IDEAS home Printed from https://ideas.repec.org/a/eee/soceps/v72y2020ics0038012120301336.html
   My bibliography  Save this article

Using multi-criteria decision analysis to rank European health systems: The Beveridgian financing case

Author

Listed:
  • Pereira, Miguel Alves
  • Machete, Inês Freire
  • Ferreira, Diogo Cunha
  • Marques, Rui Cunha

Abstract

Health is one of the most fundamental human rights. In that sense, the creation of health systems attempted to provide the population with organisations, institutions, and resources to meet their needs. However, health inequalities are prevalent in all countries. Thus, evaluating health systems is vital to understand this issue. Accordingly, the aim of this work is to develop a multi-criteria decision analysis (MCDA) approach to innovatively rank nine of the European health systems with Beveridgian financing that would help determine the shortcomings of the Portuguese National Health Service and discern the operating “best practices”, in a close interaction with the Portuguese Ministry of Health. First, the panel of decision-making actors was guided through the design of a cognitive map to promote their learning process and help them identify eleven fundamental points of view. Second, their operationalisation was facilitated by selecting acceptable descriptors of performance. Finally, an MCDA approach was proposed to evaluate the chosen health systems using an additive model, which included a sensitivity and a robustness analysis. In the end, the model was perceived by the panel as being trustworthy and reliable. This framework can be used for further MCDA modelling in similar applications based on participatory procedures.

