Title: Development of a sustainability assessment framework for hospitals using multi-grade fuzzy

Authors: Albi Thomas; M. Suresh

Addresses: Amrita School of Business, Amrita Vishwa Vidyapeetham, Coimbatore-641112, India ' Amrita School of Business, Amrita Vishwa Vidyapeetham, Coimbatore-641112, India

Abstract: The primary aim of this paper is to develop a sustainability assessment framework for hospitals. The conceptual framework is developed with six enablers, 16 criteria and 60 attributes. Multi-grade fuzzy is used for sustainability assessment and importance performance analysis (IPA) approach is used for classification of attributes. The sustainability index of the case hospital is 7–8 i.e., highly sustainable. The study identified 14 weaker attributes to be taken into consideration for improving the sustainability level. This assessment framework will help hospital managers to enhance the sustainability level of the hospitals.

Keywords: sustainability; assessment; technological sustainability; hospitals; multi-grade fuzzy; importance performance analysis; IPA.

DOI: 10.1504/IJBIS.2025.148501

International Journal of Business Information Systems, 2025 Vol.50 No.1, pp.113 - 135

Received: 13 Aug 2021
Accepted: 01 Jan 2022
Published online: 09 Sep 2025 *

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