ANALYTIC NETWORK PROCESS AND BALANCED SCORECARD APPLIED TO THE
               PERFORMANCE EVALUATION OF PUBLIC HEALTH SYSTEMS

The performance of public health systems is an issue of great concern. After all, to assure people's quality of life, public health systems need different kinds of resources. Balanced Scorecard provides a multi-dimensional evaluation framework. This paper presents the application of the Analytic Network Process and Balanced Scorecard in the performance evaluation of a public health system in a typical medium-sized Southeastern town in Brazil.

analytic network process; balanced scorecard; performance evaluation; public health systems

Authorship

Marco Aurélio Reis dos Santos

Universidade Estadual Paulista - UNESP, Guaratinguetá, SP, Brazil. E-mails: marcoaurelioreis@yahoo.com.br; salomon@feg.unesp.br; fmarins@feg.unesp.br Universidade Estadual PaulistaBrazilGuaratinguetá, SP, BrazilUniversidade Estadual Paulista - UNESP, Guaratinguetá, SP, Brazil. E-mails: marcoaurelioreis@yahoo.com.br; salomon@feg.unesp.br; fmarins@feg.unesp.br

Valério Antonio Pamplona Salomon

* Corresponding author.

Fernando Augusto Silva Marins

*
Corresponding author.

SCIMAGO INSTITUTIONS RANKINGS

Figures | Tables | Formulas

Figures (5)
Tables (6)
Formulas (2)

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Figure 1
Generic hierarchical structure.

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Figure 2
Example of a network structure.

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Figure 3
Balanced scorecard (^{Yuksel &
Dagdeviren, 2010}19 YUKSEL I & DAGDEVIREN M. 2010. Using the fuzzy analytic network process (ANP) for Balanced Scorecard (BSC): a case study for a manufacturing firm. Expert Systems with Applications, 37(2): 1270-1278.).

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Figure 4
Example of strategy map (^{Salomon &
Whitaker, 2007}16 SALOMON VAP & WHITAKER R. 2007. Decision-making considering dependence relations for the improvement of production management. Brazilian Journal of Operations & Production Management, 4: 47-60.).

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Figure 5
Strategy map for the evaluation of public health systems.

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Table 1
Operation expenses, doctors and workers quantity.

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Table 2
Performance levels to evaluate subjective criteria.

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Table 3
Performance of UBS in subjective criteria.

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Table 4
Supermatrix for the evaluation of public health systems.

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Table 5
Weighted Supermatrix for the evaluation of public health systems.

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Table 6
Final Supermatrix for the evaluation of public health systems.

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Figure 1 Generic hierarchical structure.

Figure 2 Example of a network structure.

Figure 3 Balanced scorecard (^{Yuksel &
Dagdeviren, 2010}19 YUKSEL I & DAGDEVIREN M. 2010. Using the fuzzy analytic network process (ANP) for Balanced Scorecard (BSC): a case study for a manufacturing firm. Expert Systems with Applications, 37(2): 1270-1278.).

Figure 4 Example of strategy map (^{Salomon &
Whitaker, 2007}16 SALOMON VAP & WHITAKER R. 2007. Decision-making considering dependence relations for the improvement of production management. Brazilian Journal of Operations & Production Management, 4: 47-60.).

Figure 5 Strategy map for the evaluation of public health systems.

Table 1 Operation expenses, doctors and workers quantity.

UBS	DRQT	WKQT	OPEX
A	12	120	3,600,000
B	10	40	3,100,000
C	7	48	1,800,000

Table 2 Performance levels to evaluate subjective criteria.

Evaluation	VS	ST	LS	LD	NS	Score
Very satisfied (VS)	1	3	5	7	9	.51
Satisfied (ST)	1/3	1	3	5	7	.27
A little satisfied (LS)	1/5	1/3	1	3	5	.13
A little dissatisfied (LD)	1/7	1/5	1/3	1	3	.06
Not satisfied (NS)	1/9	1/7	1/5	1/3	1	.03

Table 3 Performance of UBS in subjective criteria.

UBS	DRAT	WKAT	WKCD	CAOP
A	LS	ST	LD	NS
B	LD	ST	NS	NS
C	NS	NS	NS	LD

Table 4 Supermatrix for the evaluation of public health systems.

	DRQT	WKQT	OPEX	DRAT	WKAT	WKCD	CAOP	A	B	C
DRQT				1/3	1/3	1/3	1/3	1/3	1/3	1/3
WKQT				1/3	1/3	1/3	1/3	1/3	1/3	1/3
OPEX				1/3	1/3	1/3	1/3	1/3	1/3	1/2
DRAT								1/2	1/2	1/2
WKAT								1/2	1/2	1/2
WKCD								1/2	1/2	1/2
CAOP								1/2	1/2	1/2
A	1/12	1/120	1/3.6	.13	.27	.06	.03
B	1/10	1/40	1/3.1	.06	.27	.03	.03
C	1/7	1/48	1/1.8	.03	.03	.03	.06

Table 5 Weighted Supermatrix for the evaluation of public health systems.

	DRQT	WKQT	OPEX	DRAT	WKAT	WKCD	CAOP	A	B	C
DRQT	0	0	0	.17	.17	.17	.17	.11	.11	.11
WKQT	0	0	0	.17	.17	.17	.17	.11	.11	.11
OPEX	0	0	0	.17	.17	.17	.17	.11	.11	.11
DRAT	0	0	0	0	0	0	0	.17	.17	.17
WKAT	0	0	0	0	0	0	0	.17	.17	.17
WKCD	0	0	0	0	0	0	0	.17	.17	.17
CAOP	0	0	0	0	0	0	0	.17	.17	.17
A	.26	.15	.24	.29	.24	.25	.13	0	0	0
B	.31	.46	.28	.14	.24	.13	.13	0	0	0
C	.44	.38	.48	.07	.03	.13	.25	0	0	0

Table 6 Final Supermatrix for the evaluation of public health systems.

	DRQT	WKQT	OPEX	DRAT	WKAT	WKCD	CAOP	A	B	C
DRQT	.33	.33	.33	.33	.33	.33	.33	.33	.33	.33
WKQT	.33	.33	.33	.33	.33	.33	.33	.33	.33	.33
OPEX	.33	.33	.33	.33	.33	.33	.33	.33	.33	.33
DRAT	.50	.50	.50	.50	.50	.50	.50	.50	.50	.50
WKAT	.50	.50	.50	.50	.50	.50	.50	.50	.50	.50
WKCD	.50	.50	.50	.50	.50	.50	.50	.50	.50	.50
CAOP	.50	.50	.50	.50	.50	.50	.50	.50	.50	.50
A	.29	.29	.29	.29	.29	.29	.29	.29	.29	.29
B	.34	.34	.34	.34	.34	.34	.34	.34	.34	.34
C	.37	.37	.37	.37	.37	.37	.37	.37	.37	.37

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ANALYTIC NETWORK PROCESS AND BALANCED SCORECARD APPLIED TO THE PERFORMANCE EVALUATION OF PUBLIC HEALTH SYSTEMS

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[1] *
Corresponding author.