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使用香农熵改进具有不良输出的MP-SBM模型的识别。

Using Shannon Entropy to Improve the Identification of MP-SBM Models with Undesirable Output.

作者信息

Ma Zhanxin, Yin Jie, Yang Lin, Li Yiming, Zhang Lei, Lv Haodong

机构信息

School of Economics and Management, Inner Mongolia University, Hohhot 010021, China.

School of Environment, Tsinghua University, Beijing 100084, China.

出版信息

Entropy (Basel). 2022 Nov 4;24(11):1608. doi: 10.3390/e24111608.

Abstract

In the context of the COVID-19 global epidemic, it is particularly important to use limited medical resources to improve the systemic control of infectious diseases. There is a situation where a shortage of medical resources and an uneven distribution of resources in China exist. Therefore, it is important to have an accurate understanding of the current status of the healthcare system in China and to improve the efficiency of their infectious disease control methods. In this study, the MP-SBM-Shannon entropy model (modified panel slacks-based measure Shannon entropy model) was proposed and applied to measure the disposal efficiency of the medical institutions responding to public health emergencies (disposal efficiency) in China from 2012 to 2018. First, a P-SBM (panel slacks-based measure) model, with undesirable outputs based on panel data, is given in this paper. This model measures the efficiency of all DMUs based on the same technical frontier and can be used for the dynamic efficiency analysis of panel data. Then, the MP-SBM model is applied to solve the specific efficiency paradox of the P-SBM model caused by the objective data structure. Finally, based on the MP-SBM model, undesirable outputs are considered in the original efficiency matrix alignment combination for the deficiencies of the existing Shannon entropy-DEA model. The comparative analysis shows that the MP-SBM-Shannon model not only solves the problem of the efficiency paradox of the P-SBM model but also improves the MP-SBM model identification ability and provides a complete ranking with certain advantages. The results of the study show that the disposal efficiency of the medical institutions responding to public health emergencies in China shows an upward trend, but the average combined efficiency is less than 0.47. Therefore, there is still much room for improvement in the efficiency of infectious disease prevention and control in China. It is found that the staffing problem within the Center for Disease Control and the health supervision office are two stumbling blocks.

摘要

在新冠疫情全球流行的背景下,利用有限的医疗资源来加强传染病的系统防控尤为重要。中国存在医疗资源短缺和资源分配不均衡的情况。因此,准确了解中国医疗体系的现状并提高其传染病防控方法的效率至关重要。在本研究中,提出了MP-SBM-香农熵模型(改进的基于面板松弛测度的香农熵模型)并将其应用于测度2012年至2018年中国医疗机构应对突发公共卫生事件的处置效率。首先,本文给出了基于面板数据且带有非期望产出的P-SBM(基于面板松弛测度)模型。该模型基于同一技术前沿测度所有决策单元的效率,可用于面板数据的动态效率分析。然后,应用MP-SBM模型解决由客观数据结构导致的P-SBM模型的特定效率悖论问题。最后,基于MP-SBM模型,针对现有香农熵-DEA模型的不足,在原始效率矩阵对齐组合中考虑非期望产出。对比分析表明,MP-SBM-香农模型不仅解决了P-SBM模型的效率悖论问题,还提高了MP-SBM模型的识别能力,并提供具有一定优势的完整排名。研究结果表明,中国医疗机构应对突发公共卫生事件的处置效率呈上升趋势,但平均综合效率低于0.47。因此,中国传染病防控效率仍有很大提升空间。研究发现,疾病预防控制中心和卫生监督所内部的人员配备问题是两大阻碍因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f8/9689818/4013b403b967/entropy-24-01608-g001.jpg

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