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The Location Problem. Addressing Decisions About Healthcare Facilities

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Decision Support System for the Location of Healthcare Facilities

Part of the book series: SpringerBriefs in Applied Sciences and Technology ((BRIEFSPOLIMI))

Abstract

The location of healthcare facilities is commonly considered as an ill-structured decision problem since characterized by the coexistence of several and sometimes conflictual criteria, the presence of different stakolders with their own viewpoints and the necessity to find a trade-off among dimensions involved. Given these premises the contribution is aimed at proposing a detailed analysis of the State of the Art (SoA) of the location problem under investigation through a deep review of scientific papers, existing evaluation tools and the researches focused on solving the hospital’s site selection. The main purpose of this chapter is to underline existing gaps on this decision problem in order to define an evaluation approach useful to structure a multidimensional framework. In fact, the analysis of the SoA has been developed in order to highlight how previous researches managed the decision problem by pointing out methodologies applied, software used and in particular criteria defined.

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Notes

  1. 1.

    The literature review has been developed in May 2016.

  2. 2.

    The literature review has been developed in March 2016.

References

  • Abdullahi S, Mahmud AR, Pradhan B (2014) Spatial modelling of site suitability assessment for hospitals using geographical information system-based multicriteria approach at Qazvin city, Iran. Geocarto Int 29:164–184

    Google Scholar 

  • Azzopardi Muscat N, Brambilla A, Caracci F, Capolongo S (2020) Synergies in design and health. The role of architects and urban health planners in tackling key contemporary public health challenges. Acta Biomed 91(3):9–20. https://doi.org/10.23750/abm.v91i3-S.9414

  • Bassi A, Ottone C, Dell’Ovo M (2019) I Criteri Ambientali Minimi nel progetto di architettura. Trade-off tra sostenibilità ambientale, economica e sociale. Valori e Valutazioni 22:35–45

    Google Scholar 

  • Beheshtifar S, Alimoahmmadi A (2015) A multiobjective optimization approach for location-allocation of clinics. Int Trans Op Res 22:313–328

    Google Scholar 

  • Brambilla A, Capolongo S (2019) Healthy and sustainable hospital evaluation—a review of POE tools for hospital assessment in an evidence-based design framework. Buildings 9(4):76

    Google Scholar 

  • Brans JP, Gallo G (2007) Ethics in OR/MS: past, present and future. Ann Oper Res 153(1):165–178

    Google Scholar 

  • BRE Global Ltd (2010) Breeam healthcare. BRE, Watford

    Google Scholar 

  • Buffoli M, Capolongo S, di Noia M, Gherardi G, Gola M (2015) Healthcare sustainability evaluation systems. In: Capolongo S, Bottero MC, Buffoli M, Lettieri E (eds) Improving sustainability during hospital design and operation: a multidisciplinary evaluation tool. Springer briefs in applied sciences and technology. Cham, Switzerland, pp 23–30. https://doi.org/10.1007/978-3-319-14036-0_3

  • Buffoli M, Nachiero D, Capolongo S (2012) Flexible healthcare structures: analysis and evaluation of possible strategies and technologies. Ann Ig 24(6):543–552

    CAS  PubMed  Google Scholar 

  • Burkey ML (2012) Decomposing geographic accessibility into component parts: methods and an application to hospitals. Ann Reg Sci 48:783–800

    Google Scholar 

  • Burkey ML, Bhadury J, Eiselt HA (2012) A location-based comparison of health care services in four U.S. states with efficiency and equity. Socio-Econ Plann Sci 46:157–163

    Google Scholar 

  • Capasso L, Faggioli A, Rebecchi A, Capolongo S, Gaeta M, Appolloni L, De AM, D’Alessandro D (2018). Hygienic and sanitary aspects in urban planning: Contradiction in national and local urban legislation regarding public health. Epidemiol e prevenzione 42(1):60–64

    Google Scholar 

  • Capolongo S (2016) Social aspects and well-being for improving healing processes’ effectiveness. Ann Ist Super Sanità 52(1):11–14

    PubMed  Google Scholar 

  • Capolongo S, Buffoli M, Brambilla A, Rebecchi, A (2020) Healthy urban planning and design strategies to improve urban quality and attractiveness of places. TECHNE 19:271–279. https://doi.org/10.13128/techne-7837

  • Cheng EWL, Li H (2004) Exploring quantitative methods for project location selection. Build Environ 39:1467–1476

    Google Scholar 

  • Cheng EWL, Li H, Yu L (2007) A GIS approach to shopping mall location selection. Build Environ 42:884–892

    Google Scholar 

  • Chiu JE, Tsai HH (2013) Applying analytic hierarchy process to select optimal expansion of hospital location: the case of a regional teaching hospital in Yunlin. In: 2013 10th international conference on service systems and service management. IEEE, pp 603–606

    Google Scholar 

  • Daskin MS, Dean LK (2005) Location of health care facilities. In: Operations research and health care. Springer, Boston, pp 43–76

