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Publications

Publications by Miguel Alves Pereira

2022

From a millennium to a sustainable water and sanitation development: were we there already?

Authors
Pereira, MA; Marques, RC;

Publication
AQUA-WATER INFRASTRUCTURE ECOSYSTEMS AND SOCIETY

Abstract
The Sustainable Development Goals (SDGs) of the United Nations (UN) brought many countries closer to the best practices in several sectors. However, regarding water and sanitation services (WSS), the evolution from the original Millennium Development Goals (MDGs) is not yet understood. Therefore, analysing whether low- and middle-income nations were able to converge in terms of WSS is fundamental for policy-making. Here, we propose a benchmarking exercise aimed at assessing the performance of 123 low- and middle-income UN Member States regarding WSS development targets over the 2001-2015 period of MDG pursuance. In the end, we show that, on average, the assessed Member States were already fully convergent before the implementation of the SDGs, despite further improvements with the latter. Additionally, we show that all UN regional groupings were able to decrease not only the performance spread of their Member States, but also the gap between the best practice frontier and the worst practice frontier. Besides, the Proportion of population using an improved drinking water source was the indicator with the highest performance growth in the considered period.

2023

Are the Portuguese public hospitals sustainable? A triple bottom line hybrid data envelopment analysis approach

Authors
Pederneiras, YM; Pereira, MA; Figueira, JR;

Publication
INTERNATIONAL TRANSACTIONS IN OPERATIONAL RESEARCH

Abstract
The harmonious interaction between humans and the biosphere determines how sustainable existence and coexistence are. However, when social challenges appear, sustainability is heavily compromised. Health is one of the areas affected by such challenges, with the delivery of health services being ensured by health systems. Consequently, understanding how sustainable health services are, especially those that consume the majority of resources-hospitals-is indispensable for a sustainable future. For this reason, we propose using a hybrid data envelopment analysis (DEA) approach to study hospital sustainability in Portugal under environmental, social, and economic perspectives, in cooperation with the Portuguese Ministry of Health. In particular, the proposed methodology incorporates the preference information of decision makers (via the construction of utility scales and the determination of Mobius coefficients) and criteria interactivity, due to the integration of the Choquet multiple criteria preference aggregation model in the DEA approach. In the end, despite approximately 30% of the sampled 29 assessed hospitals were deemed as efficient across the three perspectives in 2018, only 1 was entirely sustainable.

2023

Energy storage strategy analysis based on the Choquet multi-criteria preference aggregation model: The Portuguese case

Authors
Pereira, AA; Pereira, MA;

Publication
SOCIO-ECONOMIC PLANNING SCIENCES

Abstract
With the increase in renewable energy generation and its problems related to output instability, storage systems must be implemented in parallel to account for this effect. Therefore, it is valuable to deepen the study of these technologies' performances in their several application tiers, thus understanding the potential of each alternative, both per tier and as a whole. For this reason, a collaborative multi-criteria decision -aiding framework is proposed to rank the various available options in several layers of the energy storage market, constructed alongside experts and policy-makers from each tier that serve as actors of the decision -making process and using Portugal as a case study. Based on the Choquet multi-criteria preference aggregation model, to the best of the authors' knowledge, this framework is an unprecedented application in the energy sector. Beyond a critical review of the results, a scenario analysis was performed to explore interesting future possibilities that may aid governments to make decisions in the search for an energy sustainable development. Chemical storage solutions, such as Hydrogen and Methane, as well as several electrochemical batteries, especially Lithium-and Nickel-based ones, were the standout energy storage solutions. Chemical storage was shown to have the desired characteristics for the Long-term grid tier. Meanwhile, batteries, including Redox Flow in the first case, have overperformed in the Microgrid and Mobility tiers. No standout solutions appeared in the Short-term grid tier. Unsurprisingly, the aforementioned chemical storage systems, batteries, and Hot Water have presented themselves as the most politically interesting technologies, due to their multipurpose uses and intrinsic characteristics.

2021

A critical look at the Portuguese public-private partnerships in healthcare

Authors
Pereira, MA; Ferreira, DC; Marques, RC;

Publication
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT

Abstract
The pre-conceived idea that contracts in a public-private partnership (PPP) regime, in healthcare or in any other economic sector, are, as a rule, ruinous and appealing for only a share of the stakeholders, lacks a solid basis that confirms it. This idea, outset and nurtured by the media, has been instigating the distrust of the users who, in turn, demand a more rigorous and efficient utilisation of public resources. Being Portugal in the top of countries that resort to PPPs, it is urgent to inquire if its respective contracts originated an inefficient and ineffective management of resources. It is precisely this discussion that we address in this paper, focusing our efforts in the Portuguese healthcare sector.

2020

Using multi-criteria decision analysis to rank European health systems: The Beveridgian financing case

Authors
Pereira, MA; Machete, IF; Ferreira, DC; Marques, RC;

Publication
SOCIO-ECONOMIC PLANNING SCIENCES

Abstract
Health is one of the most fundamental human rights. In that sense, the creation of health systems attempted to provide the population with organisations, institutions, and resources to meet their needs. However, health inequalities are prevalent in all countries. Thus, evaluating health systems is vital to understand this issue. Accordingly, the aim of this work is to develop a multi-criteria decision analysis (MCDA) approach to innovatively rank nine of the European health systems with Beveridgian financing that would help determine the shortcomings of the Portuguese National Health Service and discern the operating "best practices", in a close interaction with the Portuguese Ministry of Health. First, the panel of decision-making actors was guided through the design of a cognitive map to promote their learning process and help them identify eleven fundamental points of view. Second, their operationalisation was facilitated by selecting acceptable descriptors of performance. Finally, an MCDA approach was proposed to evaluate the chosen health systems using an additive model, which included a sensitivity and a robustness analysis. In the end, the model was perceived by the panel as being trustworthy and reliable. This framework can be used for further MCDA modelling in similar applications based on participatory procedures.

2020

Using a Choquet integral-based approach for incorporating decision-maker's preference judgments in a Data Envelopment Analysis model

Authors
Pereira, MA; Figueira, JR; Marques, RC;

Publication
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH

Abstract
In a world in permanent (r)evolution that revolves around money, seeking new ways to contain costs, better allocate resources, and, overall, improve performance is a constant across all fields. Hence, the use of computational methods based on operational research and statistical science is crucial for achieving an appropriate combination of efficiency and effectiveness, especially in domains where the decision-making process is a complex task. This is where Data Envelopment Analysis (DEA) comes in. However, as a non-parametric and, usually, purely objective technique, DEA makes up for what it lacks in incorporating preference information with flexibility and adaptability, which is particularly important in areas where the decision-makers' judgments are crucial. This work proposes a cutting-edge and original approach to fill in this knowledge gap by linking DEA and multiple criteria decision-making with an additive DEA model that takes into account criteria interactivity, by using an inference methodology to determine their weights, and decision-makers' preference information incorporation, by taking advantage of the Choquet multiple criteria preference aggregation model. Thus, this approach was applied to a case study of performance assessment of Portuguese National Healthcare Service secondary healthcare providers across robustness-testing perspectives, generating credible weights stemmed from the decision-maker's judgments and yielding acceptable and valid results.

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