Using Cross-Efficiency Fuzzy Data Envelopment Analysis for Healthcare Facilities Performance Evaluation under Uncertainty

We address the problem of healthcare systems performance evaluation under uncertainty by a cross-efficiency fuzzy Data Envelopment Analysis (DEA) technique. Triangular fuzzy numbers are employed to deal with uncertain data. More precisely, a fuzzy triangular efficiency is associated to each hospital/ward through a cross-evaluation by a compromise between objectives. Results are defuzzified to obtain the ranking. The method is applied to evaluate hospitals in a region of Southern Italy and estimate the temporal evolution of the performance of one of them, showing the ease of application and usefulness in validating and planning healthcare reforms.