    Google Scholar 

  • deAlmeida AT, Cavalcante CAV, Alencar MH, Ferreira RJP, deAlmeida-Filho AT, Garcez TV (2015) Multiobjective and multicriteria decision processes and methods. In: Multicriteria and multiobjective models for risk, reliability and maintenance decision analysis. Springer, Cham, pp 23–87

    Google Scholar 

  • Dell’Ovo M, Capolongo S (2016) Architectures for health: between historical contexts and suburban areas. Tool to support location strategies. TECHNE-J Technol Architect Environ, 269–276

    Google Scholar 

  • Dell’Ovo M, Capolongo S, Oppio A (2018a) Combining spatial analysis with MCDA for the siting of healthcare facilities. Land Use Policy 76:634–644

    Google Scholar 

  • Dell’Ovo M, Frej EA, Oppio A, Capolongo S, Morais DC, de Almeida AT (2018b) FITradeoff method for the location of healthcare facilities based on multiple stakeholders’ preferences. In: International conference on group decision and negotiation. Springer, Cham, pp 97–112

    Google Scholar 

  • Dell’Ovo M, Frej EA, Oppio A, Capolongo S, Morais DC, de Almeida AT (2017) Multicriteria decision making for healthcare facilities location with visualization based on FITradeoff method. In: International conference on decision support system technology. Springer, Cham, pp 32–44. https://doi.org/10.1007/978-3-319-57487-5_3

  • Du G, Sun C (2015) Location planning problem of service centers for sustainable home healthcare: evidence from the empirical analysis of Shanghai. Sustainability 7:15812–15832

    Google Scholar 

  • Faruque LI, Ayyalasomayajula B, Pelletier R, Klarenbach S, Hemmelgarn BR, Tonelli M (2012) Spatial analysis to locate new clinics for diabetic kidney patients in the underserved communities in Alberta. Nephrol Dial Transpl 27(11):4102–4109

    Google Scholar 

  • Fredrickson JW (1986) The strategic decision process and organizational structure. Acad Manag Rev 11(2):280–297

    Google Scholar 

  • Gimpel A, Stelzenmüller V, Grote B, Buck BH, Floeter J, Núñez-Riboni I, Pogoda B, Temming A (2015) A GIS modelling framework to evaluate marine spatial planning scenarios: co-location of offshore wind farms and aquaculture in the German EEZ. Mar Policy 55:102–115

    Google Scholar 

  • Hammond JS, Keeney RL, Raiffa H (1999) Smart choices. Harvard Business School Press, Boston

    Google Scholar 

  • ITACA (2011) Protocollo Itaca per la valutazione della qualità energetica ed ambientale di un edificio. ITACA, Rome

    Google Scholar 

  • Japan Sustainable Building Consortium (2006) Comprehensive assessment system for built environment efficiency. Japan sustainable building consortium–[viewed on 20 Jan 2011]: Available on the Internet: http://www.ibec.or.jp/CASBEE/english/theassessment-method-employed-by-casbee

  • Kahraman C, Ruan D, Dogan I (2003a) Fuzzy group decision-making for facility location selection. Inf Sci 157:135–153

    Google Scholar 

  • Kahraman S, Findikli N, Berkil H, Bakircioglu E, Donmez E, Sertyel S, Biricik A (2003b) Results of preimplantation genetic diagnosis in patients with Klinefelter’s syndrome. Reprod BioMed Online 7(3):346–352

    CAS  PubMed  Google Scholar 

  • Keeney RL (1992) Value focused thinking. Harvard University Press, Cambridge

    Google Scholar 

  • Keeney RL, Raiffa H (1993) Decisions with multiple objectives: preferences and value trade-offs. Cambridge University Press, Cambridge

    Google Scholar 

  • Keeney RL (2004) Make better decision makers. Decis Anal 1(4):193–204

    Google Scholar 

  • Kersten GE, Szpakowicz S (1994) Decision making and decision aiding: defining the process, it representations, and support. Group Decis Negot 3(2):237–261

    Google Scholar 

  • Kim JI, Senaratna DM, Ruza J, Kam C, Ng S (2015) Feasibility study on an evidence-based decision-support system for hospital site selection for an aging population. Sustainability 7(7):2730–2744

    Google Scholar 

  • Kumar S, Bansal VK (2016) A GIS-based methodology for safe site selection of a building in a hilly region. Front Architect Res 5(1):39–51. https://doi.org/10.1016/j.foar.2016.01.001

    Article  CAS  Google Scholar 

  • Lahtinen J, Salonen M, Toivonen T (2013) Facility allocation strategies and the sustainability of service delivery: modelling library patronage patterns and their related CO2-emissions. Appl Geogr 44:43–52

    Google Scholar 

  • Latinopoulos D, Kechagia K (2015) A GIS-based multi-criteria evaluation for wind farm site selection. A regional scale application in Greece. Renew Energy 78:550–560

