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

作     者：Khodaparasti, S. Maleki, H. R. Jahedi, S. Bruni, M. E. Beraldi, P. 

作者机构：Univ Calabria Dept Math & Comp Sci Arcavacata Di Rende Italy Shiraz Univ Technol Fac Math Shiraz Iran Univ Calabria Dept Mech Energy & Management Engn Arcavacata Di Rende Italy 

出 版 物：《HEALTH CARE MANAGEMENT SCIENCE》 (保健管理科学)

年 卷 期：2017年第20卷第4期

页      面：485-499页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：Community based organization Location theory Hierarchical facility system Multi-objective programming Data envelopment analysis 

摘      要：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.