Evaluating Trauma Management Performance in Europe: A Multiple-Layer Data Envelopment Analysis Model

Author:

Shen Yongjun1,Hermans Elke1,Ruan Da1,Wets Geert1,Brijs Tom1,Vanhoof Koen1

Affiliation:

1. Transportation Research Institute, Hasselt University, Wetenschapspark 5 bus 6, 3590 Diepenbeek, Belgium.

Abstract

Trauma management (TM) concerned with the medical treatment of injuries resulting from road crashes is considered key in avoiding preventable death and disability and in reducing the severity and suffering caused by the injury. To understand the concept of TM better and to evaluate the level of overall performance in different countries, a hierarchical set of TM indicators is developed and subsequently combined into an overall index. Data envelopment analysis (DEA) is explored, and a multiple-layer DEA model is developed to reflect the hierarchical structure of the indicators. With 17 TM performance indicators related to emergency medical services and permanent medical facilities, the most optimal TM index score is computed for 21 European countries. The weights assigned to the indicators of each layer of the hierarchy are deduced, to provide insight into the critical aspects of the prevalent TM system. In addition, country groups in accordance with the index score are evaluated, and a particular set of benchmark countries is identified for those countries with relatively poor performance.

Publisher

SAGE Publications

Subject

Mechanical Engineering,Civil and Structural Engineering

Reference25 articles.

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