Are the Portuguese public hospitals sustainable? A triple bottom line hybrid data envelopment analysis approach

The harmonious interaction between humans and the biosphere determines how sustainable existence and coexistence are. However, when social challenges appear, sustainability is heavily compromised. Health is one of the areas affected by such challenges, with the delivery of health services being ensu...

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Bibliographic Details
Published in:International transactions in operational research 2023-01, Vol.30 (1), p.453-475
Main Authors: Pederneiras, Yasmim Maia, Pereira, Miguel Alves, Figueira, José Rui
Format: Article
Language:English
Subjects:
Biosphere
Choquet integral
Data analysis
Data envelopment analysis
Health services
hospital sustainability
Hospitals
Multiple criterion
multiple‐criteria decision analysis
Operations research
performance evaluation
Sustainability
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Summary:The harmonious interaction between humans and the biosphere determines how sustainable existence and coexistence are. However, when social challenges appear, sustainability is heavily compromised. Health is one of the areas affected by such challenges, with the delivery of health services being ensured by health systems. Consequently, understanding how sustainable health services are, especially those that consume the majority of resources—hospitals—is indispensable for a sustainable future. For this reason, we propose using a hybrid data envelopment analysis (DEA) approach to study hospital sustainability in Portugal under environmental, social, and economic perspectives, in cooperation with the Portuguese Ministry of Health. In particular, the proposed methodology incorporates the preference information of decision makers (via the construction of utility scales and the determination of Möbius coefficients) and criteria interactivity, due to the integration of the Choquet multiple criteria preference aggregation model in the DEA approach. In the end, despite approximately 30% of the sampled 29 assessed hospitals were deemed as efficient across the three perspectives in 2018, only 1 was entirely sustainable.
ISSN:0969-6016
1475-3995
DOI:10.1111/itor.12966