TY - JOUR AU - Behzadi, Mohammad Hasan AB - 1. Introduction Scrutinizing the performance of entities and organizations is a crucial liability of the top-level management team that can be carried out by various techniques. Data envelopment analysis (DEA), first suggested by Charnes et al. [1] (Charnes-Cooper-Rhodes (CCR model)) and continued by Banker et al. [2] (Banker-Charnes-Cooper (BCC model)), is a nonparametric way to appraise the relative efficiency of decision-making units (DMUs) with multiple input-output. Both CCR and BCC have been developed for many topics and with many successful applications and case studies, as reported in the DEA published works [3–5]. Since DEA is data-based, data entry errors, statistical noise, and incomplete data create disturbances in evaluating DEA’s efficiency. A commonly asked question is, “How sensitive are the DMUs to possible variations in the data?” This matter has been considered as a performance stability analysis in DEA. Numerous studies have focused on this topic. For the most up-to-date sensitivity analysis problems, the interested reader can observe: Zhu [6], Jahanshahloo et al. [7], Abri et al. [8], Zamani and Borzouei [9], Neralić and Wendell [10], Hladík [11], Khoveyni and Eslami [12], Arabjazi et al. [13], among others. In early studies of DEA stability analysis, which was named the “Algorithmic approach,” Charnes et al. [14] treated the sensitivity of a single output of an efficient unit by using the optimal basis matrix of an LP problem. This approach was extended and improved by a few sensitivity analysis papers by Charnes and Neralić in which sufficient conditions were determined to preserve efficiency (see, for example, [15, 16]). Thompson et al. [17] and Thompson et al. [18] provided a DEA multiplier approach to sensitivity analysis using the strong complementary slackness condition (SCSC) of centrality. Sensitivity analysis based on the super-efficiency technique in DEA is also another type of sensitivity analysis in which the DMU under evaluation is not included in the reference set. Charnes et al. [19] and Charnes et al. [20] proposed a super-efficiency DEA model where the simultaneous proportional variation of all inputs and outputs is applied to a DMU under test. Seiford and Zhu [21, 22] considered input and output changes separately and proposed an iterative procedure to define an input stability region (ISR) and an output stability region (OSR). Zhu [6] presented the maximum radius that preserves efficiency or inefficiency when the data of all DMUs are changed simultaneously and unequally. Metters et al. [23] inspected the stability of a DMU batch. They divided DMUs and then specified the stability of DMUs using a trial and error unit scheme. Jahanshahloo et al. [24] developed the largest stability region for BCC and additive models by supporting hyperplanes for the DMU under evaluation. Liu et al. [25] studied the sensitivity analysis for efficient DMU when the data uncertainty occurred locally. They considered the constancy of an efficient DMU by worsening a class of DMUs simultaneously in the same directions to keep the under evaluation DMU remaining on the efficient frontier. Boljunčić [26] used an iterative procedure so that data changes do not affect the optimal basis matrix, and parametric programming was applied to obtain possible input or output perturbation. Mozaffari et al. [27] offereda step method(STEM), an interactive technique of multiple objective linear programming (MOLP), for maintaining efficiency classification when all interval data is simultaneously altered for the DMU under test. Abri et al. [28] to define the consistency radius for efficient DMUs and quasi-efficient DMUs presented a super-efficiency model in DEA. Singh [29] provided multiparametric sensitivity analysis by classifying the perturbation parameters as ‘‘focal” and ‘‘nonfocal” and found critical regions for the efficient DMU under evaluation. Wen et al. [30], Khalili-Damghani and Taghavifard [31] surveyed the stable states of efficiency of DMUs in a fuzzy environment. Hladik [32] proposed stability analysis in linear programming and addressed the expansion of the maximum tolerance area. Jahanshahloo et al. [7] obtained a stability region for inefficient DMUs. Their method was considered a new frontier with a performance score of α < 1 for a specific inefficient DMU that α defined as constant by the manager. Abri [8] demonstrated the sensitivity of returns to scale by stability radius. Daneshvar et al. [33] offered a DEA model by modifying the variable returns to scale (VRS) model to improve the efficiency stability region obtained from this model. Khodabakhshi et al. [34] and He et al. [35] determined the stability radius based on input relaxation super-efficiency measure and interval data, respectively. Arabjazi et al. [36] studied efficiency stability in