A MOORA-Based Decision Support Framework for Ranking Healthcare Service Performance Using Patient Perception Data
DOI:
https://doi.org/10.30812/matrik.v25i2.6210Keywords:
Decision Support System, Healthcare Service Performance, Multi-criteria decision makingAbstract
Healthcare service performance evaluation has become an essential aspect in improving service quality and supporting evidence-based decision-making in healthcare institutions. Increasing patient expectations require healthcare providers to assess and enhance their service performance across multiple dimensions continuously. Therefore, a systematic, objective evaluation approach is needed to measure service quality effectively. This study aims to evaluate healthcare service performance using a multicriteria
decision-making approach based on patient perception data. This research employs a quantitative method, collecting data through structured questionnaires administered to 152 respondents. The instrument consists of 25 indicators derived from five service quality dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Data validity and reliability were tested using Pearson correlation and Cronbach’s Alpha, confirming that the instrument is valid and reliable. Furthermore, data analysis was conducted using the Multi-Objective Optimization on the Basis of Ratio Analysis (MOORA) method, including the construction of the decision matrix, normalization, optimization, and ranking. The results indicate that the reliability dimension achieved the highest preference value (A1 = 0.059), followed by empathy (A4) and tangibles (A5) (0.057), while responsiveness obtained the lowest
value (A2 = 0.052). These findings demonstrate that reliability is the strongest aspect of healthcare service performance, whereas responsiveness requires priority improvement. This study contributes by providing an objective, systematic evaluation framework that integrates patient-perception-based service quality dimensions with the MOORA method to generate measurable performance rankings. The proposed framework offers a practical decision-support tool for healthcare managers in determining
priority strategies for service quality improvement.
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References
[1] Z. Humaira, M. I. Ariandi, A. Qur’ania, and T. Puja Negara, “Multi-Objective Optimization by Ratio Analysis (MOORA)
Method for Decision Support System in Selecting the Best Electric Car: Metode Multi-Objective Optimization by Rasio Analysis
(MOORA) Untuk Sistem Pendukung Keputusan Dalam Pemilihan Mobil Listrik Terbaik,” Indonesian Journal of Statistics
and Its Applications, vol. 8, no. 2, pp. 129–131, Dec. 2024, https://doi.org/10.29244/ijsa.v8i2p129-131.
[2] Z. Sitorus, A. Karim, A. H. Nasyuha, and M. H. Aly, “Implementation of MOORA and MOORSA Methods in Supporting
Computer Lecturer Selection Decisions,” JURNAL INFOTEL, vol. 16, no. 3, pp. 554–566, Sep. 2024, https://doi.org/10.20895/
infotel.v16i3.1184.
[3] F. Cheng, Y. Jin, C.-W. Chien, L. Xiong, and Y.-C. Chuang, “A Hybrid MADM Model for Newly Graduated Nurse’s
Competence Evaluation and Improvement,” Journal of Healthcare Engineering, vol. 2021, pp. 1–15, Mar. 2021, https:
//doi.org/10.1155/2021/6658538.
[4] P. M. Sitanggang and K. Siregar, “Analisis Metode MOORA dan MOOSRA Dalam Pemilihan Peserta Olimpiade Matematika,”
RESOLUSI : Rekayasa Teknik Informatika dan Informasi, vol. 3, no. 1, pp. 6–16, 2022.
[5] R. Singh, V. K. Pathak, R. Kumar, M. Dikshit, A. Aherwar, V. Singh, and T. Singh, “A historical review and analysis on
MOORA and its fuzzy extensions for different applications,” Heliyon, vol. 10, no. 3, p. e25453, Feb. 2024, https://doi.org/10.
1016/j.heliyon.2024.e25453.
[6] L. J. Morrison Coulthard, “A Review and Critique of Research Using Servqual: A review and critique of research using
SERVQUAL,” International Journal of Market Research, vol. 46, no. 4, pp. 479–497, Jul. 2004, https://doi.org/10.1177/
147078530404600401.
[7] M. Iqbal, V. Paramarta, and K. Kosasih, “The Improvement of Health Service Effectiveness and Efficiency Through the Implementation
of Information Technology at PKU Muhammadiyah Mayong Jepara Hospital,” Journal of Community Health
Provision, vol. 4, no. 2, pp. 69–76, Nov. 2024, https://doi.org/10.55885/jchp.v4i2.389.
[8] A. Kose, “Evaluation of Statistical Regions According to Preventive Health Service Indicators by Multidimensional Scaling and
MOORA Methods,” Journal of Midwifery and Health Sciences, vol. 8, no. 4, pp. 283–292, Dec. 2025, https://doi.org/10.62425/
esbder.1595163.
