IDEAS home Printed from https://ideas.repec.org/a/kap/hcarem/v20y2017i4d10.1007_s10729-016-9366-2.html
   My bibliography  Save this article

Enhancing community based health programs in Iran: a multi-objective location-allocation model

Author

Listed:
  • S. Khodaparasti

    (University of Calabria)

  • H. R. Maleki

    (Shiraz University of Technology)

  • S. Jahedi

    (Shiraz University of Technology)

  • M. E. Bruni

    (University of Calabria)

  • P. Beraldi

    (University of Calabria)

Abstract

Community Based Organizations (CBOs) are important health system stakeholders with the mission of addressing the social and economic needs of individuals and groups in a defined geographic area, usually no larger than a county. The access and success efforts of CBOs vary, depending on the integration between health care providers and CBOs but also in relation to the community participation level. To achieve widespread results, it is important to carefully design an efficient network which can serve as a bridge between the community and the health care system. This study addresses this challenge through a location-allocation model that deals with the hierarchical nature of the system explicitly. To reflect social welfare concerns of equity, local accessibility, and efficiency, we develop the model in a multi-objective framework, capturing the ambiguity in the decision makers’ aspiration levels through a fuzzy goal programming approach. This study reports the findings for the real case of Shiraz city, Fars province, Iran, obtained by a thorough analysis of the results.

Suggested Citation

  • S. Khodaparasti & H. R. Maleki & S. Jahedi & M. E. Bruni & P. Beraldi, 2017. "Enhancing community based health programs in Iran: a multi-objective location-allocation model," Health Care Management Science, Springer, vol. 20(4), pages 485-499, December.
  • Handle: RePEc:kap:hcarem:v:20:y:2017:i:4:d:10.1007_s10729-016-9366-2
    DOI: 10.1007/s10729-016-9366-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10729-016-9366-2
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s10729-016-9366-2?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. A. Charnes & W. W. Cooper & R. O. Ferguson, 1955. "Optimal Estimation of Executive Compensation by Linear Programming," Management Science, INFORMS, vol. 1(2), pages 138-151, January.
    2. Vedat Verter & Sophie Lapierre, 2002. "Location of Preventive Health Care Facilities," Annals of Operations Research, Springer, vol. 110(1), pages 123-132, February.
    3. Barr, Abigail & Dekker, Marleen & Fafchamps, Marcel, 2015. "The Formation of Community-Based Organizations: An Analysis of a Quasi-Experiment in Zimbabwe," World Development, Elsevier, vol. 66(C), pages 131-153.
    4. Smith, Honora K. & Harper, Paul R. & Potts, Chris N. & Thyle, Ann, 2009. "Planning sustainable community health schemes in rural areas of developing countries," European Journal of Operational Research, Elsevier, vol. 193(3), pages 768-777, March.
    5. Ehsan Shekarian, 2015. "A novel application of the VIKOR method for investigating the effect of education on housing choice," International Journal of Operational Research, Inderscience Enterprises Ltd, vol. 24(2), pages 161-183.
    6. Mohammadi, M. & Dehbari, S. & Vahdani, Behnam, 2014. "Design of a bi-objective reliable healthcare network with finite capacity queue under service covering uncertainty," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 72(C), pages 15-41.
    7. Soheil Davari & Kemal Kilic & Gurdal Ertek, 2015. "Fuzzy bi-objective preventive health care network design," Health Care Management Science, Springer, vol. 18(3), pages 303-317, September.
    8. Syam, Siddhartha S. & Côté, Murray J., 2010. "A location-allocation model for service providers with application to not-for-profit health care organizations," Omega, Elsevier, vol. 38(3-4), pages 157-166, June.
    9. Benneyan, James C. & Musdal, Hande & Ceyhan, Mehmet Erkan & Shiner, Brian & Watts, Bradley V., 2012. "Specialty care single and multi-period location–allocation models within the Veterans Health Administration," Socio-Economic Planning Sciences, Elsevier, vol. 46(2), pages 136-148.
    10. Mestre, Ana Maria & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana Paula, 2015. "Location–allocation approaches for hospital network planning under uncertainty," European Journal of Operational Research, Elsevier, vol. 240(3), pages 791-806.
    11. Chen, Liang-Hsuan & Tsai, Feng-Chou, 2001. "Fuzzy goal programming with different importance and priorities," European Journal of Operational Research, Elsevier, vol. 133(3), pages 548-556, September.
    12. H K Smith & P R Harper & C N Potts, 2013. "Bicriteria efficiency/equity hierarchical location models for public service application," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 64(4), pages 500-512, April.
    13. F Ben Abdelaziz & M Masmoudi, 2012. "A multiobjective stochastic program for hospital bed planning," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 63(4), pages 530-538, April.
    14. Anna Graber-Naidich & Michael W Carter & Vedat Verter, 2015. "Primary care network development: the regulator’s perspective," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 66(9), pages 1519-1532, September.
    15. Galvao, Roberto D. & Acosta Espejo, Luis Gonzalo & Boffey, Brian, 2002. "A hierarchical model for the location of perinatal facilities in the municipality of Rio de Janeiro," European Journal of Operational Research, Elsevier, vol. 138(3), pages 495-517, May.
    16. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2016. "Moving towards an equitable long-term care network: A multi-objective and multi-period planning approach," Omega, Elsevier, vol. 58(C), pages 69-85.
    17. Steiner, Maria Teresinha Arns & Datta, Dilip & Steiner Neto, Pedro José & Scarpin, Cassius Tadeu & Rui Figueira, José, 2015. "Multi-objective optimization in partitioning the healthcare system of Parana State in Brazil," Omega, Elsevier, vol. 52(C), pages 53-64.
    18. Galvao, Roberto D. & Acosta Espejo, Luis Gonzalo & Boffey, Brian & Yates, Derek, 2006. "Load balancing and capacity constraints in a hierarchical location model," European Journal of Operational Research, Elsevier, vol. 172(2), pages 631-646, July.
    19. William W. Cooper & Lawrence M. Seiford & Kaoru Tone, 2007. "Data Envelopment Analysis," Springer Books, Springer, edition 0, number 978-0-387-45283-8, December.
    20. Dong-Guen Kim & Yeong-Dae Kim, 2013. "A Lagrangian heuristic algorithm for a public healthcare facility location problem," Annals of Operations Research, Springer, vol. 206(1), pages 221-240, July.
    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. Kaushal Kumar, 2023. "Location Analysis of Primary Health Care Centers: A Case Study of Mohalla Clinics in Delhi," SN Operations Research Forum, Springer, vol. 4(2), pages 1-29, June.

