An AHP Approachto Assess Hospital Websites

Hospital Website is a site that furnishes patients/users with online information and information related services, such as clinical services, various types of treatments, symptoms of a disease, doctors availability, and a channel of communication with the hospital and peer users. These days, many people are using the internet to choose a proper hospital/medical center website with their required medical needs. Hence the quality of websites of hospitals / medical centers is very important to provide the requ information of the patients or users. In this paper, we use one of the most popular multi criteria decision methods (MCDM); analytical hierarchy process (AHP) to choose a hospital / medical center website in

Hospital Website is a site that furnishes patients/users with online information and information related services, such as clinical services, various types of treatments, symptoms of a disease, doctors availability, and a channel of communication with the hospital and peer users. These days, many people are using the internet to choose a proper hospital/medical center website with their required medical needs. Hence the quality of websites of hospitals / medical centers is very important to provide the required information of the patients or users. In this paper, we use one of the most popular multi criteria decision MCDM); analytical hierarchy process (AHP) to choose a hospital / medical center website in method (MCDM), uality metrics These days, time is critical factor in human life. Consequently, the organizations including hospital/medical centers, are attempting to give ic administrations to the patients/users. Hospitals are extremely populated centers; hence they cause so many problems like viral diseases like cold and fluand also, high price of doctor's appointments, long lines of reception in hospitals and necessity of radiology and sonography centers to receive the results have led to an increase in using of hospitals/medical websites. Using the internet and communication technology provides the hospital and medical centers with the following benefits: to provide more qualified services, to provide valuable information for their patients, to decline the expenditures, to have direct interaction with patients, to save their time, to increase efficiency, and finally to enable the hospit centers to overcome the competitors. Recently, we have seen a proliferation of electronic websites with a tremendous amount of information either with high quality, or with low quality, as well as sites that are out right misleading. Furthermor rapid increase in the use of the internet for health information and advice. Nowadays, it is believed that prevention is prior to treatment. The explosion of the web and increase in hospital/medical websites has determined the need of comprehensive frame work to evaluate the aspects related to the quality of hospital/medical websites. The objective is to make a hospital /medical website useful, profitable, efficient, reliable, safe, and accessible. Awareness of quality issues has recently affected all kinds of websites. An organization, hospital or a medical center, with a website which is difficult to use or to interact leads to a poor image on the internet and weakens an organization's position. Therefore, it is important for any hospital/medical center to have the ability to make an assessment of the quality of their services and information, in order to improve their offerings over time and benchmark against competitors.
There is limited number of research studies in which more than one or two assessment variables associated provides the hospital and medical centers with the following benefits: to provide more qualified services, to provide valuable information for their patients, to decline the expenditures, to have direct interaction with patients, to save their time, to increase efficiency, and finally to enable the hospitals/medical centers to overcome the competitors. Recently, we have seen a proliferation of electronic websites with a tremendous amount of information either with high quality, or with low quality, as well as sites that are out right misleading. Furthermore, there has been a rapid increase in the use of the internet for health information and advice. Nowadays, it is believed that prevention is prior to treatment. The explosion of the web and increase in hospital/medical websites has omprehensive frame work to evaluate the aspects related to the quality of hospital/medical websites. The objective is to make a hospital /medical website useful, profitable, efficient, reliable, safe, and accessible. Awareness of quality y affected all kinds of websites. An organization, hospital or a medical center, with a website which is difficult to use or to interact leads to a poor image on the internet and weakens an organization's position. Therefore, it is important for al/medical center to have the ability to make an assessment of the quality of their services and information, in order to improve their offerings over time and benchmark against competitors.
research studies in which e or two assessment variables associated International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470 @ IJTSRD | Available Online @ www.ijtsrd.com | Volume -1 | Issue -5 | July-Aug 2017 Page: 430 with design, organization and implementation of a website are considered. Thus, while there should be a considerable number and variety of factors associated with website success, little researches exist about the combination of these factors and services. In another word, although there are various and remarkable number of success factors in websites, there is not any research comprehensively considers all of these factors and services. In fact, there is not any investigation relevant to hospital/medical websites. The users are considered as an important factor in realization of purposes in an organization. Accordingly, users and their needs should be the priority in designing and implementing websites. To know users means that to understand how they make preferences. Generally, user preferences for a website indirectly measured through an interview or a questionnaire. In our research, to interacted and consulted with users and studding the visitors and patients' feedback, a questionnaire was voluntarily distributed among a great number of users of four hospital/medical websites; including doctors, website designers and usual people. By visiting hospital/medical websites and their different sections and services, the users consciously or unconsciously gave different values to the factors evaluating websites' quality. Then, we used the obtained data as a base to make a conceptual frame work.

