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医疗建设项目绩效评估的大规模群体决策(LSGDM):序数优先法

Large-scale group decision-making (LSGDM) for performance measurement of healthcare construction projects: Ordinal Priority Approach.

作者信息

Mahmoudi Amin, Abbasi Mehdi, Yuan Jingfeng, Li Lingzhi

机构信息

Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing, China.

Department of Industrial Engineering, Shiraz Branch, Islamic Azad University, Shiraz, Iran.

出版信息

Appl Intell (Dordr). 2022;52(12):13781-13802. doi: 10.1007/s10489-022-04094-y. Epub 2022 Sep 7.

Abstract

People with various skill sets and backgrounds are usually found working on projects and thus, group decision-making (GDM) is one of the most important functions within any project. However, when projects concern healthcare or other critical services for proletariat or general public (especially during COVID19), the importance of GDM can hardly be overstated. Measuring the performance of healthcare construction projects is a critical activity and should be gauged based on the input from a large number of stakeholders. Such problems are usually recognized as large-scale group decision-making (LSGDM). In the current study, we aim to propose a decision support system for measuring the performance of healthcare construction projects against a large number of experts using ordinal data. The study identifies several key indicators from literature and recorded the observations of a large number of experts about these indicators. After that, the acceptable range of complexity is specified, the Silhouette plot is provided to find the optimal number of clusters, and the ordinal K-means method is employed to cluster the experts' opinions. Later, the confidence level is measured using a novel for the optimal number of the clusters, and the threshold is checked. Finally, the conventional problem is solved using the Group Weighted Ordinal Priority Approach (GWOPA) model in multiple attributes decision making (MADM), and the performance of the projects is determined. The validity of the proposed approach is confirmed through a comparative analysis. Also, a real-world case is solved, and the performance of some healthcare construction projects in China is gauged with a comprehensive sensitivity analysis.

摘要

通常会发现具有各种技能组合和背景的人员参与项目工作,因此,群体决策(GDM)是任何项目中最重要的功能之一。然而,当项目涉及医疗保健或其他面向无产阶级或公众的关键服务时(尤其是在新冠疫情期间),群体决策的重要性怎么强调都不为过。衡量医疗建设项目的绩效是一项关键活动,应该根据大量利益相关者的意见来评估。这类问题通常被视为大规模群体决策(LSGDM)。在本研究中,我们旨在提出一个决策支持系统,用于根据序数数据针对大量专家衡量医疗建设项目的绩效。该研究从文献中识别出几个关键指标,并记录了大量专家对这些指标的看法。之后,指定了可接受的复杂度范围,提供了轮廓图以找到最优聚类数,并采用序数K均值方法对专家意见进行聚类。随后,使用一种新颖的方法测量最优聚类数的置信水平,并检查阈值。最后,在多属性决策(MADM)中使用群体加权序数优先级方法(GWOPA)模型解决传统问题,并确定项目的绩效。通过对比分析证实了所提方法的有效性。此外,解决了一个实际案例,并通过全面的敏感性分析评估了中国一些医疗建设项目的绩效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc7d/9449288/617839f2ffd4/10489_2022_4094_Fig1_HTML.jpg

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