    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. Mousazadeh, M. & Torabi, S. Ali & Pishvaee, M.S. & Abolhassani, F., 2018. "Accessible, stable, and equitable health service network redesign: A robust mixed possibilistic-flexible approach," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 111(C), pages 113-129.
    2. Mendoza-Gómez, Rodolfo & Ríos-Mercado, Roger Z., 2022. "Regionalization of primary health care units with multi-institutional collaboration," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
    3. Soheil Davari, 2019. "The incremental cooperative design of preventive healthcare networks," Annals of Operations Research, Springer, vol. 272(1), pages 445-492, January.
    4. Zhou, Liping & Geng, Na & Jiang, Zhibin & Wang, Xiuxian, 2018. "Multi-objective capacity allocation of hospital wards combining revenue and equity," Omega, Elsevier, vol. 81(C), pages 220-233.
    5. Mestre, Ana Maria & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana Paula, 2015. "Location–allocation approaches for hospital network planning under uncertainty," European Journal of Operational Research, Elsevier, vol. 240(3), pages 791-806.
    6. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2016. "Moving towards an equitable long-term care network: A multi-objective and multi-period planning approach," Omega, Elsevier, vol. 58(C), pages 69-85.
    7. Zarrinpoor, Naeme & Fallahnezhad, Mohammad Saber & Pishvaee, Mir Saman, 2018. "The design of a reliable and robust hierarchical health service network using an accelerated Benders decomposition algorithm," European Journal of Operational Research, Elsevier, vol. 265(3), pages 1013-1032.
    8. Maryam Radman & Kourosh Eshghi, 2018. "Designing a multi-service healthcare network based on the impact of patients’ flow among medical services," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 40(3), pages 637-678, July.
    9. Karakaya, Şakir & Meral, Sedef, 2022. "A biobjective hierarchical location-allocation approach for the regionalization of maternal-neonatal care," Socio-Economic Planning Sciences, Elsevier, vol. 79(C).
    10. Jang, Hoon & Lee, Jun-Ho, 2019. "A hierarchical location model for determining capacities of neonatal intensive care units in Korea," Socio-Economic Planning Sciences, Elsevier, vol. 68(C).
    11. Li Wang & Huan Shi & Lu Gan, 2018. "Healthcare Facility Location-Allocation Optimization for China’s Developing Cities Utilizing a Multi-Objective Decision Support Approach," Sustainability, MDPI, vol. 10(12), pages 1-22, December.
    12. B. L. Garcia & R. Bekker & R. D. Mei & N. H. Chavannes & N. D. Kruyt, 2021. "Optimal patient protocols in regional acute stroke care," Health Care Management Science, Springer, vol. 24(3), pages 515-530, September.
    13. Soheil Davari & Kemal Kilic & Gurdal Ertek, 2015. "Fuzzy bi-objective preventive health care network design," Health Care Management Science, Springer, vol. 18(3), pages 303-317, September.
    14. Liu, Shaonan & Kong, Nan & Parikh, Pratik & Wang, Mingzheng, 2023. "Optimal trauma care network redesign with government subsidy: A bilevel integer programming approach," Omega, Elsevier, vol. 119(C).
    15. Kargar, Bahareh & Pishvaee, Mir Saman & Jahani, Hamed & Sheu, Jiuh-Biing, 2020. "Organ transportation and allocation problem under medical uncertainty: A real case study of liver transplantation," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 134(C).
    16. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2015. "An integrated approach for planning a long-term care network with uncertainty, strategic policy and equity considerations," European Journal of Operational Research, Elsevier, vol. 247(1), pages 321-334.
    17. Karsu, Özlem & Morton, Alec, 2015. "Inequity averse optimization in operational research," European Journal of Operational Research, Elsevier, vol. 245(2), pages 343-359.
    18. Mohammadi, M. & Dehbari, S. & Vahdani, Behnam, 2014. "Design of a bi-objective reliable healthcare network with finite capacity queue under service covering uncertainty," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 72(C), pages 15-41.
    19. Núñez Ares, José & de Vries, Harwin & Huisman, Dennis, 2016. "A column generation approach for locating roadside clinics in Africa based on effectiveness and equity," European Journal of Operational Research, Elsevier, vol. 254(3), pages 1002-1016.
    20. Hoon Jang, 2019. "Designing capacity rollout plan for neonatal care service system in Korea," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 41(3), pages 809-830, September.

    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:kap:hcarem:v:20:y:2017:i:4:d:10.1007_s10729-016-9366-2. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    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.