EURO Journal on Decision Processes

, Volume 4, Issue 3–4, pp 245–267 | Cite as

Fuzzy decision making in health systems: a resource allocation model

  • Tahir Ekin
  • Ozan Kocadagli
  • Nathaniel D. Bastian
  • Lawrence V. Fulton
  • Paul M. Griffin
Original Article


The efficient use of resources in health systems is important due to the increasing demand and limited funding. Large health systems often have fixed input resources (such as budget and staffing) to be allocated among individual hospitals/clinics with particular target output levels. We propose an optimization model with fuzzy constraints that can be used for automatic resource re-allocation with respect to different levels of risk preferences. We illustrate its applicability using data from a U.S. Army hospital network. The implications of the proposed fuzzy decision-making model for healthcare decision makers and its relevance to healthcare policy and management are also discussed.


Multi-objective optimization Fuzzy modeling Resource allocation Health systems Military medicine 



This work was supported in part by the National Science Foundation under Grant No. DGE1255832. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the National Science Foundation, United States Army, Texas State University, Mimar Sinan Fine Arts University, Pennsylvania State University, Texas Tech University, or Georgia Institute of Technology.


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Copyright information

© Springer-Verlag Berlin Heidelberg and EURO - The Association of European Operational Research Societies 2015

Authors and Affiliations

  • Tahir Ekin
    • 1
  • Ozan Kocadagli
    • 2
  • Nathaniel D. Bastian
    • 3
  • Lawrence V. Fulton
    • 4
  • Paul M. Griffin
    • 5
  1. 1.McCoy College of Business AdministrationTexas State UniversitySan MarcosUSA
  2. 2.Department of StatisticsMimar Sinan Fine Arts UniversitySisli, IstanbulTurkey
  3. 3.Department of Industrial and Manufacturing EngineeringPennsylvania State UniversityUniversity ParkUSA
  4. 4.Rawls College of Business AdministrationTexas Tech UniversityLubbockUSA
  5. 5.School of Industrial and Systems EngineeringGeorgia Institute of TechnologyAtlantaUSA

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