Korean Association for AIDS Prevention, Gangwon Branch, Chuncheon 24405, Korea.
Department of Public Administration, Kangwon National University, Chuncheon 24341, Korea.
Int J Environ Res Public Health. 2021 Jan 8;18(2):455. doi: 10.3390/ijerph18020455.
The purpose of this study was to apply multicriteria decision making and an analytic hierarchy process (AHP) model for assessing sustainable management of hypertension and diabetes. Perception of two alternative health care priorities was also investigated. One priority was improving treatment compliance of patients with hypertension and diabetes. The other priority was strengthening the healthcare system for continuous care. Our study design to evaluate community-based intervention programs for hypertension and diabetes was developed using brainstorming, Delphi techniques, and content analysis along with literature review. We finally proposed a hierarchical structure of the AHP model with 50 third sub-criteria in six levels. By surveying this AHP questionnaire to a total of 185 community health practitioners in Korea, we found that improving treatment compliance of patients with chronic diseases should be relatively more important than strengthening the healthcare system. Further research is needed to expand survey subjects to primary care physicians and even policymakers of central government for the appropriate application of this AHP model.
本研究旨在应用多准则决策和层次分析法（AHP）模型来评估高血压和糖尿病的可持续管理。还调查了对两种替代医疗保健重点的看法。一个重点是提高高血压和糖尿病患者的治疗依从性。另一个重点是加强医疗保健系统以进行持续护理。我们使用头脑风暴、德尔菲技术和内容分析以及文献回顾来制定评估高血压和糖尿病社区干预计划的研究设计。我们最终提出了一个具有 6 个层次 50 个第三子标准的 AHP 模型层次结构。通过向韩国的 185 名社区卫生工作者进行 AHP 问卷调查，我们发现提高慢性病患者的治疗依从性应该比加强医疗保健系统更为重要。需要进一步研究以扩大调查对象，包括初级保健医生，甚至中央政府的政策制定者，以适当应用这种 AHP 模型。