the presence of stochastic data for DMUs in which data perturbations do not affect their classifications. Agarwal et al. [37] scrutinized the robustness of DEA efficiency scores by changing the reference set of the inefficient DMUs via a new slack model (NSM). Banker et al. [38] inspected stability in stochastic data envelopment analysis. They applied the stochastic DEA (SDEA) model and obtained the necessary and sufficient conditions to preserve the efficiency classification of all DMUs. Zamani and Borzouei [9] offered a tolerance area when an extra unit needs to be joined to the set of the observed units by defining hyperplanes of the production possibility set (PPS). Of late, an alternative method has been proposed, focusing on enlarging the maximum tolerance radius and tolerance region. See, for example, Ghazi et al. [39], Arabjazi et al. [13], and Neralić and Wendell [10]. Recently, chaotic systems have many potential applications in various fields of technical sciences and engineering. Among them, we can mention its applications in medical issues, financial issues, encryption techniques, control systems and optimization algorithms. Tian et al. [40] introduced a new deep-learned type-3 fuzzy logic system to develop a model for CO2 solubility estimation. Moreover, a new type-3 fuzzy logic system with an online optimization scheme is proposed for stabilizing and synchronizing financial chaotic systems [41]. For more information about the new type-3 fuzzy logic system, see references [42, 43]. Mombini et al. [44] focused on sensitivity analysis in DEA and proposed an approach to determine the stability radius of the cost efficiency of units with interval data. Mahla et al. [45] detailed the sensitivity and stability analysis of the fuzzy SBM DEA and obtained lower and upper sensitive bounds for input and output variables for both the inefficient and efficient DMUs to determine the input and output targets. In order to assess the efficacy of DMUs with uncertain random inputs and outputs, Jiang et al. [46] created an uncertain random DEA model. The sensitivity and stability of this new model were then examined in order to determine the stability radius of each DMU. Aslani Khiavi et al. [47] used the network inverse data envelopment analysis approach to develop a structure for the optimal regulation of the bullwhip effect and considered the effect of time and delays on the bullwhip effect score. Also lately, innovative meta-heuristic algorithms with biological and naturalistic inspirations have been developed to address challenging real-world optimization problems. A prairie dog optimization algorithm was presented by Ezugwu et al. [48] and replicates the actions of prairie dogs in their natural environment. A dwarf mongoose optimization algorithm was suggested by Agushaka et al. [49] and mimics the foraging social interactions and ecological adaptations of three social groups of dwarf mongooses. A reptile search algorithm that is inspired by crocodile hunting behavior was also proposed by Abualigah et al. [50]. Moreover, Oyelade et al. [51] introduced the Ebola optimization search algorithm based on the spread mechanism of the Ebola virus disease. Readers can find references [52, 53] if they are interested in learning more about meta-heuristic techniques for optimization issues. In standard models of DEA, it is supposed that the data values are known and fixed. However, in real conditions, there may be uncertainty and ambiguity. Many topics with many successful applications have examined situations in which the inputs and outputs are not exactly known. Recently, some researchers addressed the matter with fuzzy data [54–57]. Hence, the methods of sensitivity analysis proposed in DEA are not suitable for DMUs with fuzzy data. So in this paper, first, we present a DEA model in an uncertain environment, which will be modeled by fuzzy sets. Then, the sensitivity and stability analysis of the proposed fuzzy DEA modeling is also shown. To that end, by applying the General Fuzzy (GF) approach, the fuzzy DEA sensitivity analysis model is transformed into the equivalent crisp form of fuzzy chance constraints according to specific confidence levels. The difference between our work and the existing fuzzy procedures is that the existing approaches consider the optimistic, pessimistic, and compromised attitudes of the decision maker based on the possibility, necessity, and credibility measures in three separate models in fuzzy DEA, while the proposed stability analysis takes into account the different optimistic-pessimistic attitudes of the decision maker in one model only by setting an adjustable parameter. The drawback of the possibility, necessity, and credibility measures is that these three measures reflect the decision maker’s attitude as extremely optimistic, pessimistic, and compromising. While in order to