老年非传染性疾病患者的医疗服务提供者选择:用DEMATEL和AHP联合方法分析

IF 0.8 Q4 HEALTH POLICY & SERVICES
Ankit Singh, A. Jha, Shankar Purbey, Priya Ravi
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引用次数: 0

摘要

目的患有非传染性疾病的老年患者在选择医疗服务提供者时面临两难境地。本研究尝试结合决策试验与评估实验室(DEMATEL)与层次分析法(AHP)的方法,找出影响病患健康照护的关键变数,并找出适当的医疗照护目的地。主要目标是引入DEMATEL和AHP作为有效的决策方法,为患有非传染性疾病的老年患者选择合适的医疗保健提供者。设计/方法/方法利用DEMATEL和AHP的综合方法为医疗保健提供者选择决策提供理想的解决方案。DEMATEL方法用于分离因果变量。同样,AHP用于确定前5个致因变量的权重,配对比较法用于选择医疗保健提供者。对家庭成员的依赖性、服务的可及性和患者的自主性等变量在老年非传染性疾病患者的医疗服务提供者选择决策中起着至关重要的作用。实际影响就优先事项而言,家庭保健应被视为非传染性疾病老年患者的首选提供者,其次是社区注册医生和医院。原创性/价值这是同类研究中首次尝试用DEMATEL和AHP相结合的方法来解决医疗保健提供者的选择决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare provider selection for elderly patients suffering from NCD's: an analysis with the combined approach of DEMATEL and AHP
PurposeElderly patients suffering from non-communicable disease face a dilemma in the selection of healthcare providers. This study attempts to identify the key variables playing a crucial role and identify the appropriate healthcare destination with the help of a combination of Decision-making Trial and Evaluation Laboratory (DEMATEL) and analytic hierarchy process (AHP) techniques. The primary objective is to introduce the DEMATEL and AHP as efficient decision-making methods to choose the right healthcare provider for elderly patients suffering from non-communicable diseases.Design/methodology/approachAn integrative approach utilizing DEMATEL and AHP is used to reach the ideal solution for healthcare provider selection decisions. The DEMATEL approach is used to segregate the cause and effect variables. Similarly, the AHP is used to identify the weights of the top five cause-inducing variables, and the paired comparison method is used to select the healthcare provider.FindingsThe variables such as dependency on family members, easily accessible services, and patient autonomy play a vital role in the selection decision of healthcare providers in elderly patients suffering from non-communicable diseases.Practical implicationsIn terms of priority, home healthcare should be considered the preferred provider for elderly patients suffering from non-communicable diseases followed by neighbourhood registered medical practitioners and hospitals.Originality/valueThis is the first of its kind study which has attempted to solve the healthcare provider selection decision with the combined approach of DEMATEL and AHP.
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来源期刊
Journal of Integrated Care
Journal of Integrated Care HEALTH POLICY & SERVICES-
CiteScore
1.70
自引率
12.50%
发文量
34
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