Utilization of Multi-Criteria Decision Making in the Selection of Mechanical Ventilators in Intensive Care Units: A Case Study

Abstract

Given that medical equipment is directly linked to patient well-being, the meticulous choice of a reliable supplier is of paramount importance. Within the context of intensive care units, health technology assessment and the process of making healthcare decisions are grounded in various criteria, substantiated by evidence, and influenced by the diverse viewpoints of involved stakeholders. Multi-criteria decision analysis (MCDA) provides a promising framework for organizing this procedure and considering a range of perspectives. The primary goals of this research were to investigate the outlooks and preferences of stakeholders in intensive care units as they evaluate healthcare interventions. This examination utilized a multi-criteria approach to assess a mechanic ventilator as a case study. In the research on the ventilation device procurement problem for the 3rd Level Training and Research Hospital, fuzzy VIKOR and fuzzy EDAS methods were used to select the most suitable one among 4 alternative companies evaluated with 44 criteria. According to the results, both methods identified alternative 3 as the best option and made a contribution to the literature on the application of dual criteria complex assumption decision making techniques.

Keywords

• Fuzzy logic
• Fuzzy VIKOR
• Fuzzy EDAS
• Supplier selection
• Multi-Criteria Decision Making Methods

Yoğun Bakım Ünitelerinde Mekanik Ventilatör Seçimi: Çok Kriterli Karar Verme Perspektifi

Abstract

Tıbbi ekipmanın hasta sağlığıyla doğrudan bağlantılı olduğu düşünüldüğünde, güvenilir bir tedarikçinin titizlikle seçilmesi büyük önem taşımaktadır. Yoğun bakım üniteleri bağlamında, sağlık teknolojisi değerlendirmesi ve sağlık hizmeti kararları alma süreci çeşitli kriterlere dayanmakta, kanıtlarla desteklenmekte ve ilgili paydaşların farklı bakış açılarından etkilenmektedir. Çok kriterli karar analizi (ÇKKV), bu prosedürü düzenlemek ve bir dizi bakış açısını dikkate almak için umut verici bir çerçeve sağlar. Bu araştırmanın temel amacı, yoğun bakım ünitelerindeki paydaşların sağlık müdahalelerini değerlendirirken bakış açılarını ve tercihlerini araştırmaktır. Bu incelemede, bir vaka çalışması olarak mekanik ventilatörü değerlendirmek için çok kriterli bir yaklaşım kullanılmıştır. 3. Basamak Eğitim ve Araştırma Hastanesi için ventilasyon cihazı tedarik problemi üzerine yapılan araştırmada, bulanık VIKOR ve bulanık EDAS yöntemleri kullanılarak 44 kriterle değerlendirilen 4 alternatif firma arasından en uygun olanın seçilmiştir. Sonuçlara göre, her iki yöntem de alternatif 3'ü en iyi seçenek olarak belirlemiş ve literatüre çift kriterli karmaşık varsayımlı karar verme tekniklerinin uygulanması konusunda bir katkı sunmuştur.

Keywords

• Bulanık Mantık
• Bulanık VIKOR
• Bulanık EDAS
• Tedarikçi seçimi
• Çok Kriterli Karar Verme Yöntemleri

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