estimate the efficiency of DMUs, we require an adjustable, flexible, and applicable measure for fuzzy decision-making problems so that this measure can reflect different perspectives of the decision maker. To put it another way, in our proposed approach, decision makers can apply different attitudes that they have obtained according to their experiences and judgments by adjusting the optimistic-pessimistic parameter for better decision-making and forecasting. In addition, GF measure models are formulated in the form of fuzzy linear programming. The main contributions of the current research can be mentioned as follows: Providing an additive DEA model with fuzzy data. Proposing a sensitivity and stability analysis of the fuzzy additive DEA model. Presenting novel general fuzzy approach and chance constrained programming to tackle the uncertainty of the fuzzy chance-constraints in the fuzzy DEA sensitivity analysis model and convert them into their equivalent crisp values. Determining the stability region and stability radius for both efficient and inefficient DMUs. The efficiency of the proposed approach is illustrated by a numerical example. Implementation of the suggested method in a real-world case study from social security organization. The rest of the paper has been organized as follows: In Section 2, first the general fuzzy measure is introduced, and then some basic concepts about the DEA additive model with fuzzy data will be presented. A sensitivity and stability analysis technique for DMUs with fuzzy data is shown in Section 3. An illustrative numerical example and a case study of social security organizations are discussed in Section 4. In the final Section 5, conclusions are expressed. 2. Fundamentals and concepts 2.1. Mathematical notations and nomenclatures The symbols, parameters, and variables that will be utilized in this study are defined as follows: Definition 1. A region of permissible data changes is called a stability region of DMUo if and only if the classification of all DMUs remains stable after such changes occur. Definition 2. Given DMUo, the stability radius is the largest number, r, such that feasible perturbations to DMUo strictly η by Model (9). https://doi.org/10.1371/journal.pone.0275594.t005 As shown in Table 5, in the case of γ < η, four DMUs, namely DMUA, DMUB, DMUC and DMUD, are efficient, and DMUE is inefficient. Sensitivity analysis for the efficient DMUs using Model (11) and sensitivity analysis for the inefficient DMU using Model (13) are shown in Tables 6 and 7, respectively. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 6. Sensitivity analysis for efficient DMUs in the case of γ > η by Model (11). https://doi.org/10.1371/journal.pone.0275594.t006 Download: PPT PowerPoint slide PNG larger image TIFF original image Table 7. Sensitivity analysis for inefficient DMU in the case of γ > η by Model (13). https://doi.org/10.1371/journal.pone.0275594.t007 The interpretation of the last two tables is similar to Tables 4 and 5. Also, from the comparison between Tables 2 and 5, we find that in the case of γ < η, the number of efficient units is more than in the case of γ > η. 4.2. An applicable data set A public system of compulsory insurance that should be provided by the government for all persons of society is called social security. Utilization of social security benefits, such as retirement, unemployment, old age, disability, loss of caretaker, helplessness, accidents, and injuries, requiring insurance or non-insurance medical and health care services, is a public right for all individuals in society. By considering all the things above, a comprehensive social security system is established to provide the aforementioned services. In this section, considering the proposed method, the sensitivity analysis for efficient and inefficient DMUs is illustrated for evaluating 12 branches of the Social Security Organization in Tehran. Each branch (DMU) applies two inputs (total number of computers, and number of staff) to generate two outputs (sum of insured individuals’ contracts, and all individuals under insurance). Also, input and output data in the form of trapezoidal fuzzy numbers are documented in Tables 8 and 9, respectively. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 8. Inputs of 12branch of social security organization in Tehran. https://doi.org/10.1371/journal.pone.0275594.t008 Download: PPT PowerPoint slide PNG larger image TIFF original image Table 9. Outputs of 12 branch of social security organization in Tehran. https://doi.org/10.1371/journal.pone.0275594.t009 By considering the adjustment parameter of 0.75, we evaluated the performance of these 12 branches of the Social Security Organization for some confidence levels in the case of γ ≤ 0.75. The evaluation results are documented in Table 10. