Quality & Quantity

, Volume 47, Issue 6, pp 3559–3573 | Cite as

Key factors affecting the hospital performance: a qualitative study using fuzzy logic

  • Mohamad-Ali Afsharkazemi
  • Jila Manouchehri
  • Mojtaba Salarifar
  • Amir Ashkan Nasiripour


Identifying the key factors affecting the hospital performance helps better planning for hospital high performance. The purpose of this study is to provide a combination of qualitative and quantitative methods to investigate the hospital performance. In the qualitative section of this study, factors associated with hospital performance were detected using literature review, interviews, and expert panels. The findings analyzed by one sample t test and categorized by framework analysis method. In the quantitative section of this study, both direct and indirect relationships between factors were measured by using fuzzy Decision Making Trial and Evaluation Laboratory technique to detect influencing and influenced factors. Finally the key factors affecting the hospital performance were detected.


Hospital performance Fuzzy logic Qualitative study DEMATEL technique 


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Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Mohamad-Ali Afsharkazemi
    • 1
  • Jila Manouchehri
    • 2
  • Mojtaba Salarifar
    • 3
  • Amir Ashkan Nasiripour
    • 4
  1. 1.Faculty of Management, Tehran Central BranchIslamic Azad UniversityTehranIran
  2. 2.Quality Improvement Department, Tehran Heart CenterTehran University of Medical SciencesTehranIran
  3. 3.Tehran Heart CenterTehran University of Medical SciencesTehranIran
  4. 4.Department of Health Services Management, Science and Research BranchIslamic Azad UniversityTehranIran

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