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Type :thesis
Subject :R Medicine
Main Author :Albahrey, Osamah Shihab Ahmed
Title :Multi-criteria decision-making analysis for hospital selection in the telemedicine environment
Place of Production :Tanjong Malim
Publisher :Fakulti Seni, Komputeran dan Industri Kreatif
Year of Publication :2019
Corporate Name :Universiti Pendidikan Sultan Idris
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Abstract : Universiti Pendidikan Sultan Idris
In this study, a new module for telemedicine architecture, namely Tier 4, was developed to provide intelligent data and services management in the telemedicine environment. For a suitable hospital to provide remote healthcare services, a new hospital selection framework based on multi-criteria decision making (MCDM) of Tier 4 was developed for chronic heart disease patients who lived in remote places. An experiment was conducted on the basis of three stages. Firstly, health data, such as electrocardiogram, oxygen saturation sensor, blood pressure monitor, and non-sensory measurement, were collected from 500 patients with different symptoms. The number of healthcare services representing the hospital status was collected from 12 hospitals located in Baghdad City. A decision matrix based on the crossover of ?multi-healthcare services‘ and ?hospital list‘ of Tier 4 was also constructed. Secondly, the hospitals were then ranked using MCDM techniques, namely the integrated Analytic Hierarchy Process (AHP) and Vlsekriterijumska Optimizacija I Kompromisno Resenje (VIKOR). Thirdly, means and standard deviations were computed to ensure hospital ranking could be systematically performed to facilitate objective validation. The results showed that (1) the integration of AHP and VIKOR would able to effectively solve hospital selection problems. (2) In the objective validation, significant differences in scores between groups were observed, indicating that the ranking results were identical. (3) In the evaluation, the results revealed that the proposed framework was more effective by 56.25% than the benchmark framework. In conclusion, hospitals with multiple-healthcare services received the highest ranks compared to those of the hospitals with fewer healthcare services. The implications of this study provide several benefits to medical organizations by balancing the healthcare services loading among hospitals, assist medical teams by performing a timely and accurate treatment for their patients, and provide healthcare services for patients living in unserved or underserved areas.

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