A Novel Multiattribute Decision-Making Method Based on Point–Choquet Aggregation Operators and Its Application in Supporting the Hierarchical Medical Treatment System in China

Abstract

The hierarchical medical treatment system is an efficient way to solve the problem of insufficient and unbalanced medical resources in China. Essentially, classifying the different degrees of diseases according to the doctor’s diagnosis is a key step in pushing forward the hierarchical medical treatment system. This paper proposes a framework to solve the problem where diagnosis values are given as picture fuzzy numbers (PFNs). Point operators can reduce the uncertainty of doctor’s diagnosis and get intensive information in the process of decision making, and the Choquet integral operator can consider correlations among symptoms. In order to take full advantage of these two kinds of operators, in this paper, we firstly define some point operators under the picture fuzzy environment, and further propose a new class of picture fuzzy point–Choquet integral aggregation operators. Moreover, some desirable properties of these operators are also investigated in detail. Then, a novel approach based on these operators for multiattribute decision-making problems in the picture fuzzy context is introduced. Finally, we give an example to illustrate the applicability of the new approach in assisting hierarchical medical treatment system. This is of great significance for integrating the medical resources of the whole society and improving the service efficiency of the medical service system.

Please pay attention to the competency of Chinese primary clinical medical workers in electrocardiogrophic interpretation skills

“…In China, the rural population base is huge and rural medical talents are in great demand. In recent years, with the rapid development of the economy, more and more young people with high education background choose to move from the countryside to the city, which makes the rural medical "no successor" [1,10]. In the current study, we showed that the development of talent echelons of primary hospitals was worrying, which characterized by older age, lower educational background, and lower professional qualification.…”

“…Almost all medical workers could operate the electrocardiograph and have received a theoretical study on ECG. Classification, which according to the severity of diseases and the difficulty of treatment, was the essence of hierarchical diagnosis and treatment service system [1,10]. Medical institutions with different service capacities undertaken the treatment of different diseases and carried out timely and convenient referrals according to the changing conditions of patients [1].…”

“…The 18th NPC of China further proposed "reasonable allocation of medical and health resources, construction of hierarchical diagnosis and treatment service system", which pointed out the direction for the reform of medical and health service system and basic medical security system. The connotation of hierarchical diagnosis and treatment is "the disease was first diagnosed in primary hospitals, two-way referral, the separate treatment of critical and chronic diseases, and interaction between upper and lower hospitals" [1]. Improving the diagnosis and treatment competency of diseases of primary care medical workers is the key prerequisite to achieving hierarchical diagnosis and treatment service.…”

Influence of the Integrated Delivery System on the Medical Serviceability of Primary Hospitals

“…In the hierarchical diagnosis and treatment system, the diagnosis of a patient's condition often involves multiple related indexes, which means it can be described in terms of a multiattribute decision-making (MADM) issue that can merely depend on the doctors' experience. Here, Zhang et al proposed a new set of picture fuzzy point-Choquet integral aggregation operators to resolve the MADM issue [ 22 ], which could provide further guidance and direction for enhancing our system.…”

Research on Current Curative Expenditure among Lung Cancer Patients Based on the “System of Health Accounts 2011”: Insights into Influencing Factors

“…With the acceleration of urbanization and the lagging supply capacity of grassroots health facilities in China, high-quality medical resources are concentrated in large hospitals, and primary medical institutions are seriously lacking in medical resources 32. The medical facilities in grade III, class A hospitals are much better than those in other small hospitals, and people prefer to go to the relatively high-level hospitals for treatment 33. Meanwhile, a treatment mode of “minor illness in the community, serious illness to the hospital, rehabilitation back to the community” has been established in China.…”