Evaluation for hierarchical diagnosis and treatment policy proposals in China: A novel multi‐attribute group decision‐making method with multi‐parametric distance measures

Xing, Yuping; Wang, Lin

doi:10.1002/hpm.3387

Cited by 6 publications

(4 citation statements)

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“…The regional allocation of resources is poorly balanced, with a large number of high-quality medical resources concentrated in large cities and central areas [ 22 , 23 , 24 ]. In recent years, some scholars have focused on the tiered differences in resource allocation, arguing that the polarization of medical resources between primary care facilities and hospitals is prominent and that medical resources are allocated in an inverted triangle among multi-tier healthcare institutions [ 5 , 25 , 26 ]. However, most of them are based on a national scale and lack an in-depth analysis of tiered differences at the small regional scale.…”

Section: Introductionmentioning

confidence: 99%

Equilibrium of Tiered Healthcare Resources during the COVID-19 Pandemic in China: A Case Study of Taiyuan, Shanxi Province

Mao

Guo

2022

IJERPH

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COVID-19 has caused more than 500 million infections and 6 million deaths. Due to a continuous shortage of medical resources, COVID-19 has raised alarm about medical and health resource allocation in China. A balanced spatial distribution of medical and health resources is a key livelihood issue in promoting the equalization of health services. This paper explores the spatial allocation equilibrium of two-tier medical and health resources and its influencing factors in Taiyuan. Using extracted POIs of medical and health resources of AMAP, we evaluated the spatial quantitative characteristics through the Health Resources Density Index, researched the spatial distribution pattern by kernel density analysis, hot spot analysis, and service area analysis, and identified the influencing factors of the spatial distribution equilibrium by the Geodetector model. The findings are as follows. The overall allocation level of medical and health resources in Taiyuan is low. There are tiered and regional differences; the response degree of primary care facilities to external factors is greater than that of hospitals; and the comprehensive influence of economic and topographic systems is crucial compared with other factors. Therefore, in order to promote the rational spatial distribution of medical and health resources in Taiyuan and to improve the construction of basic medical services within a 15 min radius, it is important to continuously improve the tiered healthcare system, uniformly deploy municipal medical and health resources, and increase the resource allocation to surrounding counties and remote mountainous areas. Future research should focus on collecting complete data, refining the research scale, analyzing qualitative differences, and proposing more accurate resource allocation strategies.

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Section: Introductionmentioning

confidence: 99%

Equilibrium of Tiered Healthcare Resources during the COVID-19 Pandemic in China: A Case Study of Taiyuan, Shanxi Province

Mao

Guo

2022

IJERPH

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“…The positive relationships between health resources and sense of city belonging among MEFFs with hypertension and diabetes indicated that public policymakers should improve medical supply, including number of doctors and hospitals, and access to health education. Hierarchical diagnosis and treatment policy (HDTP) is the key to improving both efficiency and quality of the medical service system, and solving the problem of insufficient and unbalanced medical resources [ 70 , 71 ]. Elderly migrants suffer from more chronic diseases may face the problem of the difficulty in seeing a doctor.…”

Section: Discussionmentioning

confidence: 99%

Improving the sense of city belonging among migrant elderly following family from an elderly service perspective: a cross-sectional study

et al. 2022

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Background The migrant elderly following family (MEFF), who migrates to new community to reunite with families, may face challenges of city integration and belonging. This study aims to explore from an elderly service perspective how to improve the sense of city belonging for MEFFs with and without hypertension/diabetes conditions. Methods Data were derived from the 2017 China Migrants Dynamic Survey and China National Statistical Yearbooks in 2017. The study included 882 MEFFs with hypertension or diabetes and 1266 MEFFs without hypertension and diabetes. Hierarchical linear modeling was applied to analyze the effects of individual and provincial elderly services on sense of city belonging among the MEFF with and without hypertension/diabetes. Results The MEFFs with hypertension or diabetes exhibited a greater sense of city belonging when they were familiar with a wider range of health education topics (γ = 0.05, p = 0.033) and were in those provinces with a greater number of licensed doctors (γ = 0.39, p < 0.001) and hospitals (p = 0.042). For those MEFFs without hypertension or diabetes, social security cards (γ = 0.57, p < 0.001) and awareness of a wider range of health education topics (γ = 0.07, p = 0.018) may help to improve their sense of city belonging. Conclusion This study calls for strengthening the accessibility in inclusive elderly services, and minimizing or even eliminating the inequality in elderly services at the individual and provincial levels to increase sense of city belonging among the MEFFs. For the MEFFs with hypertension or diabetes, health managers should focus on improving health information dissemination and increasing the number of doctors per 1000 people as well as and the number of hospitals to enhance the sense of city belonging. Moreover, the government should strengthen social security and health education to facilitate the adaptation and integration of MEFFs without hypertension and diabetes into the host city.

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“…Multi-attribute decision-making based on soft sets refers to the decision-making problem of selecting the optimal alternative or ranking the alternatives when considering multiple attributes. At present, it is widely used in medical diagnosis [1,2] , environmental risk identification [3] , teaching quality assessment [4] , supplier selection [5] and other fields [6,7] . It can be seen that the main problems solved by multi-attribute decision-making are evaluation and selection [8,9] .…”

Section: Introductionmentioning

confidence: 99%

A Novel Multi-Attribute Decision-Making Method Based on Probabilistic Hesitant Fuzzy Soft Set and Its Application

ZANG,

LI,

WEI

2024

系统科学与信息学报(英文)

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The probabilistic hesitant fuzzy multi-attribute group decision-making method introduces probability and hesitation into decision-making problems at the same time, which can improve the reliability and accuracy of decision-making results, and has become a research hotspots in recent years. However, there are still many problems, such as overly complex calculations and difficulty in obtaining probability data. Based on these, the paper proposes a multi-attribute group decision-making model based on probability hesitant fuzzy soft sets. Firstly, the definition of probabilistic hesitant fuzzy soft set is given. Then, based on soft set theory and probabilistic hesitant fuzzy set, the similarity measure of probabilistic hesitant fuzzy soft set is proposed, and the two measures are further combined. Finally, it is applied to the construction of multi-attribute group decision-making model, and the effectiveness and rationality of the model are verified by an example. The example shows that the new similarity calculation formula and algorithm model in this paper have higher accuracy, and the calculation process is more simple, it provides a feasible method for multi-attribute group decision making problems.

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Evaluation for hierarchical diagnosis and treatment policy proposals in China: A novel multi‐attribute group decision‐making method with multi‐parametric distance measures

Abstract: The policy 'hierarchical medical treatment system' promulgated by the State Council of China is an effective way to solve the problem of insufficient and unbalanced medical resources. In response, governments in different provinces ex-

Cited by 6 publications

References 45 publications

Equilibrium of Tiered Healthcare Resources during the COVID-19 Pandemic in China: A Case Study of Taiyuan, Shanxi Province

Equilibrium of Tiered Healthcare Resources during the COVID-19 Pandemic in China: A Case Study of Taiyuan, Shanxi Province

Improving the sense of city belonging among migrant elderly following family from an elderly service perspective: a cross-sectional study

A Novel Multi-Attribute Decision-Making Method Based on Probabilistic Hesitant Fuzzy Soft Set and Its Application

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