Critical success factors of service quality in hospitals: A hybrid fuzzy multiple attribute decision-making approach

Document Type: Research Paper

Author

Islamic Azad University-Tehran South Branch-faculty of Industrial Engineering

Abstract

Healthcare systems help to improve the quality of working life. Therefore, high-quality services are essential in hospitals as the main party of healthcare systems. While there are limited resources in healthcare systems and hospitals, many factors may influence providing appropriate services. Therefore, finding and allocating rare resources of the hospitals to the most important factors can help to increase customer satisfaction. In this paper, a hybrid fuzzy multiple attribute decision-making approach is proposed to prioritize critical success factors (CSFs) of service quality of healthcare systems. The uncertainty of measuring qualitative factors has been modeled using fuzzy sets. The proposed hybrid approach consists of Fuzzy Delphi, Fuzzy DEMATEL, Fuzzy ANP, and Fuzzy VIKOR to find and prioritize the CSFs based on SEVQUAL method. The proposed hybrid approach has been applied to a real case study where its applicability and efficacy have been illustrated.

Keywords

Main Subjects


Al-Eisa, A. S., & Alhemoud, A. M. (2009). Using a multiple-attribute approach for measuring customer satisfaction with retail banking services in Kuwait. International Journal of Bank Marketing, 27(4), 294–314.

Antony, J., Antony, F. J., & Ghosh, S. (2004). Evaluating service quality in a UK hotel chain: a case study. International Journal of Contemporary Hospitality Management, 16(6), 380–384.

Ayağ, Z. (2005). A fuzzy AHP-based simulation approach to concept evaluation in a NPD environment. IIE transactions, 37(9), 827-842.‏

Behdioğlu, S., Acar, E., & Burhan, H. A. (2017). Evaluating service quality by fuzzy SERVQUAL: a case study in a physiotherapy and rehabilitation hospital. Total Quality Management & Business Excellence, 1-19.‏

Büyüközkan, G., & Çifçi, G. (2012a). A combined fuzzy AHP and fuzzy TOPSIS based strategic analysis of electronic service quality in healthcare industry. Expert Systems with Applications, 39(3), 2341–2354.

Büyüközkan, G., & Çifçi, G. (2012b). A novel hybrid MCDM approach based on fuzzy DEMATEL, fuzzy ANP and fuzzy TOPSIS to evaluate green suppliers. Expert Systems with Applications, 39(3), 3000–3011.

Büyüközkan, G., Çifçi, G., & Güleryüz, S. (2011). Strategic analysis of healthcare service quality using fuzzy AHP methodology. Expert Systems with Applications, 38(8), 9407–9424.

Chang, H.-L., Shaw, M. J., Lai, F., Ko, W.-J., Ho, Y.-L., Chen, H.-S., & Shu, C.-C. (2010). U-health: an example of a high-quality individualized healthcare service. Personalized Medicine, 7(6), 677–687.

Cui, C. C., Lewis, B. R., & Park, W. (2003). Service quality measurement in the banking sector in South Korea. International Journal of Bank Marketing, 21(4), 191–201.

Dahlgaard, J. J., Pettersen, J., & Dahlgaard-Park, S. M. (2011). Quality and lean health care: A system for assessing and improving the health of healthcare organisations. Total Quality Management & Business Excellence, 22(6), 673–689.

Ghorbani, M., Arabzad, S. M., & Tavakkoli-Moghaddam, R. (2014). Service quality-based distributor selection problem: a hybrid approach using fuzzy ART and AHP-FTOPSIS. International Journal of Productivity and Quality Management, 13(2), 157–177.

Gounaris, S. (2005). Measuring service quality in b2b services: an evaluation of the SERVQUAL scale Journal of Services Marketing, 19(6), 421–435.

Hu, H.-Y., Lee, Y.-C., & Yen, T.-M. (2010). Service quality gaps analysis based on fuzzy linguistic SERVQUAL with a case study in hospital out-patient services. The TQM Journal, 22(5), 499–515.

Ir M.S.Pillay, D., Johari Dato Mohd Ghazali, R., Hazilah Abd Manaf, N., Asaari Abdullah, A.H, Abu Bakar, A., Salikin, F., Umapathy, M., Ali, R., Bidin, N., Ismefariana Wan Ismail, W. (2011). Hospital waiting time: the forgotten premise of healthcare service delivery? International Journal of Health Care Quality Assurance, 24(7), 506–522.

Jabbari, A., Gholami, M., Kavosi, Z., Chamanpara, P., & Gholami, M. (2017). Potential Factors Affecting Medical Tourists’ Viewpoint About Healthcare Services Quality in Shiraz, Iran. Int J Hosp Res, 6(2), 85-89.‏

Jabnoun, N., & Al-Tamimi, H. A. H. (2003). Measuring perceived service quality at UAE commercial banks. International Journal of Quality & Reliability Management, 20(4), 458–472.

Jiang, J. J., Klein, G., & Crampton, S. M. (2000). A note on SERVQUAL reliability and validity in information system service quality measurement. Decision Sciences, 31(3), 725–744.

John, J., Yatim, F. M., & Mani, S. A. (2011). Measuring service quality of public dental health care facilities in Kelantan, Malaysia. Asia-Pacific Journal of Public Health, 23(5), 742–753.

Kannan, V. (2010). Benchmarking the service quality of ocean container carriers using AHP. Benchmarking: An International Journal, 17(5), 637–656.

Keramati, A., Ahmadizadeh-Tourzani, N., Nazari-Shirkouhi, S., Teshnizi, E. S., & Ashjari, B. (2014). A QFD-ANP methodology for supplier selection under perspective of requirements in automotive industry. International Journal of Productivity and Quality Management, 14(4), 492–517.