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 10. Evaluation of 12 DMUs in the case of γ ≤ 0.75. https://doi.org/10.1371/journal.pone.0275594.t010 Table 10 represents the amount of objective function of Model (10) for all DMUs to determine the efficiency classification of DMUs, in which . As shown in Table 10, DMU2and DMU12are efficient for all confidence levels less than or equal to 0.75, while DMU1is efficient only for the confidence levels of 0.5 and 0.75, and the other DMUs are inefficient. Table 11 reports the stability radius for efficient DMUs with various confidence levels of γ ≤ 0.75. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 11. Sensitivity analysis for efficient DMUs in the case of γ ≤ 0.75. https://doi.org/10.1371/journal.pone.0275594.t011 The second and third columns report the upper bounds of variation ranges in the total number of computers and the number of staff for efficient branches, respectively, while maintaining their efficiency. Similarly, the fourth and fifth columns report the lower bounds of variation ranges in the sum of insured individuals’ contracts and all individuals under insurance for efficient branches while keeping their efficiency. For instance, consider DMU2 with the confidence level of γ = 0.5 in Table 11. DMU2 = (x12, x22, y12, y22) remains efficient if in which, , and . In other words, if the number of computers in Branch 2 remains fixed and the number of staff increases by a maximum of 9.607, also if the sum of insured individuals’ contracts decreases by a maximum of 7.003 and all individuals under insurance decrease by a maximum of 957.667, then Branch 2 will remain efficient. In the following, Table 12 reports the stability radius for inefficient DMUs with various confidence levels of γ ≤ 0.75. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 12. Sensitivity analysis for inefficient DMUs in the case of γ ≤ 0.75. https://doi.org/10.1371/journal.pone.0275594.t012 In Table 12, the second and third columns show the maximum decrease in the total number of computers and the number of staff for inefficient branches, respectively, while maintaining their inefficiency. Similarly, the fourth and fifth columns show the maximum increase in the sum of insured individuals’ contracts and all individuals under insurance for inefficient branches while keeping their inefficiency. For instance, consider DMU10 with the confidence level of γ = 0.25 in Table 12. DMU10 = (x110, x210, y110, y210) remains inefficient if in which, , , and . That means if the number of computers in Branch 10decreases by a maximum of 18.243,and the number of staff decreases by a maximum of 19.667, as well as if the sum of insured individuals’ contracts increases by a maximum of 9.770 and all individuals under insurance increase by a maximum of 33657.280, then Branch 10 will remain inefficient. Now, by considering the adjustment parameter of 0.25, we estimated the performance of 12 branches of the Social Security Organization for some confidence levels in the case of γ ≤ 0.25. The evaluation results are documented in Table 13. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 13. Evaluation of 12 DMUs in the case of γ ≥ 0.25. https://doi.org/10.1371/journal.pone.0275594.t013 As shown in Table 13, all of the branches are efficient in various confidence levels except Branch 3, Branch 8, and Branch 9 which are inefficient in some confidence levels, also Branch 10 which is inefficient in all the confidence levels. Tables 14 and 15 document the stability radius for efficient branches and inefficient branches respectively, with various confidence levels of γ ≥ 0.25. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 14. Sensitivity analysis for efficient DMUs in the case of γ ≥ 0.25. https://doi.org/10.1371/journal.pone.0275594.t014 Download: PPT PowerPoint slide PNG larger image TIFF original image Table 15. Sensitivity analysis for inefficient DMUs in the case of γ ≥ 0.25. https://doi.org/10.1371/journal.pone.0275594.t015 The interpretation of the last two tables is similar to that of Tables 11 and 12. Also, from the comparison between Tables 10 and 13, we find that in the case of γ > η, the number of efficient DMUs is greater than in the case of γ < η. Also, as the level of confidence increases, DMUs approach the efficient frontier and the number of efficient DMUs increases. Considering the discriminatory power of the GF measure compared to classical fuzzy methods, decision-makers and managers can achieve their desired results by including their preferences on the optimistic-pessimistic parameter at any confidence level in the fuzzy environment. As a result,decision-makers will be able to be aware of all efficiency scores and efficiency stability based on different optimistic-pessimistic attitudes and confidence levels. Thus, the GF measure provides more comprehensive information and is very proper for real-life decision-making problems. Notably, it