Proposal for a global quality indicator for the municipal public health system – GQIMPHS

André Gomes Coimbra , Otil C.D. dos Santos , Angélica C.G. Santos , João B. Mendes , Marcos F.S.V. D'Angelo , Matheus P. Libório , Reginaldo M. Macedo , Elisa Fusco , Petr Ekel
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Abstract

The evaluation of composite indicators is essential for improving health systems. Data Envelopment Analysis (DEA) and the Benefit of the Doubt method are two approaches widely used in this context. Data Envelopment Analysis assesses the relative efficiency of production units, while the Benefit of the Doubt recognizes the uncertainty of composite indicators, allowing for more flexible analyses. Together, these approaches provide a comprehensive view, identifying areas for improvement in health systems and considering both efficiency and the complexity and uncertainties associated with composite indicators. Based on this, this work proposes a framework to generate a single indicator in the health system of 57 counties in the state of Minas Gerais with more than 30 thousand inhabitants, considering three dimensions: infrastructure, service and health status.
关于城市公共卫生系统全球质量指标——GQIMPHS的建议
评价综合指标对于改善卫生系统至关重要。数据包络分析(DEA)和怀疑的好处法是在这一背景下广泛使用的两种方法。数据包络分析评估生产单位的相对效率,而怀疑的好处承认复合指标的不确定性,允许更灵活的分析。这些方法共同提供了一个全面的观点,确定了卫生系统有待改进的领域,并考虑到效率以及与复合指标相关的复杂性和不确定性。在此基础上,本工作提出了一个框架,用于在米纳斯吉拉斯州57个县(拥有3万多居民)的卫生系统中产生单一指标,考虑三个方面:基础设施、服务和健康状况。
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