Krishnamurthy, R., SivaKumar, M. A. K., & Sellamuthu, P. (2010). Influence of service quality on customer satisfaction: Application of SERVQUAL model. International Journal of Business and Management, 5(4), 117.

Kumar, M., Kee, F. T., & Charles, V. (2010). Comparative evaluation of critical factors in delivering service quality of banks: an application of dominance analysis in modified SERVQUAL model. International Journal of Quality & Reliability Management, 27(3), 351–377.

Lee, D. (2017). HEALTHQUAL: a multi-item scale for assessing healthcare service quality. Service Business, 11(3), 491-516.‏

Liu, H.-C., Wu, J., & Li, P. (2013). Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision making method. Waste Management, 33(12), 2744–2751.

Malviya, R. K., & Kant, R. (2016). Hybrid decision making approach to predict and measure the success possibility of green supply chain management implementation. Journal of Cleaner Production, 135, 387–409.

Mardani, A., Jusoh, A., Bagheri, M. M., & Kazemilari, M. (2015). A Combined Hybrid Fuzzy Multiple Criteria Decision-making Approach to Evaluating of QM Critical Success Factors in SME’s Hotels Firms. Procedia-Social and Behavioral Sciences, 172, 786–793.

Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269

Muhammad Butt, M., & Cyril de Run, E. (2010). Private healthcare quality: applying a SERVQUAL model. International Journal of Health Care Quality Assurance, 23(7), 658–673.

Munusamy, J., Chelliah, S., & Mun, H. W. (2010). Service quality delivery and its impact on customer satisfaction in the banking sector in Malaysia. International Journal of Innovation, Management and Technology, 1(4), 398.

Opricovic, S. (1998). Multicriteria optimization of civil engineering systems. Faculty of Civil Engineering, Belgrade, 2(1), 5–21.

Owusu-Frimpong, N., Nwankwo, S., & Dason, B. (2010). Measuring service quality and patient satisfaction with access to public and private healthcare delivery. International Journal of Public Sector Management, 23(3), 203–220.

Padma, P., Rajendran, C., & Sai Lokachari, P. (2010). Service quality and its impact on customer satisfaction in Indian hospitals: Perspectives of patients and their attendants. Benchmarking: An International Journal, 17(6), 807–841.

Pai, F.-Y., & Huang, K.-I. (2011). Applying the technology acceptance model to the introduction of healthcare information systems. Technological Forecasting and Social Change, 78(4), 650–660.

Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. The Journal of Marketing, 41–50.

Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). Servqual. Journal of Retailing, 64(1), 12–40.

Ramkumar, M., & Busi, M. (2016). A modified ANP and fuzzy inference system based approach for risk assessment of in-house and third party e-procurement systems. Strategic Outsourcing: An International Journal, 9(2).

Rostamzadeh, R., Govindan, K., Esmaeili, A., & Sabaghi, M. (2015). Application of fuzzy VIKOR for evaluation of green supply chain management practices. Ecological Indicators, 49, 188–203.

Saaty, T. L. (1994). Fundamentals of decision making and priority theory: with the analytic hierarchy process. Rws Publications.

Shahin, A., Mehrparvar, E., & Shirouyehzad, H. (2013). Prioritisation of departments based on service quality dimensions in Isfahan Steel Company: a multiple criteria decision making approach. International Journal of Productivity and Quality Management, 11(1), 116–130.

Shakouri G, H., & Tavassoli N, Y. (2012). Implementation of a hybrid fuzzy system as a decision support process: A FAHP–FMCDM–FIS composition. Expert Systems with Applications, 39(3), 3682–3691.

Shieh, J.-I., Wu, H.-H., & Huang, K.-K. (2010). A DEMATEL method in identifying key success factors of hospital service quality. Knowledge-Based Systems, 23(3), 277–282.

Shirouyehzad, H., Lotfi, F. H., Arabzad, S. M., & Dabestani, R. (2013). An AHP/DEA ranking method based on service quality approach: a case study in hotel industry. International Journal of Productivity and Quality Management, 11(4), 434–445.

Tavakoli, M. M., & Shirouyehzad, H. (2013). Ranking the branches of a private bank through the service quality gap approach and by using multi criteria decision making. International Journal of Productivity and Quality Management, 12(3), 327–344.

Visalakshmi, S., Lakshmi, P., Shama, M. S., & Vijayakumar, K. (2015). An integrated fuzzy DEMATEL-TOPSIS approach for financial performance evaluation of GREENEX industries. International Journal of Operational Research, 23(3), 340–362.

Wang, T. C., Liang, J. L., & Ho, C. Y. (2006). Multi-criteria decision analysis by using fuzzy VIKOR. In Service Systems and Service Management, 2006 International Conference on (Vol. 2, pp. 901-906). IEEE.‏

Wolniak, R., & Skotnicka-Zasadzien, B. (2012). The concept study of Servqual method’s gap. Quality & Quantity, 46(4), 1239–1247.

Wu, W.-W. (2012). Segmenting critical factors for successful knowledge management implementation using the fuzzy DEMATEL method. Applied Soft Computing, 12(1), 527–535.

Wu, W.-W., & Lee, Y.-T. (2007). Developing global managers’ competencies using the fuzzy DEMATEL method. Expert Systems with Applications, 32(2), 499–507.

Yu, L., Hong, Q., Gu, S., & Wang, Y. (2008). An epistemological critique of gap theory based library assessment: the case of SERVQUAL. Journal of Documentation, 64(4), 511–551.

Zadeh, L. (1976). The concept of linguistic variable and it’s application to approximate decision making. Mir, Moscow, 176.

Zadeh, L. A. (1965). Fuzzy sets. Information and Control, 8(3), 338–353.