[9] A. Yanda and M. Mesran, “Penentuan Penerima Bantuan Pangan Non Tunai (BPNT) Menerapkan Metode Multi Objective
Optimization on the Basis of Ratio Analysis (MOORA),” Bulletin of Informatics and Data Science, vol. 1, no. 2, p. 38, Nov.
2022, https://doi.org/10.61944/bids.v1i2.42.
[10] S. Rahmatia, M. Basri, I. Ismail, S. Adi, N. Nasrullah, and A. Ahmad, “Service quality in hospital inpatient care: SERVQUAL
model approach,” Health SA Gesondheid, vol. 30, p. a3055, Sep. 2025, https://doi.org/10.4102/HSAG.v30i0.3055.
[11] D. O. Wibowo and A. T. Priandika, “Sistem Pendukung Keputusan Pemilihan Gedung Pernikahan pada Wilayah Bandar Lampung
Menggunakan Metode Topsis,” Jurnal Informatika dan Rekayasa Perangkat Lunak, vol. 2, no. 1, pp. 73–84, Apr. 2021,
https://doi.org/10.33365/jatika.v2i1.728.
[12] A. A. Puji, “Supply Chain Risk Mitigation Based on The Integration of House of Risk and MOORA,” Jurnal Teknik Industri,
vol. 25, no. 2, pp. 145–160, Aug. 2024, https://doi.org/10.22219/JTIUMM.Vol25.No2.145-160.
[13] S. M. Alshahrani, “AHP-MOORA framework for longitudinal evaluation of Pharm.D program learning outcomes: A tool for
Saudi pharmacy programs accreditation and curriculum enhancement,” Frontiers in Medicine, vol. 12, p. 1628510, Aug. 2025,
https://doi.org/10.3389/fmed.2025.1628510.
[14] R. Efendi, A. Erlanshari, and M. Nopita Sari, “Implementasi Metode Moora dalam Menentukan Kelayakan Penerima Program
Keluarga Harapan (PKH),” JSAI (Journal Scientific and Applied Informatics), vol. 5, no. 3, pp. 266–275, Nov. 2022, https:
//doi.org/10.36085/jsai.v5i3.3652.
[15] B. Warsita, “Landasan Teori Dan Teknologi Informasi Dalam Pengembangan Teknologi Pembelajaran,” Jurnal Teknodik, pp.
84–96, Mar. 2014, https://doi.org/10.32550/teknodik.v0i0.91.
[16] F. Gurbuz and G. Erdinc, “Selecting The Best Hotel Using The Fuzzy-Moora MethodWith a New CombinedWeight Approach,”
in 2018 2nd International Symposium on Multidisciplinary Studies and Innovative Technologies (ISMSIT). Ankara: IEEE,
Oct. 2018, pp. 1–8, https://doi.org/10.1109/ISMSIT.2018.8566688.
[17] V. Wijaya, F. Nugroho, and K. Kraugusteeliana, “Optimizing Decision-Making for Aid Allocation in Underdeveloped Regions
Using the MOORA Method,” Journal of Computer Networks, Architecture and High Performance Computing, vol. 6, no. 3, pp.
1682–1692, Jul. 2024, https://doi.org/10.47709/cnahpc.v6i3.4389.
[18] H. Iksan, S. Wibowo, and A. Handayanto, “Multi-Objective Optimization By Ratio Analysis (MOORA) Sebagai Implementasi
Rekomendasi Penghargaan Dosen Berbasis Website,” JIIFKOM (Jurnal Ilmiah Informatika dan Komputer), vol. 3, no. 2, pp.
13–19, Jul. 2024, https://doi.org/10.51901/jiifkom.v3i2.429.
[19] E. Yennylawati, M. Mustafid, and A. F. Rochim, “Enablers and Barriers to Green Supply Chain Management with TOPSIS
and MOORA for Prioritzing Decision-Making,” Jurnal Sistem Informasi Bisnis, vol. 15, no. 3, pp. 340–346, Jul. 2025, https:
//doi.org/10.14710/vol15iss3pp330-336.
[20] M. Ican, M. Marsono, and K. Sari, “Penerapan Metode Moora (Multi Objective Optimaztion by Ratio Analysis) Dalam Menentukan
Lokasi Penambahan Cabang,” Jurnal Sistem Informasi Triguna Dharma (JURSI TGD), vol. 2, no. 3, p. 403, May 2023,
https://doi.org/10.53513/jursi.v2i3.7612.
[21] P. K. Lumbantoruan, S. Manurung, and M. Yohanna, “Penerapan Metode Moora Dalam Menentukan Karyawan Terbaik Pada
RRI (Radio Republik Indonesia) Medan,” METHOSISFO : Jurnal Ilmiah Sistem Informasi, vol. 3, no. 1, pp. 40–51, Aug. 2023.
