PMID- 35761283 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1478-7547 (Print) IS - 1478-7547 (Electronic) IS - 1478-7547 (Linking) VI - 20 IP - 1 DP - 2022 Jun 27 TI - Selecting the most suitable organizational structure for hospitals: an integrated fuzzy FUCOM-MARCOS method. PG - 29 LID - 10.1186/s12962-022-00362-3 [doi] LID - 29 AB - BACKGROUND: Previous studies mentioned four organizational structures for hospitals, which are budgetary, autonomous, corporate, and private. Nevertheless, healthcare decision-makers are still required to select the most organizational structure specific to their circumstances. The present study aims to provide a framework to prioritize and select the most suitable organizational structure using multicriteria decision-making (MCDM) methods in Iranian hospitals. METHODS: First, a multicriteria decision-making model consisted of the respective criteria, and alternatives were developed. The pertinent criteria were identified through a systematic literature review. The coefficient weights of the identified criteria were then calculated using FUCOM-F. Finally, organizational structures were prioritized in accordance with the identified criteria using FMARCOS. RESULTS: The findings reveal that income is the most significant criterion in selecting organizational structures for hospitals whereas the number of outpatient visits is the least important. Also, the private structure is the most appropriate, and budgetary style is the least suitable organizational structure for Iranian hospitals. CONCLUSION: Providing a framework in order to select the most appropriate organizational structure could help managers and policymakers of the healthcare sector in Iran and other countries, mainly similar developing countries. CI - (c) 2022. The Author(s). FAU - Khosravi, Mohsen AU - Khosravi M AD - Department of Health Services Management, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Haqbin, Arash AU - Haqbin A AD - Department of Management, Shiraz University, Shiraz, Iran. FAU - Zare, Zahra AU - Zare Z AD - Department of Health Services Management, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Shojaei, Payam AU - Shojaei P AD - Department of Management, Shiraz University, Shiraz, Iran. pshojaei@shirazu.ac.ir. LA - eng PT - Journal Article DEP - 20220627 PL - England TA - Cost Eff Resour Alloc JT - Cost effectiveness and resource allocation : C/E JID - 101170476 PMC - PMC9235283 OTO - NOTNLM OT - FUCOM OT - Fuzzy set theory OT - Hospitals OT - MARCOS OT - Organizational structure OT - Structural adjustment policy COIS- The authors declare that they have no competing interests. EDAT- 2022/06/28 06:00 MHDA- 2022/06/28 06:01 PMCR- 2022/06/27 CRDT- 2022/06/27 23:43 PHST- 2022/01/30 00:00 [received] PHST- 2022/06/18 00:00 [accepted] PHST- 2022/06/27 23:43 [entrez] PHST- 2022/06/28 06:00 [pubmed] PHST- 2022/06/28 06:01 [medline] PHST- 2022/06/27 00:00 [pmc-release] AID - 10.1186/s12962-022-00362-3 [pii] AID - 362 [pii] AID - 10.1186/s12962-022-00362-3 [doi] PST - epublish SO - Cost Eff Resour Alloc. 2022 Jun 27;20(1):29. doi: 10.1186/s12962-022-00362-3.