Gynecobstetrics departments (GDs) oversee diagnosing, monitoring, and treating female reproductive diseases as well as assisting women during pregnancy. Their importance motivates the creation of suitable performance evaluation approaches for identifying weaknesses and designing focused interventions. Therefore, the aim of this paper is twofold: (a) provide an approach for GD performance evaluation and (b) propose interventions tackling the GDs' weaknesses. The fuzzy analytic hierarchy process (FAHP) was first applied to calculate the initial criteria and subcriteria weights under vagueness. Then, the decision-making trial and evaluation laboratory (DEMATEL) was implemented to evaluate interrelations. FAHP and DEMATEL were later combined to estimate the final criteria and subcriteria weights under vagueness and interdependency. Finally, the technique for order of preference by similarity to ideal solution (TOPSIS) was used to rank the GDs and detect improvement opportunities. A case study of a cluster including three GDs is presented to validate the proposed approach. The results evidenced that patient safety and service quality are the most critical aspects in GD performance evaluation. The results from this application can be used by healthcare managers for designing focused interventions targeting improved performance of GDs. This paper fully exploits the advantages of FAHP, DEMATEL, and TOPSIS methods for evaluating performances of GDs. Furthermore, this study presents a novel decision-making model representing the multifactorial context of the GD performance.

Hospitals typically lack effective service level strategic and operational planning. Some of them do not have a good "quality" organization. In most of the cases, they could use some optimization models to try to improve it. The point of seeking care at a hospital is to get well. That may seem obvious, but it is a fact that sometimes gets lost in discussions over the availability of "quality" health care. The aim of the present research is to investigate the relationship between the organization and performance of health service systems. In detail, the gynecobstetrics department. The study assesses several variables such as the quality of medical equipment, the quality of care, the patient safety etc. A multi criteria approach based on Fuzzy Analytic Hierarchy Process (FAHP), Decision Making Trial and Evaluation Laboratory (DEMATEL) and the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) is proposed. The research concerns three hospitals from the public sector of Colombia. The results show the most critical variables and the correlation among all selected criteria of performance.