is worth noting that the measure of the GF converts into the measures of Pos, Nec, and Cr if η is equal to100%, 0%, and 50%, respectively (Xu and Zhou [59]). Fig 1 is taken from Peykani et al. [61] to illustrate the attitude of fuzzy measures of Pos, Nec, Cr, and GF. Download: PPT PowerPoint slide PNG larger image TIFF original image Fig 1. The viewpoint of fuzzy measures. https://doi.org/10.1371/journal.pone.0275594.g001 As shown in Fig 1, in the GF measure only by adjusting η, decision-makers customize their preferences. For evaluating the efficiency sensitivity analysis of organizations, the consideration of input and output changes is very significant. The proposed fuzzy sensitivity analysis approach could be used as a “what-if” tool in managers’ strategies to improve their managerial performance. In the sense that management is able to know what may happen to the efficiency of units if input or output data is altered. As a result, this subject can lead managers to better decision-making. Furthermore, this technique can be applied to each application of real-world problems such as hospitals, universities, schools, banks, companies, etc., since these rates of change give useful information to managers or decision-makers from the managerial and economic perspectives. 4.1. Illustrative example This section provides an example with the data defined in Table 1 to demonstrate the stability analysis. The numerical example is related to five DMUs with two fuzzy inputs and two fuzzy outputs in the form of a trapezoidal fuzzy number. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 1. Data set of five DMUs with two fuzzy inputs and two fuzzy outputs. https://doi.org/10.1371/journal.pone.0275594.t001 We evaluated DMUs using Model (9) in the case of γ < η with confidence level γ = 0.2 and adjustment parameter η = 0.4, the results presented in Table 2. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 2. Results of evaluating DMUs in the case of γ < η by Model (9). https://doi.org/10.1371/journal.pone.0275594.t002 Using Model (9), DMUA and DMUC are efficient, while DMUB, DMUD, and DMUE are inefficient. Sensitivity analysis for efficient DMUs using Model (11) is shown in Table 3. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 3. Sensitivity analysis for efficient DMUs in the case of γ < η by Model (11). https://doi.org/10.1371/journal.pone.0275594.t003 To interpret Table 3, we say that the second and third columns show the maximum increase in the first and second input of efficient DMUs, respectively, while maintaining their efficiency. Similarly, the fourth and fifth columns show the maximum decrease in the first and second output of efficient DMUs while keeping the efficiency of DMUs. For instance, consider the first row of Table 3, DMUA = (x1A, x2A, y1A, y2A) remains efficient if in which and . Also, Table 4 gives sensitivity analysis for inefficient DMUs which estimated by Model (13). Download: PPT PowerPoint slide PNG larger image TIFF original image Table 4. Sensitivity analysis for inefficient DMUs in the case of γ < η by Model (13). https://doi.org/10.1371/journal.pone.0275594.t004 The second and third columns document the lower bounds of variation ranges in the first and second input of inefficient DMUs, respectively, while maintaining their inefficiency. Similarly, the fourth and fifth columns document the upper bounds of variation ranges in the first and second output of inefficient DMUs while keeping the inefficiency of DMUs. For instance, we consider the first row of Table 4, DMUB = (x1B, x2B, y1B, y2B) remains inefficient if in which , , and . Similar to the above discussion will be presented in the case of γ < η with confidence level 0.8 and adjustment parameter 0.2. The results of the evaluating DMUs are shown in Table 5. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 5. Results of evaluating DMUs in the case of γ > η by Model (9). https://doi.org/10.1371/journal.pone.0275594.t005 As shown in Table 5, in the case of γ < η, four DMUs, namely DMUA, DMUB, DMUC and DMUD, are efficient, and DMUE is inefficient. Sensitivity analysis for the efficient DMUs using Model (11) and sensitivity analysis for the inefficient DMU using Model (13) are shown in Tables 6 and 7, respectively. