Decision making trial and evaluation laboratory (DEMATEL) is considered as an effective method for the identification of causeeffect chain components of a complex system. It deals with evaluating interdependent relationships among factors and finding the critical ones through a visual structural model. Over the recent decade, a large number of studies have been done on the application of DEMATEL and many different variants have been put forward in the literature. The objective of this study is to review systematically the methodologies and applications of the DEMATEL technique. We reviewed a total of 346 papers published from 2006 to 2016 in the international journals. According to the approaches used, these publications are grouped into five categories: classical DEMATEL, fuzzy DEMATEL, grey DEMATEL, analytical network process-(ANP-) DEMATEL, and other DEMATEL. All papers with respect to each category are summarized and analyzed, pointing out their implementing procedures, real applications, and crucial findings. This systematic and comprehensive review holds valuable insights for researchers and practitioners into using the DEMATEL in terms of indicating current research trends and potential directions for further research.

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Performance analysis is an important way for hospitals to achieve higher efficiency and effectiveness in providing services to their customers. The performance of the healthcare system can be measured by many indicators, but it is difficult to improve them simultaneously due to the limited resources. A feasible way is to identify the central and influential indicators to improve healthcare performance in a stepwise manner. In this paper, we propose a hybrid multiple criteria decision making (MCDM) approach to identify key performance indicators (KPIs) for holistic hospital management. First, through integrating evidential reasoning approach and interval 2-tuple linguistic variables, various assessments of performance indicators provided by healthcare experts are modeled. Then, the decision making trial and evaluation laboratory (DEMATEL) technique is adopted to build an interactive network and visualize the causal relationships between the performance indicators. Finally, an empirical case study is provided to demonstrate the proposed approach for improving the efficiency of healthcare management. The results show that “accidents/adverse events”, “nosocomial infection”, ‘‘incidents/errors”, “number of operations/procedures” are significant influential indicators. Also, the indicators of “length of stay”, “bed occupancy” and “financial measures” play important roles in performance evaluation of the healthcare organization. The proposed decision making approach could be considered as a reference for healthcare administrators to enhance the performance of their healthcare institutions.

Supplier selection is a complex multiple criteria decision-making (MCDM) problem, which considers a number of alternative suppliers as well as conflicting and noncommensurable criteria. Considering the fact that it is difficult to precisely determine criteria weights and the ratings of alternatives on each criterion in real-life situations, the VIKOR (VIsekriterijumska optimizacija i KOmpromisno Resenje) method has been modified for intuitionistic fuzzy data in this study for supplier evaluation and selection. Further, we take into account both subjective and objective weights of criteria in the decision-making process, as most supplier selection approaches consider only subjective criteria weights. Finally, two supplier selection examples are provided to illustrate the proposed intuitionistic fuzzy hybrid VIKOR (IFH-VIKOR) method, and its merits are highlighted by comparing it with other relevant approaches.

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