Davari, Soheil and Kılıç, Kemal and Ertek, Gürdal (2015) Fuzzy bi-objective preventive health care network design. Health Care Management Science, 18 (3). pp. 303-317. ISSN 1386-9620 (Print) 1572-9389 (Online)
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Official URL: http://dx.doi.org/10.1007/s10729-014-9293-z
Abstract
Preventive health care is unlike health care for acute ailments, as people are less alert to their unknown medical problems. In order to motivate public and to attain desired participation levels for preventive programs, the attractiveness of the health care facility is a major concern. Health economics literature indicates that attractiveness of a facility is significantly influenced by proximity of the clients to it. Hence attractiveness is generally modelled as a function of distance. However, abundant empirical evidence
suggests that other qualitative factors such as perceived quality, attractions nearby, amenities, etc. also influence attractiveness. Therefore, a realistic measure should incorporate the vagueness in the concept of attractiveness to
the model. The public policy makers should also maintain the equity among various neighborhoods, which should be considered as a second objective. Finally, even though the general tendency in the literature is to focus on health benefits, the cost effectiveness is still a factor that should be
considered. In this paper, a fuzzy bi-objective model with budget constraints is developed. Later, by modelling the attractiveness by means of fuzzy triangular numbers and treating the budget constraint as a soft constraint, a modified (and more realistic) version of the model is introduced. Two
solution methodologies, namely fuzzy goal programming and fuzzy chance constrained optimization are proposed as solutions. Both the original and the modified models are solved within the framework of a case study in Istanbul,
Turkey. In the case study, the Microsoft Bing Map is utilized in order to determine more accurate distance measures among the nodes.
Item Type: | Article |
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Uncontrolled Keywords: | Preventive health care; Multi-objective optimization; Fuzzy goal programming; Facility location |
Subjects: | T Technology > T Technology (General) > T055.4-60.8 Industrial engineering. Management engineering T Technology > TA Engineering (General). Civil engineering (General) > TA168 Systems engineering R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
Divisions: | Faculty of Engineering and Natural Sciences > Academic programs > Industrial Engineering Faculty of Engineering and Natural Sciences |
Depositing User: | Kemal Kılıç |
Date Deposited: | 17 Dec 2015 09:56 |
Last Modified: | 23 Aug 2019 12:22 |
URI: | https://research.sabanciuniv.edu/id/eprint/27805 |
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Fuzzy bi-objective preventive health care network design. (deposited 16 Oct 2014 14:55)
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