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 6. Sensitivity analysis for efficient DMUs in the case of γ > η by Model (11). https://doi.org/10.1371/journal.pone.0275594.t006 Download: PPT PowerPoint slide PNG larger image TIFF original image Table 7. Sensitivity analysis for inefficient DMU in the case of γ > η by Model (13). https://doi.org/10.1371/journal.pone.0275594.t007 The interpretation of the last two tables is similar to Tables 4 and 5. Also, from the comparison between Tables 2 and 5, we find that in the case of γ < η, the number of efficient units is more than in the case of γ > η. 4.2. An applicable data set A public system of compulsory insurance that should be provided by the government for all persons of society is called social security. Utilization of social security benefits, such as retirement, unemployment, old age, disability, loss of caretaker, helplessness, accidents, and injuries, requiring insurance or non-insurance medical and health care services, is a public right for all individuals in society. By considering all the things above, a comprehensive social security system is established to provide the aforementioned services. In this section, considering the proposed method, the sensitivity analysis for efficient and inefficient DMUs is illustrated for evaluating 12 branches of the Social Security Organization in Tehran. Each branch (DMU) applies two inputs (total number of computers, and number of staff) to generate two outputs (sum of insured individuals’ contracts, and all individuals under insurance). Also, input and output data in the form of trapezoidal fuzzy numbers are documented in Tables 8 and 9, respectively. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 8. Inputs of 12branch of social security organization in Tehran. https://doi.org/10.1371/journal.pone.0275594.t008 Download: PPT PowerPoint slide PNG larger image TIFF original image Table 9. Outputs of 12 branch of social security organization in Tehran. https://doi.org/10.1371/journal.pone.0275594.t009 By considering the adjustment parameter of 0.75, we evaluated the performance of these 12 branches of the Social Security Organization for some confidence levels in the case of γ ≤ 0.75. The evaluation results are documented in Table 10. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 10. Evaluation of 12 DMUs in the case of γ ≤ 0.75. https://doi.org/10.1371/journal.pone.0275594.t010 Table 10 represents the amount of objective function of Model (10) for all DMUs to determine the efficiency classification of DMUs, in which . As shown in Table 10, DMU2and DMU12are efficient for all confidence levels less than or equal to 0.75, while DMU1is efficient only for the confidence levels of 0.5 and 0.75, and the other DMUs are inefficient. Table 11 reports the stability radius for efficient DMUs with various confidence levels of γ ≤ 0.75. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 11. Sensitivity analysis for efficient DMUs in the case of γ ≤ 0.75. https://doi.org/10.1371/journal.pone.0275594.t011 The second and third columns report the upper bounds of variation ranges in the total number of computers and the number of staff for efficient branches, respectively, while maintaining their efficiency. Similarly, the fourth and fifth columns report the lower bounds of variation ranges in the sum of insured individuals’ contracts and all individuals under insurance for efficient branches while keeping their efficiency. For instance, consider DMU2 with the confidence level of γ = 0.5 in Table 11. DMU2 = (x12, x22, y12, y22) remains efficient if in which, , and . In other words, if the number of computers in Branch 2 remains fixed and the number of staff increases by a maximum of 9.607, also if the sum of insured individuals’ contracts decreases by a maximum of 7.003 and all individuals under insurance decrease by a maximum of 957.667, then Branch 2 will remain efficient. In the following, Table 12 reports the stability radius for inefficient DMUs with various confidence levels of γ ≤ 0.75. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 12. Sensitivity analysis for inefficient DMUs in the case of γ ≤ 0.75. https://doi.org/10.1371/journal.pone.0275594.t012 In Table 12, the second and third columns show the maximum decrease in the total number of computers and the number of staff for inefficient branches, respectively, while maintaining their inefficiency. Similarly, the fourth and fifth columns show the maximum increase in the sum of insured individuals’ contracts and all individuals under insurance for inefficient branches while keeping their inefficiency. For instance, consider DMU10 with the confidence level of γ = 0.25 in Table 12. DMU10 = (x110, x210, y110, y210) remains inefficient if in which, , , and . That means if the number of computers in Branch 10decreases by a maximum of 18.243,and the number of staff decreases by a maximum of 19.667, as well as if the sum of insured individuals’ contracts increases by a maximum of 9.770 and all individuals under insurance increase by a maximum of 33657.280, then Branch 10 will remain inefficient. Now, by considering the adjustment parameter of 0.25, we estimated the performance of 12 branches of the Social Security Organization for some confidence levels in the case of γ ≤ 0.25. The evaluation results are documented in Table 13. