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Managing Overcrowding in Healthcare using Fuzzy Logic          211

                       partially adequate class has the smallest core area, and the supports for all classes are
                       similar in size relative to each other.













                       Figure 13: Membership function of ED demand.         Figure 14: Membership function of physician
                                                                  staffing.

                          The second input in subsystem II, nurse staffing, is represented by the membership
                       functions in Figure 15. The inadequate class boundaries are at 0 and 0.18, with the core
                       structure representing full membership existing between 0 and 0.8. The partially adequate
                       class lies between boundaries of 0.8 and 0.32, while the core area exists between 0.18 and
                       0.24. For the adequate class, the boundaries lie at 0.24 and 0.5, with the core structure
                       existing between 0.32 and 0.5. It is apparent that the adequate class has the largest core
                       area, meaning that the adequate linguistic term was given the widest variety of interval
                       values for full membership, while values that defined the partially adequate class were
                       more restrictive.
                          Figure  16  contains  the  membership  functions  for  the  output  of  the  subsystem  ED
                       staffing.  The  membership  functions  are  trapezoidal,  but  the  intervals  are  assigned  to
                       create  similarly  sized  membership  classes.  In  this  figure,  the  boundaries  for  the
                       inadequate  class  lie  between  0  and  35,  with  the  core  existing  between  0  and  25,
                       representing a full degree of membership. The boundaries for the partially adequate class
                       are  25  and  75,  with  the  core  existing  between  35  and  65.  For  the  adequate  class,  the
                       boundaries are 65 and 100, with the core area defined between 75 and 100. It  can be
                       noted that the midpoint between the boundaries for the partially adequate class lies at 50,
                       which is the halfway point on the ED staffing axis, further demonstrating the uniformity
                       in the membership functions.














                       Figure 15: Membership function of nurse staffing.        Figure 16: Membership function of ED staffing.
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