Hastane içi tedarik zinciri yönetimi performansının PBAHP ve PBTOPSIS yöntemleriyle karşılaştırmalı analizi

Öz

Hastanelerde hastalara kaliteli ve verimli sağlık hizmeti sunulabilmesi için etkili bir tedarik zinciri ağnını kurulması gerekmektedir. Bu doğrultuda, hizmet kalitesini artırmak ve maliyetleri azaltmak amacıyla hastane iç tedarik zinciri yönetimi (HİTZY) faaliyetlerine stratejik düzeyde önem verilmesi gerekmektedir. Ayrıca, hastane süreçlerinde paydaş ve sağlık hizmeti sağlayıcılarının katılım düzeyinin değerlendirilmesi için HİTZY performans göstergelerinin belirlenmesi gerekmektedir. Bu çalışmada, hastanelerin HİTZY performanslarını değerlendirmeye yönelik çok kriterli bir karar verme modeli geliştirilmiştir. Araştırma kapsamında, 2016 yılına kadar askeri hastane olarak hizmet vermiş ve günümüzde kamu hastanesi statüsünde olan Türkiye'deki dört hastane ele alınmıştır. Literatürde bilindiği kadarıyla bu çalışma, dönüşen kamu hastanelerinin iç tedarik zinciri yönetimi performansının Pisagor Bulanık AHP (PBAHP) ve Pisagor Bulanık TOPSIS (PBTOPSIS) yöntemleriyle karşılaştırıldığı ilk çalışmadır. Çalışmada, uzman görüşlerinden yararlanılarak belirlenen HİTZY performans göstergeleri PBAHP yöntemiyle ağırlıklandırılmış, ardından PBTOPSIS yöntemiyle hastaneler performans açısından sıralanmıştır. Son olarak, gösterge ağırlıklarının ikili değişimleri dikkate alınarak duyarlılık analizi yapılmış ve sonuçlar değerlendirilmiştir. Bu sayede, kamu hastanelerinde kaynakların etkin ve verimli kullanımına katkı sağlayacak bir yapı ortaya konulmuştur.

Anahtar Kelimeler

• PBTOPSIS
• PBAHP
• pisagor bulanık sayılar
• hastane iç tedarik zinciri yönetimi

Comparative analysis of ınternal hospital supply chain management performance with PFAHP and PFTOPSIS methods

Öz

In order to provide patients with high-quality and efficient healthcare services, it is essential to establish an effective supply chain network in hospitals. In this context, internal hospital supply chain management (IHSCM) activities should be given strategic importance in order to increase service quality and reduce costs. In addition, IHSCM performance indicators need to be determined to evaluate the level of participation of stakeholders and healthcare providers in hospital processes. In this study, a multi-criteria decision-making model was developed to evaluate the IHSCM performance of hospitals. Within the scope of the research, four hospitals in Türkiye, which served as military hospitals until 2016 and currently have public hospital status, were examined. To the best of our knowledge in the literature, this is the first study to compare the internal supply chain management performance of transformed public hospitals with Pythagorean Fuzzy AHP (PFAHP) and Pythagorean Fuzzy TOPSIS (PFTOPSIS) methods. In the study, IHSCM performance indicators determined by using expert opinions were weighted with the PFAHP method, and then the hospitals were ranked in terms of performance with the PFTOPSIS method. Finally, sensitivity analysis was conducted by considering the binary changes of indicator weights and the results were evaluated. In this way, a structure that will contribute to the effective and efficient use of resources in public hospitals was established.

Anahtar Kelimeler

• PFTOPSIS
• PFAHP
• pythagorean fuzzy numbers
• internal hospital supply chain management

Kaynakça

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