[22] S. Saboor, V. Ahmed, C. Anane, and Z. Bahroun, “A Hybrid AHP–Fuzzy MOORA Decision Support Tool for Advancing
Social Sustainability in the Construction Sector,” Sustainability, vol. 17, no. 11, p. 4879, Jan. 2025, https://doi.org/10.3390/
su17114879.
[23] J. Downs, J. Keeley, R. Skoss, J. Mills, T. Nevill, A. Schippers, O. Lindly, and S. Thompson, “Perspectives on the essential
skills of healthcare decision making in children and adolescents with intellectual disability,” International Journal for Equity in
Health, vol. 23, no. 1, p. 119, Jun. 2024, https://doi.org/10.1186/s12939-024-02204-5.
[24] K. Gupta, S. Roy, R. C. Poonia, R. Kumar, S. R. Nayak, A. Altameem, and A. K. J. Saudagar, “Multi-Criteria Usability
Evaluation of mHealth Applications on Type 2 Diabetes Mellitus Using Two Hybrid MCDM Models: CODAS-FAHP and
MOORA-FAHP,” Applied Sciences, vol. 12, no. 9, p. 4156, Jan. 2022, https://doi.org/10.3390/app12094156.
[25] R. Singh, V. K. Pathak, R. Kumar, M. Dikshit, A. Aherwar, V. Singh, and T. Singh, “A historical review and analysis on
MOORA and its fuzzy extensions for different applications,” Heliyon, vol. 10, no. 3, p. e25453, Feb. 2024, https://doi.org/10.
1016/j.heliyon.2024.e25453.
[26] F. D’Ascenzo, A. Rocchi, F. Iandolo, and P. Vito, “Evolutionary impacts of artificial intelligence in healthcare managerial
literature. A ten-year bibliometric and topic modeling review,” Sustainable Futures, vol. 7, p. 100198, Jun. 2024, https://doi.
org/10.1016/j.sftr.2024.100198.
[27] D. N. G. W. M. Putra, A. Khoiri, and A. R. Naya, “Challenges and Opportunities to Achieve Digital Maturity in Healthcare:
A Literature Review,” JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), vol. 13, no. 3, pp. 347–360, Dec. 2024,
https://doi.org/10.18196/jmmr.v13i3.453.
[28] Y. Rahmanto, J. Wang, S. Setiawansyah, A. Yudhistira, D. Darwis, and R. R. Suryono, “Optimizing Employee Admission
Selection Using G2M Weighting and MOORA Method,” Paradigma - Jurnal Komputer dan Informatika, vol. 27, no. 1, pp.
1–10, Mar. 2025, https://doi.org/10.31294/p.v27i1.8224.
[29] P. Majumder, A. Pal, D. R. Dorai, B. Gopinathan, S. Mallik, N. Ahmad, A. S. Badawy, and S. B. Changalasetty, “Accelerating
depression intervention: Identifying critical psychological factors using MCDM-MOORA technique for early therapy
initiation,” Annals of General Psychiatry, vol. 23, no. 1, p. 35, Oct. 2024, https://doi.org/10.1186/s12991-024-00518-w.
[30] E. P. A. Sugara, A. Ramadhani, and M. Rudiansyah, “Consistency Preserving MOORA Framework for Robust Educational
Admission and Healthcare Triage,” Journal of Intelligent Computing & Health Informatics, vol. 6, no. 2, p. 46, Sep. 2025,
https://doi.org/10.26714/jichi.v6i2.15754.
[31] H. U. Khan and S. Nazir, “Assessing the Role of AI-Based Smart Sensors in Smart Cities Using AHP and MOORA,” Sensors,
vol. 23, no. 1, p. 494, Jan. 2023, https://doi.org/10.3390/s23010494.
[32] M. T. Y. Hilmi, U. D. Rosiani, and E. S. Astuti, “Comparison of Criteria Weight Determination Using MEREC and CRITIC
Methods in Choosing The Best Student Accommodation with the MOORA Method Case Study: Coventry University,” Jurnal
Teknik Informatika, vol. 17, no. 2, pp. 179–189, Oct. 2024, https://doi.org/10.15408/jti.v17i2.41097.
[33] C. N. Prabiantissa, M. Hakimah, N. F. Rozi, I. Puspitasari, L. N. Yamani, and V. L. Mahendra, “Mutual information-MOORA
based feature weighting on naive bayes classifier for stunting data,” Indonesian Journal of Electrical Engineering and Computer
Science, vol. 36, no. 2, p. 972, Nov. 2024, https://doi.org/10.11591/ijeecs.v36.i2.pp972-982.
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