Cost Overrun Risk Assessment for Healthcare Projects: A Modified Fuzzy Group Decision-Making Approach
Publication: Journal of Construction Engineering and Management
Volume 150, Issue 12
Abstract
This study investigated the myriad risk factors contributing to cost overruns in healthcare construction projects. It determined the impact of managerial, financial, workerpower, and environmental considerations, focusing on the intricacies of healthcare facilities. By employing a modified fuzzy group decision-making approach (MFGDMA), the research methodically quantified the subjective perceptions of diverse stakeholders involved in project execution. Results reveal that labor-related issues—such as shortages, productivity, and skill deficits—along with managerial delays, particularly in decision-making and change orders, significantly contribute to cost escalations. The study’s novelty lies in its integration of fuzzy logic to defuzzify risk perceptions, providing a clear hierarchy of risk factors, which assists in the strategic prioritization of risk mitigation efforts. Additionally, it demonstrates a risk response plan considering the fuzzy-based risk assessment findings, which can serve as a hands-on tool guiding healthcare project practitioners to develop their risk management plans and monitor cost overrun risks throughout the execution phases of a project. The application of the research findings suggests policy implications for improved risk management frameworks toward the development of more-resilient and -efficient strategies for managing healthcare construction projects without prohibitive cost overruns.
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Data Availability Statement
This study was conducted in accordance with the principles of research ethics. Some or all data, models, or code that support the findings of this study are available from the corresponding author upon reasonable request.
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Published In
Journal of Construction Engineering and Management
Volume 150 • Issue 12 • December 2024
Copyright
© 2024 American Society of Civil Engineers.
History
Received: Feb 2, 2024
Accepted: Jun 24, 2024
Published online: Sep 17, 2024
Published in print: Dec 1, 2024
Discussion open until: Feb 17, 2025
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