Al Habsi Tariq, Al-Khusaibi Salah, Al Hashmi Dalal, Al-Jabri Abdulrahman, Al-Rahbi Adham, Almamari Nusaiba, Alkindi Teeba
Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.
Department of Operation Management and Business Statistics, College of Economics and Political Sciences, Sultan Qaboos University, Muscat, OMN.
Cureus. 2024 Jun 4;16(6):e61672. doi: 10.7759/cureus.61672. eCollection 2024 Jun.
Background This study aimed to identify sustainability priorities within Oman's healthcare sector using the analytical hierarchy process (AHP) methodology. Mainly, it focused on assessing the relative importance of economic, environmental, and social factors and their sub-elements in sustaining Oman's healthcare system. Methodology A semi-quantitative, cross-sectional design was employed to collect data from 23 Omani healthcare experts with at least 10 years of experience in five different public hospitals in Oman. The AHP methodology was used to analyze pairwise comparisons of sustainability factors and derive their priorities. The consistency ratio was calculated to ensure the reliability of the analysis, and the transitivity rule was applied to address inconsistencies in pairwise comparisons. Results The findings revealed a strong emphasis on environmental and social sustainability, with economic considerations ranking comparatively lower. Circular practices emerged as a key priority within the environmental domain, while patient satisfaction stood out within the social domain. The analysis showed the integration between healthcare, environmental health, and societal well-being, emphasizing the need for holistic approaches to sustainability. Conclusions This study contributes to the understanding of healthcare sustainability by providing empirical evidence of stakeholder preferences within Oman's healthcare system. By quantitatively assessing the relative importance of economic, environmental, and social factors, it informs decision-making and resource allocation toward sustainable healthcare development. The findings also support the argument for integrated approaches to healthcare sustainability that balance economic efficiency with environmental protection and social inclusion.
背景 本研究旨在运用层次分析法（AHP）确定阿曼医疗保健部门的可持续发展优先事项。主要聚焦于评估经济、环境和社会因素及其子要素在维持阿曼医疗保健系统方面的相对重要性。
方法 采用半定量横断面设计，从阿曼五家不同公立医院的23名具有至少10年经验的医疗保健专家那里收集数据。运用层次分析法对可持续发展因素进行成对比较并确定其优先事项。计算一致性比率以确保分析的可靠性，并应用传递性规则处理成对比较中的不一致性。
结果 研究结果显示，对环境和社会可持续性的重视程度很高，经济因素的重要性相对较低。循环实践在环境领域成为关键优先事项，而患者满意度在社会领域最为突出。分析表明了医疗保健、环境卫生和社会福祉之间的整合，强调了可持续性需要采用整体方法。
结论 本研究通过提供阿曼医疗保健系统中利益相关者偏好的实证证据，有助于理解医疗保健的可持续性。通过定量评估经济、环境和社会因素的相对重要性，为可持续医疗保健发展的决策和资源分配提供了参考。研究结果还支持了医疗保健可持续性综合方法的观点，即平衡经济效率与环境保护和社会包容。
