Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach

Sustainability is a crucial factor in Long-Term Care (LTC) programmes, which implies whether the programmes have the capability of sustaining a quality service over the long term. To evaluate the sustainability of community-based LTC programmes, a novel hybrid framework has been demonstrated with a mixed Multi-Criteria Decision Making (MCDM) technique. According to extensive literature review and the fuzzy Delphi method, four pillars of initial criteria and twelve sub-criteria have been determined. Then a weighted hierarchy has been constructed with Analytic Hierarchy Process (AHP) to constitute the evaluation index system. In order to prove our framework, a case study of four community-based LTC programmes in Michigan is presented by applying the fuzzy technique for order preference by similarity to an ideal solution (TOPSIS) method. The results indicate that programme P2 has the best potential of sustainability, and sub-criteria associated with economy outweigh other sub-criteria. The sensitivity analysis verifies that the result of the ranking remains stable regardless of the fluctuation in sub-criteria weights, which proves the evaluation results and proposed model to be accurate and effective. This study develops a comprehensive and effective framework for evaluating community-based LTC programmes from the sustainability perspective