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 13. Evaluation of 12 DMUs in the case of γ ≥ 0.25. https://doi.org/10.1371/journal.pone.0275594.t013 As shown in Table 13, all of the branches are efficient in various confidence levels except Branch 3, Branch 8, and Branch 9 which are inefficient in some confidence levels, also Branch 10 which is inefficient in all the confidence levels. Tables 14 and 15 document the stability radius for efficient branches and inefficient branches respectively, with various confidence levels of γ ≥ 0.25. Download: PPT PowerPoint slide PNG larger image TIFF original image Table 14. Sensitivity analysis for efficient DMUs in the case of γ ≥ 0.25. https://doi.org/10.1371/journal.pone.0275594.t014 Download: PPT PowerPoint slide PNG larger image TIFF original image Table 15. Sensitivity analysis for inefficient DMUs in the case of γ ≥ 0.25. https://doi.org/10.1371/journal.pone.0275594.t015 The interpretation of the last two tables is similar to that of Tables 11 and 12. Also, from the comparison between Tables 10 and 13, we find that in the case of γ > η, the number of efficient DMUs is greater than in the case of γ < η. Also, as the level of confidence increases, DMUs approach the efficient frontier and the number of efficient DMUs increases. Considering the discriminatory power of the GF measure compared to classical fuzzy methods, decision-makers and managers can achieve their desired results by including their preferences on the optimistic-pessimistic parameter at any confidence level in the fuzzy environment. As a result,decision-makers will be able to be aware of all efficiency scores and efficiency stability based on different optimistic-pessimistic attitudes and confidence levels. Thus, the GF measure provides more comprehensive information and is very proper for real-life decision-making problems. Notably, it is worth noting that the measure of the GF converts into the measures of Pos, Nec, and Cr if η is equal to100%, 0%, and 50%, respectively (Xu and Zhou [59]). Fig 1 is taken from Peykani et al. [61] to illustrate the attitude of fuzzy measures of Pos, Nec, Cr, and GF. Download: PPT PowerPoint slide PNG larger image TIFF original image Fig 1. The viewpoint of fuzzy measures. https://doi.org/10.1371/journal.pone.0275594.g001 As shown in Fig 1, in the GF measure only by adjusting η, decision-makers customize their preferences. For evaluating the efficiency sensitivity analysis of organizations, the consideration of input and output changes is very significant. The proposed fuzzy sensitivity analysis approach could be used as a “what-if” tool in managers’ strategies to improve their managerial performance. In the sense that management is able to know what may happen to the efficiency of units if input or output data is altered. As a result, this subject can lead managers to better decision-making. Furthermore, this technique can be applied to each application of real-world problems such as hospitals, universities, schools, banks, companies, etc., since these rates of change give useful information to managers or decision-makers from the managerial and economic perspectives. 5. Conclusion This research seeks to investigate the sensitivity and stability of efficiency for efficient and inefficient DMUs in the additive DEA model in the presence of fuzzy data so that by identifying the permitted changes in the data, the efficiency classification of the DMUs remains unchanged. In order to tackle the uncertainty of fuzzy chance constraints in the fuzzy DEA sensitivity analysis model and convert them into their equivalent crisp values, the General Fuzzy (GF) approach and chance-constrained programming are used. The GF approach, which incorporates all prior fuzzy DEA techniques based on possibility (an optimistic viewpoint), necessity (a pessimistic viewpoint), and credibility (a compromise viewpoint), is an adjustable and flexible fuzzy DEA strategy. The previous three measures are formulated in three separate models while the GF measure is taken into account by setting an optimistic-pessimistic parameter in one model so that, by altering this parameter and according to different confidence levels, decision-makers can obtain their desired results. For future studies, the proposed approach can be used as a suitable framework for evaluating performance and analyzing efficiency sustainability in various fields of management and engineering, such as supply chain, transportation, energy, stock market, mutual fund, hotel, etc. [65–69]. Also, to tackle data uncertainty, Z-number theory [70, 71], and uncertainty theory [72, 73] can be considered. TI - Stability analysis with general fuzzy measure: An application to social security organizations JO - PLoS ONE DO - 10.1371/journal.pone.0275594 DA - 2022-10-20 UR - https://www.deepdyve.com/lp/public-library-of-science-plos-journal/stability-analysis-with-general-fuzzy-measure-an-application-to-social-nsSgOAAaT0 SP - e0275594 VL - 17 IS - 10 DP - DeepDyve ER -