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Optimal selection of location for Taiwanese hospitals to ensure a competitive advantage by using the analytic hierarchy process and sensitivity analysis
Outline
1. 2. 3. 4. 5. Introduction Literature review AHP methodology Case implementation Selecting the optimal location of hospitals to ensure a competitive advantage 6. Conclusions
Introduction
Implementation of the National Health Insurance scheme in Taiwan since 1995 has intensified competition in the local medical sector. Given elevated living standards islandwide, Taiwanese residents have become more health conscious and attach increasing importance to quality healthcare.
Heightened consumer demand in the quality and scope of medical services.
Introduction
The medical service sector has improved its organizational structure and encouraged hospitals to establish management practices that would increase their competitiveness. In such an intensely competitive environment, selecting the optimal location of hospitals to be established is of priority concern.
Introduction
In considering where to select a location, besides legislation restrictions, policymakers and business groups seldom consider how selecting the optimal location during the decision-making process could possibly affect its competitiveness.
Introduction
Health plan of 1984 .. & Aging -> more new hospitals ->fierce competition in medical service sector->impact of wrong location decision Selecting the optimal location for a hospital in terms of competitiveness involves the various hospital types in Taiwan, devising appropriate evaluation criteria and categorizing hospitals according to those evaluation criteria.
Introduction
Despite the considerable attention paid to selecting an optimal location for medical care facilities, establishing a hospital must strictly comply with governmental regulations, often causing decision makers to overlook the importance of selecting an optimal location.
Introduction
This study adopts the renowned diamond model introduced in Porters The Competitive Advantage of Nations (1990) that influences how competitive advantages, especially with respect to developing and evaluating the objectives of optimal location selection, are related in order to devise a standardized operational procedure.
Introduction
Besides a literature review and interviews with experts, this study also adopts the modified Delphi method, the analytic hierarchy process (AHP) and the sensitivity analysis to develop an evaluation method for selecting the optimal location of a regional hospital in Taiwan to determine its effectiveness.
Introduction
The proposed evaluation criterion provides a valuable reference for hospital administrators and academic in establishing a standardized means of selecting the optimal location for new medical care facilities.
Literature review
Porters diamond model Porters diamond model comprises six elements; four country-specific determinants (i.e. Factor conditions, Demand conditions, Firm strategy, structure and rivalry and Related and supporting industries) and two external variables, (i.e. chance and government).
Literature review
Location theory Weber (1909) proposed the position problems of a factory. Early location theory focused mainly on the production of raw materials and selling to markets in order to determine a factorys optimal position by minimizing transportation costs.
Literature review
Plant location research can be categorized into three perspectives such as: 1. Prescriptive, i.e. how to make plant-locationrelated decisions. 2. Nation-based, i.e., what a nation should do to attract overseas firms to locate domestically 3. Customer-based business, i.e. what criteria are adopted to make plant-location-related decisions
AHP Methodology
Skipped. Please refer to the original paper:
Wu, C.-R., Lin, C.-T., & Chen, H.-C. (2007). Optimal selection of location for Taiwanese hospitals to ensure competitive advantage by using the analytic hierarchy process and sensitivity analysis. Building and Environment 42, 1431-1444.
Case implementation
An AHP-based evaluation model can be developed for selecting the optimal location of hospitals to ensure a competitive advantage via the following steps:
Step 1: Define the evaluative criteria for selecting the optimal location of hospitals to ensure a competitive advantage.
Case implementation
Step 2: Establish a hierarchical structure. On the basis of the modified Delphi method, acquire important indicators into a hierarchy of interrelated decision elements, including goal, criteria, sub-criteria and alternatives.
Case implementation
Step 3: Establish the pair-wise comparison matrix. Each decision maker makes a pair-wise comparison of the decision elements and assigns them relative scores.
Step 4: Calculate the eigenvalue and eigenvector of each pair-wise comparison matrix.
Case implementation
Step 5: Test the consistency of each comparison matrix. Step 6: Aggregate the related scores provided by all decision makers using the geometric mean method, and then estimate the relative weights of the relative weights of the weight of the elements of each level.
Case implementation
Step 7: Combine the relative weights of the elements of each level to select the optimal location for hospitals to ensure a competitive advantage.
Step 8: Sensitivity analysis of three location selection areas under six criteria.
Case implementation
According to governments data, among these three geographical position, Taiping City is the biggest land area. The most of population number is in Dali City. The east district of Taichung City was economically developed and metropolis lively area. So, the selective regions for establishing hospital can be considered East district of Taichung City, Taiping City, and Dali City.
Case implementation
Factor Demand Firm strategy Related and supporting industries Government Chance
Demand
Firm strategy Related and supporting industries
Government
Chance
Sensitivity analysis
The performance graph displays how the alternatives perform with respect to the change in scenario of all parameters.
Sensitivity analysis
Performance sensitivity of alternatives when related and supporting industries (Rsi) is increased by 25%
Sensitivity analysis
Performance sensitivity of alternatives when Change (Ca) is increased by 30%
Sensitivity analysis
Performance sensitivity of alternatives when Government (Gv) is increased by 20%
Capital Labor Factor Land Synthesis Population number Population density Demand Population age distribution synthesis
0.529
0.504
0.128
0.368
0.467
0.125
0.408
Taiping city
0.129 0.124 0.11
Dali city
0.631 0.326 0.319
Firm strategy
Synthesis
The medicine practice and the pharmaceutical sector Hospital administration sector The healthcare sector Synthesis
0.51
0.117
0.373
0.42
0.548
0.113
0.338
0.287
0.565
0.121
0.314
0.293
0.296
0.479
0.133
0.121
0.571
0.399
0.196
0.499
0.133
0.368
0.242
Chance
0.314
0.369 0.476
0.145 0.127
0.486 0.396
Conclusions
Demand conditions, firm strategy, structure and rivalry and government are high.
Goal Factor conditions The synthesis values 0.121
Demand conditions
Firm strategy, structure and rivalry
0.223
0.227 0.046 0.296 0.086
Conclusions
Conclusions
Priorities of the three location selection areas are the locations of the East district of Taichung city (EDoTC), Dali City and Taiping City.