Developing a Decision-Making Framework to Improve Healthcare Service Quality during a Pandemic

The COVID-19 pandemic has significantly impacted almost every sector. This impact has been especially felt in the healthcare sector, as the pandemic has affected its stability, which has highlighted the need for improvements in service. As such, we propose a collaborative decision-making framework that is capable of accounting for the goals of multiple stakeholders, which consequently enables an optimal, consensus decision to be identified. The proposed framework utilizes the best-worst method (BWM) and the Multi-Actor Multi-Criteria Analysis (MAMCA) methodology to capture and rank each stakeholder's preferences, followed by the application of a Multi-Objective Linear Programming (MOLP) model to identify the consensus solution. To demonstrate the applicability of the framework, two hypothetical scenarios involving improving patient care in an intensive care unit (ICU) are considered. Scenario 1 reflects all selected criteria under each stakeholder, whereas in Scenario 2, every stakeholder identifies their preferred set of criteria based on their experience and work background. The results for both scenarios indicate that hiring part-time physicians and medical staff can be the effective solution for improving service quality in the ICU. The developed integrated framework will help the decision makers to identify optimal courses of action in real-time and to select sustainable and effective strategies for improving service quality in the healthcare sector.