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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

机译：通过使用层次分析法和敏感性分析，为台湾医院选择最佳位置，以确保竞争优势

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摘要

Implementation of the National Health Insurance scheme in Taiwan since 1995 has intensified competition in the local medical sector. Given elevated living standards island wide, Taiwanese residents have become more health conscious and attach increasing importance to quality healthcare, explaining the heightened consumer demand in the quality and scope of medical services. Additionally, 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. Therefore, this work presents an analytic hierarchy process (AHP)-based evaluation model. Sensitivity analysis is performed in detail by varying the objective factor decision weight, the priority weight of subjective factors and the gain factors. Adopted herein is the renowned diamond model introduced in Porter's 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. Besides a literature review and interviews with experts, this study also adopts the modified Delphi method, the 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. The proposed evaluation criterion provides a valuable reference for hospital administrators and academics in establishing a standardized means of selecting the optimal location for new medical care facilities.
机译：自1995年以来，台湾实施的国民健康保险计划加剧了当地医疗部门的竞争。鉴于全岛居民生活水平的提高，台湾居民对健康的意识日益增强，对优质医疗保健的重视也日益提高，这解释了消费者对医疗服务质量和范围的需求日益增加。此外，医疗服务部门改善了组织结构，并鼓励医院建立管理实践以提高竞争力。在如此激烈的竞争环境中，选择要建立的最佳医院位置是当务之急。因此，这项工作提出了一个基于层次分析法（AHP）的评估模型。通过改变客观因素决策权重，主观因素的优先权重和增益因素，可以进行详细的敏感性分析。本文采用的是波特在《国家的竞争优势》（1990年）中引入的著名钻石模型，该模型影响竞争优势（特别是在开发和评估最佳选址目标方面）如何相互关联，以制定标准化的操作程序。除了进行文献综述和专家访谈外，本研究还采用改进的德尔菲法，层次分析法和敏感性分析方法，开发了一种评估方法，用于选择台湾地区医院的最佳位置来确定其有效性。拟议的评估标准为医院管理人员和学者建立选择新医疗设施最佳位置的标准化方法提供了宝贵的参考。

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