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Using social choice theory and acceptability analysis to measure the value of health systems
- Source :
- PLoS ONE, Vol 15, Iss 7, p e0235531 (2020), PLoS ONE
- Publication Year :
- 2020
- Publisher :
- Public Library of Science (PLoS), 2020.
-
Abstract
- The Future Health Index (FHI) is developed by the Royal Philips to help determine the readiness of countries to address global health challenges and build sustainable, fit-for-purpose national health systems. The FHI 2018 presents the Value Measure to measure the value of 16 health systems, which is formulated by taking the arithmetic average of Access, Satisfaction and Efficiency. However, this scheme is not the Pareto optimal and loses association with weights. For these reasons, this paper proposes to apply the social choice theory and Stochastic Multicriteria Acceptability Analysis for group decision making (SMAA-2) to measure the value of health systems, by means of re-constructing the Value Measure. Specifically, we begin with considering all possible individual preferences among Access, Satisfaction and Efficiency, which is mathematically represented by ranked weights of them; the pessimistic and optimistic outcomes under certain individual preference are derived in a closed-form manner, according to which an interval decision matrix is then formulated; the SMAA-2 is then lastly applied to compute the holistic acceptability index, which is considered as a revised Value Measure. An empirical study using the data of 16 health systems is conducted to show the effectiveness and superiority of our method. It is demonstrated that our method always outperforms the Value Measure, by means of comparing the Spearman’s rank correlation coefficients.
- Subjects :
- Computer science
Social Sciences
02 engineering and technology
Global Health
Pediatrics
Neonatal Care
Geographical locations
Empirical research
Sociology
Medicine and Health Sciences
0202 electrical engineering, electronic engineering, information engineering
Global health
Econometrics
Public and Occupational Health
050207 economics
Health Systems Strengthening
Preference (economics)
media_common
Singapore
Multidisciplinary
05 social sciences
Patient Satisfaction
Decision matrix
Value (economics)
Medicine
020201 artificial intelligence & image processing
Brazil
Research Article
China
Asia
media_common.quotation_subject
Science
Oceania
Social Theory
Pessimism
Patient satisfaction
0502 economics and business
Humans
Stochastic multicriteria acceptability analysis
Measure (data warehouse)
Health Care Policy
Australia
Models, Theoretical
Patient Acceptance of Health Care
South America
Group decision-making
Health Care
People and places
Neonatology
Social choice theory
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....0230235052bc347476f1e0b9e3eae887