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Hospitals typically lack effective service level strategic and operational planning. Some of them do not have a good “quality” organization. In most of the cases, they could use some optimization models to try to improve it. The point of seeking care at a hospital is to get well. That may seem obvious, but it is a fact that sometimes gets lost in discussions over the availability of “quality” health care. The aim of the present research is to investigate the relationship between the organization and performance of health service systems. In detail, the gynecobstetrics department. The study assesses several variables such as the quality of medical equipment, the quality of care, the patient safety etc. A multi criteria approach based on Fuzzy Analytic Hierarchy Process (FAHP), Decision Making Trial and Evaluation Laboratory (DEMATEL) and the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) is proposed. The research concerns three hospitals from the public sector of Colombia. The results show the most critical variables and the correlation among all selected criteria of performance.

AN HYBRID MODEL FOR EVALUATING THE OVERALL PERFORMANCE OF GYNECOBSTETRICS DEPARTMENT: AN APPROACH BASED ON FAHP, DEMATEL AND TOPSIS