In this study, an integrated multi-criteria framework is developed to evaluate a healthcare sector which is one of the main infrastructures for any country. Healthcare sector plays a significant role in economic development and social sustainability of countries. To improve performance of healthcare sectors, it is essentially required to evaluate the healthcare systems based on their specific characteristics in order to resolve their performance related issues based on sustainable development principles under social aspect. For this purpose, the proposed integrated framework applies a novel hybrid weight determination model using best-worst method (BWM) and level based weight assessment (LBWA) to determine the weights of healthcare indicators and subsequently, combined compromise solution (CoCoSo) method is further applied to evaluate healthcare performances of several countries according to the pre-determined indicator weights. To show applicability of the proposed framework, a real time case study for seven countries in Eastern Europe is considered based on the data set of Organisation for Economic Co-operation and Development (OECD). Results show that Lithuania and Slovakia have the best healthcare systems in comparison to countries like Poland and Estonia.

在这项研究中，开发了一个综合的多标准框架来评估作为任何国家主要基础设施之一的医疗保健部门。医疗保健部门在国家的经济发展和社会可持续性方面发挥着重要作用。为了提高医疗保健行业的绩效，本质上需要根据其特定特征对医疗保健系统进行评估，以根据社会层面下的可持续发展原则解决与绩效相关的问题。为此，提议的集成框架应用了一种使用最佳最差方法 (BWM) 和基于级别的权重评估 (LBWA) 的新型混合权重确定模型，以确定医疗保健指标的权重，随后，进一步应用组合折衷解决方案（CoCoSo）方法根据预先确定的指标权重评估多个国家的医疗保健绩效。为了显示所提议框架的适用性，我们基于经济合作与发展组织 (OECD) 的数据集，对东欧七个国家进行了实时案例研究。结果表明，与波兰和爱沙尼亚等国家相比，立陶宛和斯洛伐克拥有最好的医疗保健系统。