Suggested Citation

  • Pereira, Miguel Alves & Machete, Inês Freire & Ferreira, Diogo Cunha & Marques, Rui Cunha, 2020. "Using multi-criteria decision analysis to rank European health systems: The Beveridgian financing case," Socio-Economic Planning Sciences, Elsevier, vol. 72(C).
  • Handle: RePEc:eee:soceps:v:72:y:2020:i:c:s0038012120301336
    DOI: 10.1016/j.seps.2020.100913
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0038012120301336
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.seps.2020.100913?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. María Carmen Carnero & Andrés Gómez, 2019. "Optimization of Decision Making in the Supply of Medicinal Gases Used in Health Care," Sustainability, MDPI, vol. 11(10), pages 1-31, May.
    2. Heidenberger, Kurt, 1992. "Strategic decision support in preventive health care," Socio-Economic Planning Sciences, Elsevier, vol. 26(2), pages 129-146, April.
    3. Abolghasem, Sepideh & Gómez-Sarmiento, Juliana & Medaglia, Andrés L. & Sarmiento, Olga L. & González, Andrés D. & Díaz del Castillo, Adriana & Rozo-Casas, Juan F. & Jacoby, Enrique, 2018. "A DEA-centric decision support system for evaluating Ciclovía-Recreativa programs in the Americas," Socio-Economic Planning Sciences, Elsevier, vol. 61(C), pages 90-101.
    4. Jonathan Karnon & Jackie Brown, 1998. "Selecting a decision model for economic evaluation: a case study and review," Health Care Management Science, Springer, vol. 1(2), pages 133-140, October.
    5. María Carmen Carnero & Andrés Gómez, 2017. "A Multicriteria Model for Optimization of Maintenance in Thermal Energy Production Systems in Hospitals: A Case Study in a Spanish Hospital," Sustainability, MDPI, vol. 9(4), pages 1-41, March.
    6. Ferreira, D.C. & Marques, R.C. & Nunes, A.M. & Figueira, J.R., 2018. "Patients’ satisfaction: The medical appointments valence in Portuguese public hospitals," Omega, Elsevier, vol. 80(C), pages 58-76.
    7. Sanjay Mehrotra & Kibaek Kim, 2011. "Outcome based state budget allocation for diabetes prevention programs using multi-criteria optimization with robust weights," Health Care Management Science, Springer, vol. 14(4), pages 324-337, November.
    8. Pereira, Miguel Alves & Figueira, José Rui & Marques, Rui Cunha, 2020. "Using a Choquet integral-based approach for incorporating decision-maker’s preference judgments in a Data Envelopment Analysis model," European Journal of Operational Research, Elsevier, vol. 284(3), pages 1016-1030.
    9. María Carmen Carnero & Andrés Gómez, 2018. "Optimization of Maintenance in Production and Storage Systems for Domestic Water," Water Resources Management: An International Journal, Published for the European Water Resources Association (EWRA), Springer;European Water Resources Association (EWRA), vol. 32(1), pages 359-380, January.
    10. Tuzkaya, Gülfem & Sennaroglu, Bahar & Kalender, Zeynep Tuğçe & Mutlu, Meltem, 2019. "Hospital service quality evaluation with IVIF-PROMETHEE and a case study," Socio-Economic Planning Sciences, Elsevier, vol. 68(C).
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Vidoli, Francesco & Auteri, Monica, 2022. "Health-care demand and supply at municipal level: A spatial disaggregation approach," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    2. Popkova, Elena G. & Sergi, Bruno S., 2022. "Digital public health: Automation based on new datasets and the Internet of Things," Socio-Economic Planning Sciences, Elsevier, vol. 80(C).
    3. Jaros{l}aw Wk{a}tr'obski & Aleksandra Bk{a}czkiewicz & Iga Rudawska, 2023. "A Strong Sustainability Paradigm Based Analytical Hierarchy Process (SSP-AHP) Method to Evaluate Sustainable Healthcare Systems," Papers 2306.00718, arXiv.org.
    4. Pereira, André Alves & Pereira, Miguel Alves, 2023. "Energy storage strategy analysis based on the Choquet multi-criteria preference aggregation model: The Portuguese case," Socio-Economic Planning Sciences, Elsevier, vol. 85(C).
    5. Pereira, Miguel Alves & Camanho, Ana Santos & Figueira, José Rui & Marques, Rui Cunha, 2021. "Incorporating preference information in a range directional composite indicator: The case of Portuguese public hospitals," European Journal of Operational Research, Elsevier, vol. 294(2), pages 633-650.
    6. Pereira, Miguel Alves & Camanho, Ana Santos & Marques, Rui Cunha & Figueira, José Rui, 2021. "The convergence of the World Health Organization Member States regarding the United Nations’ Sustainable Development Goal ‘Good health and well-being’," Omega, Elsevier, vol. 104(C).
    7. Zhao, Meng & Wang, Yajun & Zhang, Xueyi & Xu, Chang, 2023. "Online doctor-patient dynamic stable matching model based on regret theory under incomplete information," Socio-Economic Planning Sciences, Elsevier, vol. 87(PB).
    8. Torkayesh, Ali Ebadi & Pamucar, Dragan & Ecer, Fatih & Chatterjee, Prasenjit, 2021. "An integrated BWM-LBWA-CoCoSo framework for evaluation of healthcare sectors in Eastern Europe," Socio-Economic Planning Sciences, Elsevier, vol. 78(C).
    9. Pereira, Miguel Alves & Marques, Rui Cunha, 2022. "Is sunshine regulation the new prescription to brighten up public hospitals in Portugal?," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    10. Ricardo, Alexandre Vilar & Costa, Ana Sara & Figueira, José Rui, 2024. "Enhancing hospital benchmarking: A multidimensional approach to quality assessment in Portugal," Socio-Economic Planning Sciences, Elsevier, vol. 93(C).
    11. Elorza, María Eugenia & Moscoso, Nebel Silvana & Blanco, Anibal Manuel, 2022. "Assessing performance in health care: A mathematical programming approach for the re-design of primary health care networks," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    12. Sven Peters & Mendy Tönsfeuerborn & Rüdiger von Nitzsch, 2024. "Integrating Uncertainties in a Multi-Criteria Decision Analysis with the Entscheidungsnavi," Mathematics, MDPI, vol. 12(11), pages 1-28, June.
