On Establishing a New Fee Schedule for General Surgical Procedure Using Fuzzy MCDM

In this research a model for establishing a new, rational fee schedule for general surgical procedures in a national health insurance program is developed. A fuzzy multiple criteria decision-making (FMCDM) model is proposed. The relative values of eleven surgical procedures were obtained through an empirical study based on the FMCDM model. Consequently, a new fee schedule obtained from the FMCDM model. This new fee schedule is more convincing than previous schedule and more persuasive to the references for the policy setting.

[1]  Willem Gilles,et al.  A typology for provider payment systems in health care. , 2002, Health policy.

[2]  E. Orosz,et al.  Health Expenditure Trends in OECD Countries, 1990-2001 , 2003, Health care financing review.

[3]  Manfred Huber,et al.  Health Expenditure Trends in OECD Countries, 1970-1997 , 1999, Health care financing review.

[4]  K. Malterud Qualitative research: standards, challenges, and guidelines , 2001, The Lancet.

[5]  Tzeng Gwo-Hshiung,et al.  Application of multicriteria decision making to the evaluation of new energy system development in Taiwan , 1992 .

[6]  R Pill,et al.  A review of recently published qualitative research in general practice. More methodological questions than answers? , 1997, Family practice.

[7]  A. Chapple,et al.  Explicit guidelines for qualitative research: a step in the right direction, a defence of the 'soft' option, or a form of sociological imperialism? , 1998, Family practice.

[8]  Junichi Iijima,et al.  A Framework for Analysis of Systems Failure in Information Systems Integration , 2005 .

[9]  Vladislav Rajkovic,et al.  Applications of qualitative multi-attribute decision models in health care , 2000, Int. J. Medical Informatics.

[10]  T. Saaty,et al.  The Analytic Hierarchy Process , 1985 .

[11]  Gwo-Hshiung Tzeng,et al.  A hierarchy fuzzy MCDM method for studying electronic marketing strategies in the information service industry , 1998 .

[12]  Uma G. Gupta,et al.  Theory and applications of the Delphi technique: A bibliography (1975–1994) , 1996 .

[13]  P. Grimaldi Medicare fees for physician services are resource-based. , 2002, Journal of health care finance.

[14]  D. Dubois,et al.  Operations on fuzzy numbers , 1978 .

[15]  Etienne Kerre On the concept of a linguistic variable , 1996 .

[16]  W C Hsiao,et al.  Resource-based relative values. An overview. , 1988, JAMA.

[17]  T. L. Saaty A Scaling Method for Priorities in Hierarchical Structures , 1977 .

[18]  C. Pope,et al.  Qualitative Research: Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research , 1995 .

[19]  Lotfi A. Zadeh,et al.  The concept of a linguistic variable and its application to approximate reasoning-III , 1975, Inf. Sci..

[20]  Richard Bellman,et al.  Decision-making in fuzzy environment , 2012 .

[21]  Rakesh Govind,et al.  Algebraic characteristics of extended fuzzy numbers , 1991, Inf. Sci..

[22]  T. Mcguire,et al.  Supply-side and demand-side cost sharing in health care. , 1993, The journal of economic perspectives : a journal of the American Economic Association.

[23]  P. Lundy,et al.  Limitations of quantitative research in the study of structural adjustment. , 1996, Social science & medicine.

[24]  J. Buckley Ranking alternatives using fuzzy numbers , 1985 .