LITERATURE REVIEW
Because of the great expansion of websites in all dimensions of life and dependency on web services in different organizations, websites characteristics are really important. They have been a constant concern of research in different domains and they were widely studied in the e-commerce literature. Although, as it mentioned before, there are limited number of studies in which more than one or two variables associated with design, implementation and organization of web site are considered. al., [15] had discussed the health websites that people can trust hypertension. They have pointed the key difference between face-to-face communication and web-based systems. Recently, in health and medicine field, the internet has become an important mass medium for consumers seeking health information and health care services online [16]. Evaluation on websites related to medical health has naturally become a hot topic in the studies of health informatics and information management. Research of this kind involves Kim and colleagues' [17], Schmidt & Ernst's [18], Cui's [19], and Wang's [20], etc. In Schmidt & Ernst's research, it is found the most popular websites on complementary and alternative medicine for cancer offer information of extremely variable quality. Many endorse unproven therapies and some are outright dangerous. Similar views can also be found in Cui's research. In Wang's research, however, more attention is paid to the formation of index system with the statistical methods. Through taking the step of reviewing literature, it can be found that research concerning hospital website evaluation makes up for a minority although there is quite a number of researches related to evaluation on medicine-related information online [21][22][23][24][25]. Only Wang's study is related to evaluation on hospital websites in China. Increasingly, hospital websites are beginning to act as extension of hospital service, offering access to a range of information and applications. Therefore, in a bid to facilitate the public's access to reliable information and services from hospital websites, we deem that it is very imperative to evaluate hospital websites, especially those large-sized comprehensive ones.

2.3.Literature review related to mathematical models
Quahri Saremi et al., [26], used graph theory definitions, quadratic problem approach, ant-colony technique and meta-heuristic method to design the website. Duan et al., [27], had used algebraic reasoning for effective website maintenance. Moreno et al., [28] used 2-tuple fuzzy linguistic approach for assessing websites. Zhou used [29] data crawler, recursive, parser and data transmission algorithms to measure the websites. However, the website selection involves multiple criteria, so instead of traditional methods the multicriteria decision methods (MCDM) can give the best solution. Multiple Criteria Decision Making(MCDM) is a largely used discipline to solve complex decision problems involving more than one criterion [30]. MCDM also is continuously growing in fields of Mathematics, Decision Sciences, Business, Management and Accounting, Medicine, Social Sciences, Environmental Science, Economics, Econometrics and Finance, etc. MCDM methods are increasingly being used in the last decade. In order to evaluate web site quality, any process goes through a step of specifying certain criteria. The distribution of criteria importance and ranking web sites are generally solved by MCDM techniques [31].There are many methods as AHP, ANP, TOPSIS, VIKOR, PROMETHEE, ELECTRE; choosing the best method is, it-self, a multi-criteria decision-making problem. In this paper, we considered Analytical hierarchy process (AHP) for website evaluation. AHP is developed by saaty [32]is a decision-making method for prioritizing alternatives when the multiple criteria must be considered. There are various applications of AHP, we review few studies. Dolan et al., [33] provided a detailed review of the theoretical foundations and methodology of the AHP using the treatment of a dog bite wound as motivating example. Castro et al., [34] applied AHP to the selection of diagnostic tests for upper abdominal pain. Richmen et al., [35] applied the AHP for prostate cancer treatment. Turri.J.J., [36] applied AHP to select magnetic resonance imaging vendor. Tak, F.W., [37] used AHP to evaluate image quality of both conventional and computed radiology Hummel et al., [38] proposed the application of AHP to the medical technology assessment that occurs during the development process and prior to clinical diffusion.. Kwak et al., [39] used AHP to human resource planning in hospital. Chang et al [40] applied AHP as a part of study of service quality for nursing home. R. Rekik et al., [41] had used Fuzzy reduced method for evaluating the quality of institutional web sites.O. I. Markaki, et al., [42] had used Fuzzy Analytic Hierarchy Process to Evaluate the Quality of E-Government Web Sites. X. Yu, et al. [43], used AHP and fuzzy TOPSIS for ranking of e-commerce websites in e-alliance.

METHODOLOGY
In this study, we considered the seven-quality metrics/criteria: content quality, design quality, organization quality, user friendly quality, performance quality, service quality and technical points, proposed by Vahid Rafe et al., [44]and assumed that the patient/user's requirement is to know the disease symptoms ,to get second opinion from the concerned specialists, to know the information about various clinical services and process and to know the preventive methods for normal health problems but not for serious , emergency cases.. This paper presents the ranking for the websites of top four hospitals in Hyderabad: APOH, CARH, YASH, KIMH, and the hospital names are not revealed because of their corporate security. The first three letters represent the hospital name. In this study, we use analytical hierarchy process (AHP) which can be used for qualitative and quantitative data The AHP measures the relative importance of alternatives. The importance of one priority over the another can be judged by numerical value using a scale of 1-9 where 1 denotes equal importance and 9 denotes the absolutely highest importance. The result of these comparisons using the AHP scale is a square n n  matrix. A pair wise comparison is based on evaluating two elements (alternatives or criteria) at a time. A pair wise comparison is the process of comparing the relative importance, preference, or likelihood of two elements with respect an element in the level above. When all the pair wise comparisons are done, we calculate the priorities and a measure of consistency of our judgement. Generally, the consistency ratio should be less than 0.10(10%). The number of comparisons would be   ( 1) 2 n n  , where n is the number of criteria in the model. Detailed description of the theoretical aspects of AHP can be found in Saaty. [32]