    13. Rocha, António & Costa, Ana Sara & Figueira, José Rui & Ferreira, Diogo Cunha & Marques, Rui Cunha, 2021. "Quality assessment of the Portuguese public hospitals: A multiple criteria approach," Omega, Elsevier, vol. 105(C).
    14. Paulo Caldas & Miguel Varela, 2023. "The Portuguese Public Hospitals Performance Evolution before and during the SARS-CoV-2 Pandemic (2017–2022)," Sustainability, MDPI, vol. 15(15), pages 1-31, July.
    15. Pereira, Javier & Contreras, Pedro & Morais, Danielle C. & Arroyo-López, Pilar, 2022. "Multi-criteria ordered clustering of countries in the Global Health Security Index," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fahime Lotfian Delouyi & Seyed Hassan Ghodsypour & Maryam Ashrafi, 2021. "Dynamic Portfolio Selection in Gas Transmission Projects Considering Sustainable Strategic Alignment and Project Interdependencies through Value Analysis," Sustainability, MDPI, vol. 13(10), pages 1-25, May.
    2. Torkayesh, Ali Ebadi & Pamucar, Dragan & Ecer, Fatih & Chatterjee, Prasenjit, 2021. "An integrated BWM-LBWA-CoCoSo framework for evaluation of healthcare sectors in Eastern Europe," Socio-Economic Planning Sciences, Elsevier, vol. 78(C).
    3. Jaime Burgos & María Carmen Carnero, 2020. "Assessment of Social Responsibility in Education in Secondary Schools," Sustainability, MDPI, vol. 12(12), pages 1-38, June.
    4. Zuo, Wenming & Bai, Weijing & Zhu, Wenfeng & He, Xinming & Qiu, Xinxin, 2022. "Changes in service quality of sharing accommodation: Evidence from airbnb," Technology in Society, Elsevier, vol. 71(C).
    5. Gong, Zaiwu & Guo, Weiwei & Słowiński, Roman, 2021. "Transaction and interaction behavior-based consensus model and its application to optimal carbon emission reduction," Omega, Elsevier, vol. 104(C).
    6. Pereira, Miguel Alves & Figueira, José Rui & Marques, Rui Cunha, 2020. "Using a Choquet integral-based approach for incorporating decision-maker’s preference judgments in a Data Envelopment Analysis model," European Journal of Operational Research, Elsevier, vol. 284(3), pages 1016-1030.
    7. Kadir Kaan Göncü & Onur Çetin, 2022. "A Decision Model for Supplier Selection Criteria in Healthcare Enterprises with Dematel ANP Method," Sustainability, MDPI, vol. 14(21), pages 1-16, October.
    8. Pereira, Miguel Alves & Camanho, Ana Santos & Figueira, José Rui & Marques, Rui Cunha, 2021. "Incorporating preference information in a range directional composite indicator: The case of Portuguese public hospitals," European Journal of Operational Research, Elsevier, vol. 294(2), pages 633-650.
    9. Lu, Zhiming & Gao, Yan & Xu, Chuanbo, 2021. "Evaluation of energy management system for regional integrated energy system under interval type-2 hesitant fuzzy environment," Energy, Elsevier, vol. 222(C).
    10. Chen, Faan & Li, Yaxin & Feng, Qianqian & Dong, Zehao & Qian, Yiming & Yan, Yi & Ho, Mun S. & Ma, Qianchen & Zhang, Dashan & Jin, Yuanzhe, 2023. "Road safety performance rating through PSI-PRIDIT: A planning tool for designing policies and identifying best practices for EAS countries," Socio-Economic Planning Sciences, Elsevier, vol. 85(C).
    11. Rocha, António & Costa, Ana Sara & Figueira, José Rui & Ferreira, Diogo Cunha & Marques, Rui Cunha, 2021. "Quality assessment of the Portuguese public hospitals: A multiple criteria approach," Omega, Elsevier, vol. 105(C).
    12. Agovino, Massimiliano & Musella, Gaetano & Scaletti, Alessandro, 2022. "Equilibrium and efficiency in the first aid services market: The case of the emergency department of Sorrento," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).
    13. Zhang, Jingshun & Hu, Jiayi & Wang, Xitong & Fang, Lien & Jin, Yi & Li, Muyang & Liu, Yangqing & Wu, Anna & Wang, Libin & Liu, Ruining & Zhang, Yi & Chen, Faan, 2023. "Quantifying transport safety success at the regional level: A guide to policy and practice on investment for G20," Socio-Economic Planning Sciences, Elsevier, vol. 89(C).
    14. Zhang, Cai Wen & Yang, Yuanhui, 2023. "Appraisal of regional hospital efficiency and healthcare quality in China: Impacts of subsidies and marketization," Socio-Economic Planning Sciences, Elsevier, vol. 89(C).
    15. Chih-Ming Tsai & Shih-Peng Hsin, 2023. "The Influence of Influencer Marketing on the Consumers’ Desire to Travel in the Post-Pandemic Era: The Mediation Effect of Influencer Fitness of Destination," Sustainability, MDPI, vol. 15(20), pages 1-16, October.
    16. Torra, Vicenç, 2023. "The transport problem for non-additive measures," European Journal of Operational Research, Elsevier, vol. 311(2), pages 679-689.
    17. Miroslav Variny & Dominika Jediná & Miroslav Rimár & Ján Kizek & Marianna Kšiňanová, 2021. "Cutting Oxygen Production-Related Greenhouse Gas Emissions by Improved Compression Heat Management in a Cryogenic Air Separation Unit," IJERPH, MDPI, vol. 18(19), pages 1-32, October.
    18. Pereira, André Alves & Pereira, Miguel Alves, 2023. "Energy storage strategy analysis based on the Choquet multi-criteria preference aggregation model: The Portuguese case," Socio-Economic Planning Sciences, Elsevier, vol. 85(C).
    19. Agata Sielska, 2020. "Stability of hospital rankings," Operations Research and Decisions, Wroclaw University of Science Technology, Faculty of Management, vol. 30(4), pages 95-112.
    20. Qi Wang & Tobias Jeppsson, 2022. "Identifying benchmark units for research management and evaluation," Scientometrics, Springer;Akadémiai Kiadó, vol. 127(12), pages 7557-7574, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:soceps:v:72:y:2020:i:c:s0038012120301336. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/seps .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.