分析法这样的工具能使管理者和医院通过节省决策时间、再次检查其他决策的有效性、使用该模型审核部门主管的决策以及使决策过程标准化来更好地控制资源。