Performance Evaluation of Hospitals under Data Uncertainty: An Uncertain Common-Weights Data Envelopment Analysis.

In the context of healthcare systems, the performance evaluation of hospitals plays a crucial role in assessing the quality of healthcare systems and facilitating informed decision-making processes. However, the presence of data uncertainty poses significant challenges to accurate performance measurement. This paper presents a novel uncertain common-weights data envelopment analysis (UCWDEA) approach for evaluating the performance of hospitals under uncertain environments. The proposed UCWDEA approach addresses the limitations of traditional data envelopment analysis (DEA) models by incorporating the uncertainty theory (UT) to model the inherent uncertainty in input and output data. Also, by utilizing a common set of weights (CSW) technique, the UCWDEA method provides a more robust and reliable assessment of hospital performance. The main advantages of the proposed UCWDEA approach can be succinctly summarized as follows. Firstly, it allows for the comparison of all hospitals on a consistent basis to calculate a realistic efficiency score, rather than an overly optimistic efficiency score. Secondly, the uncertain common-weights DEA approach exhibits linearity, enhancing its applicability. Thirdly, it possesses the capability to extend its utility under various other prevalent uncertainty distributions. Moreover, it enhances the discriminatory power of results, facilitates the ranking of hospitals in the presence of data uncertainty, and aids in identifying the sensitivity and stability levels of hospitals towards data uncertainty. Notably, in order to showcase the pragmatic application and efficacy of the uncertain common-weights DEA model, a genuine dataset has been utilized to evaluate the efficiency of 20 public hospitals in Tehran, all of which are affiliated with the Iran University of Medical Sciences. The results of the experiment demonstrate the efficacy of the UCWDEA approach in assessing and ranking hospitals amidst uncertain conditions. In summary, the research outcomes can offer policymakers valuable insights regarding hospital performance amidst data uncertainty. Additionally, it can provide practical recommendations on optimizing resource allocation, benchmarking performance, and formulating effective policies to augment the overall efficiency and effectiveness of healthcare services.

The application of structural and machine learning models to predict the default risk of listed companies in the Iranian capital market.

Inattention of economic policymakers to default risk and making inappropriate decisions related to this risk in the banking system and financial institutions can have many economic, political and social consequences. In this research, it has been tried to calculate the default risk of companies listed in the capital market of Iran. To achieve this goal, two structural models of Merton and Geske, two machine learning models of Random Forest and Gradient Boosted Decision Tree, as well as financial information of companies listed in the Iranian capital market during the years 2016 to 2021 have been used. Another goal of this research is to measure the predictive power of the four models presented in the calculation of default risk. The results obtained from the calculation of the default rate of the investigated companies show that 50 companies listed in the Iranian capital market (46 different companies) have defaulted during the 5-year research period and are subject to the Bankruptcy Article of the Iranian Trade Law. Also, the results obtained from the ROC curves for the predictive power of the presented models show that the structural models of Merton and Geske have almost equal power, but the predictive power of the Random Forest model is a little more than the Gradient Boosted Decision Tree model.

Investigating the monetary policy risk channel based on the dynamic stochastic general equilibrium model: Empirical evidence from Iran.

Investigating the credit channel and monetary policy risk channel in Iran's economy is the aim of this article. According to empirical studies, expansionary monetary policy increases the risk of banks, and on the other hand, the risk of banks affects economic activities and price levels. In order to investigate the mechanism of the credit channel and the risk channel (as a new channel), the effect of monetary policy on real variables and price levels in Iran's economy, the Dynamic Stochastic General Equilibrium (DSGE) model has been used by entering the information of the banking system and considering moral hazard and adverse choices. The obtained results show that there is a credit channel and a monetary policy risk channel for Iran's economy, and the expansionary monetary policy shock causes output, inflation, private sector consumption, investment, net worth in the economy and lending to increase. Also, when a credit shock occurs, with the increase in banks' lending power, production, private sector consumption, investment, net worth and total lending increase and the inflation level decreases. Also, by applying the risk shock caused by the increase in inflation and the decrease in consumption and investment, the volume of lending increases and the level of production does not change much.

Dynamic Performance Assessment of Hospitals by Applying Credibility-Based Fuzzy Window Data Envelopment Analysis.

The goal of the current research is to propose the credibility-based fuzzy window data envelopment analysis (CFWDEA) approach as a novel method for the dynamic performance evaluation of hospitals during different periods under data ambiguity and linguistic variables. To reach this goal, a data envelopment analysis (DEA) method, a window analysis technique, a possibilistic programming approach, credibility theory, and chance-constrained programming (CCP) are employed. In addition, the applicability and efficacy of the proposed CFWDEA approach are illustrated utilizing a real data set to evaluate the performance of hospitals in the USA. It should be explained that three inputs including the number of beds, labor-related expenses, patient care supplies, and other expenses as well as three outputs including the number of outpatient department visits, the number of inpatient department admissions, and overall patient satisfaction level, are considered for the dynamic performance appraisal of hospitals. The experimental results show the usefulness of the CFWDEA method for the evaluation and ranking of hospitals in the presence of fuzzy data, linguistic variables, and epistemic uncertainty.

Bridging the knowledge gap between technology and business: An innovation strategy perspective.

Decision-makers (DMs) are not sufficiently exposed to concepts such as efficiency and risk in innovative activities from the perspective of organizational strategy. The challenges become even greater when these DMs lack expertise in technology and deal with uncertain circumstances. In this sense, exchanging expert knowledge between DMs and technical teams will strengthen the link between technology planning and strategic management. The purpose of this study is to bridge the knowledge gap between these two groups. It introduces a framework to translate the organization's strategy into technological decisions at an acceptable innovation risk level. This framework considers aspects such as knowledge, type of innovation, and innovation process. This study focuses on determining whether activities should be accepted or rejected by examining the uncertainty and efficiency of innovation. It also introduces a novel perspective on the hybrid "success-failure" uncertainty of innovation, and a new measure called "efficiency probability," which DMs and technology developers can use to intuitively engage in the innovation process. This paper seeks to propose a practical strategy map for new product development under uncertain conditions. To achieve this goal, the Fuzzy Front-End (FFE) concept, fuzzy data envelopment analysis (FDEA) model, and adjustable possibilistic programming (APP) approach are applied. The results of this study indicate that innovative activities typically have low efficiency and high uncertainty. Therefore, the decision to implement or abandon them requires reviewing and balancing the goals and strategic approach of the organization with technological and business features.

A novel two-phase robust portfolio selection and optimization approach under uncertainty: A case study of Tehran stock exchange.

Portfolio construction is one of the most critical problems in financial markets. In this paper, a new two-phase robust portfolio selection and optimization approach is proposed to deal with the uncertainty of the data, increasing the robustness of investment process against uncertainty, decreasing computational complexity, and comprehensive assessments of stocks from different financial aspects and criteria are provided. In the first phase of this approach, all candidate stocks' efficiency is measured using a robust data envelopment analysis (RDEA) method. Then in the second phase, by applying robust mean-semi variance-liquidity (RMSVL) and robust mean-absolute deviation-liquidity (RMADL) models, the amount of investment in each qualified stock is determined. Finally, the proposed approach is implemented in a real case study of the Tehran stock exchange (TSE). Additionally, a sensitivity analysis of all robust models of this study is examined. Illustrative results show that the proposed approach is effective for portfolio selection and optimization in the presence of uncertain data.