Title: Greenness, leanness and agility assessment of hospitals: a fuzzy methodology

Authors: Fatemeh Rahmani; Masoud Rahiminezhad Galankashi; Akram Rahmani; Ali Bozorgi Amiri; Din Mohammad Imani

Addresses: Faculty of Industrial Engineering, University of Science and Technology of Mazandaran, Behshahr, Iran ' Department of Industrial, Mechanical and Aerospace Engineering, Buein Zahra Technical University, Buein Zahra, Qazvin, Iran ' Technical and Vocational University, Kermanshah, Iran ' School of Industrial Engineering, College of Engineering, University of Tehran, Tehran, Iran ' Department of Industrial Engineering, Iran University of Science and Technology, Tehran, Iran

Abstract: Similar to manufacturing industry, performance measurement is essential in service industries. This study develops an integrated fuzzy methodology to assess greenness, leanness and agility (GLA) of hospitals. Firstly, essential measures of GLA are determined using a literature review. Secondly, a standard fuzzy approach is applied to assess a hospital by the developed measures. Thirdly, the results are integrated to provide a single unit-less GLA index. Hence, different outputs of performance metrics are integrated in this phase. Finally, an interval-value fuzzy approach is applied to confirm the results. The investigated case study is moderately compatible to GLA measures and needs to improve its performance. A discussion and some research directions are provided at the end of this study. As the main benefit of this research, managers can simultaneously investigate hospitals by GLA viewpoints.

Keywords: greenness; leanness; agility; hospital; healthcare; fuzzy logic.

DOI: 10.1504/IJVCM.2023.130991

International Journal of Value Chain Management, 2023 Vol.14 No.2, pp.220 - 245

Received: 22 Jun 2022
Accepted: 06 Nov 2022
Published online: 17 May 2023 *

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