Evaluating the Governance Ability of Urban Public Health Using EM-AHP-TOPSIS Method: A Case Study in China.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ysijun Shou, Jixia Shou
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引用次数: 0

Abstract

Background: Evaluating the governance capacity of urban public health is the key to improving the level of urban public health. We aimed to evaluate the governance ability of urban public health.

Methods: An index system of governance ability of urban public health was established. The governance ability of urban public health was evaluated, and major constraints against the ability improvement were analyzed through the EM (Entropy Method)-AHP (Analytic Hierarchy Process)-TOPSIS (Technique for Order Preference by Similarity to an Ideal Solution) model and data of urban agglomeration in Yangtze River Delta, China in 2023.

Results: Shanghai, Nanjing, Hangzhou, Suzhou, and Ningbo rank top 5 in terms of governance ability of public health, and they are in the first echelon. Hefei, Yancheng, Wuxi, Taizhou and Shaoxing rank 6-10, and they are in the second echelon. The remaining 17 cities are in the third echelon. Major sources of governance ability of urban public health and major factors that decrease governance ability are Medical Facility (A12), Health Improvement (A33), Medical Staff (A13), Government Ability (A11), and Health Loss (A34). For urban agglomeration in Yangtze River Delta, China, public health foundations, environmental exposure risks, public health performance, and public health emergencies all can influence the governance ability of public health.

Conclusion: Accurate evaluation of the governance ability of urban public health can provide guidance and policy propositions to improve the governance system of public health and improve the emergency coordination ability of the government.

利用 EM-AHP-TOPSIS 方法评估城市公共卫生治理能力:中国案例研究。
背景:评价城市公共卫生的治理能力是提高城市公共卫生水平的关键。我们旨在评价城市公共卫生的治理能力:方法:建立城市公共卫生治理能力指标体系。方法:建立城市公共卫生治理能力指标体系,通过 EM(熵值法)-AHP(层次分析法)-TOPSIS(与理想解相似度排序偏好技术)模型和 2023 年中国长三角城市群数据,评价城市公共卫生治理能力,分析制约能力提升的主要因素:结果:上海、南京、杭州、苏州和宁波的公共卫生治理能力排名前五,处于第一梯队。合肥、盐城、无锡、台州和绍兴排名 6-10 位,处于第二梯队。其余 17 个城市处于第三梯队。城市公共卫生治理能力的主要来源和降低治理能力的主要因素是医疗设施(A12)、健康改善(A33)、医务人员(A13)、政府能力(A11)和健康损失(A34)。对于中国长三角城市群而言,公共卫生基础、环境暴露风险、公共卫生绩效和突发公共卫生事件都会影响公共卫生的治理能力:结论:准确评价城市公共卫生治理能力,可以为完善公共卫生治理体系、提高政府应急协调能力提供指导和政策建议。
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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
7.10%
发文量
300
审稿时长
3-8 weeks
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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