    Google Scholar 

  • Lee KS, Moon KJ (2014) Hospital distribution in a metropolitan city: assessment by a geographical information system grid modelling approach. Geospat Health 8:537–544

    PubMed  Google Scholar 

  • Lenzi A, Capolongo S, Ricciardi W, Signorelli C, Napier D, Rebecchi A, Spinato C (2020) New competences to manage urban health: health city manager core curriculum. Acta Biomed 91(3):21–28. https://doi.org/10.23750/abm.v91i3-S.9430

  • Li S, Cai H, Kamat VR (2015) Uncertainty-aware geospatial system for mapping and visualizing underground utilities. Autom Constr 53:105–119

    Google Scholar 

  • Murad AA (2005) Using GIS for planning public general hospitals at Jeddah City. Env Des Sci 3:3–22

    Google Scholar 

  • Murad AA (2007) Creating a GIS application for health services at Jeddah city. Comput Biol Med 37(6):879–889

    PubMed  Google Scholar 

  • Neutens T, Delafontaine M, Scott DM, De Maeyer P (2012) A GIS-based method to identify spatiotemporal gaps in public service delivery. Appl Geogr 32(2):253–264

    Google Scholar 

  • Noon CE, Hankins CT (2001) Spatial data visualization in healthcare: supporting a facility location decision via GIS-based market analysis. In: Proceedings of the 34th Hawaii international conference on system sciences

    Google Scholar 

  • Noorollahi Y, Yousefi H, Mohammadi M (2016) Multi-criteria decision support system for wind farm site selection using GIS. Sustain Energy Technol Assess 13:38–50

    Google Scholar 

  • Oppio A, Buffoli M, Dell’Ovo M, Capolongo S (2016) Addressing decisions about new hospitals’ siting: a multidimensional evaluation approach. Ann dell’Istituto superiore di sanità 52(1):78–87

    Google Scholar 

  • Ormerod RJ, Ulrich W (2013) Operational research and ethics: a literature review

    Google Scholar 

  • Owen SH, Daskin MS (1998) Strategic facility location: a review. Eur J Oper Res 111:423–447

    Google Scholar 

  • Shariff SR, Moin NH, Omar M (2012) Location allocation modeling for healthcare facility planning in Malaysia. Comput Ind Eng 62(4):1000–1010

    Google Scholar 

  • Simon HA (1979) Information processing models of cognition. Annu Rev Psychol 30(1):363–396

    CAS  PubMed  Google Scholar 

  • Soltani A, Marandi EZ (2011) Hospital site selection using two-stage fuzzy multi-criteria decision making process. J Urban Environ Eng 5(1):32–43

    Google Scholar 

  • USGBC (2011) LEED for healthcare. USGBC, Washington

    Google Scholar 

  • Vahidnia MH, Alesheikh AA, Alimohammadi A (2009) Hospital site selection using fuzzy AHP and its derivatives. J Environ Manage 90(10):3048–3056

    PubMed  Google Scholar 

  • Wang X, Hu P, Zhu Y (2016) Location choice of Chinese urban fringe residents on employment, housing, and urban services: a case study of Nanjing. Front Architect Res 5(1):27–38

    CAS  Google Scholar 

  • Wu CR, Lin CT, Chen HC (2007) Optimal selection of location for Taiwanese hospitals to ensure a competitive advantage by using the analytic hierarchy process and sensitivity analysis. Build Environ 42(3):1431–1444

    Google Scholar 

  • Wu WH, Lin CT, Peng KH, Huang CC (2012) Applying hierarchical grey relation clustering analysis to geographical information systems—a case study of the hospitals in Taipei City. Expert Syst Appl 39(8):7247–7254

    Google Scholar 

  • Yang Y, Wong KK, Wang T (2012) How do hotels choose their location? Evidence from hotels in Beijing. Int J Hospital Manage 31(3):675–685

    Google Scholar 

  • Zhang P, Ren X, Zhang Q, He J, Chen Y (2015) Spatial analysis of rural medical facilities using Huff Model: a case study of Lankao County, Henan Province. Int J Smart Home 9:161–168

    Google Scholar 

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Author information

Authors and Affiliations

  1. ABC, Politecnico di Milano, Milan, Italy

    Marta Dell’Ovo

  2. DASTU, Politecnico di Milano, Milan, Italy

    Alessandra Oppio

  3. ABC, Politecnico di Milano, Milan, Italy

    Stefano Capolongo

Authors
  1. Marta Dell’Ovo
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  2. Alessandra Oppio
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  3. Stefano Capolongo
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Corresponding author

Correspondence to Marta Dell’Ovo .

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Dell’Ovo, M., Oppio, A., Capolongo, S. (2020). The Location Problem. Addressing Decisions About Healthcare Facilities. In: Decision Support System for the Location of Healthcare Facilities. SpringerBriefs in Applied Sciences and Technology(). Springer, Cham. https://doi.org/10.1007/978-3-030-50173-0_1

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  • DOI: https://doi.org/10.1007/978-3-030-50173-0_1

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