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破解健康保障密码:通过秩和比法揭示均衡指数。

Cracking the code of health security: unveiling the balanced indices through rank-ordered effect analysis.

机构信息

School of Management, Xiamen University, Xiamen, China.

Data-Mining Research Center, Xiamen University, Xiamen, China.

出版信息

BMC Health Serv Res. 2024 Jan 4;24(1):27. doi: 10.1186/s12913-023-10503-w.

Abstract

BACKGROUND

Health security is a critical issue which involves multiple dimensions. It has received increasing attention in recent years, especially in China. In order to improve the national health level, China has made many efforts, such as the "Healthy China 2030" plan proposed several years ago. However, due to the complexity of its national conditions and the difficulty of index design, the results of these efforts are not significant. Therefore, it is necessary to construct a new measurement index system.

METHODS

Based on the questionnaire of "Health China 2030", we have collected a total of 3,000 participants from all 31 provinces, autonomous regions, and municipalities in China. We used statistical methods such as multiple correspondence analysis and rank-ordered effect analysis to process the data. The balance index is constructed by a series of actions such as weight division, order calculation and ranking.

RESULTS

Through multiple correspondence analysis, we can find that there was a close relation in the correspondence space between the satisfaction degrees 1, 2, and 3, while a far distance from satisfaction degrees 4 and 5. There were four positive and four negative indices separately based on the average expected level and four clusters after ordinal rank cluster analysis. Generally speaking, there are no prominent discrepancies across gender and residential areas.

CONCLUSIONS

We created and examined balanced indicators for health security in China based on the "Health China 2030" questionnaire. The findings of this study give insight into the overall situation of health security in China and indicate opportunities for improvement.

摘要

背景

健康安全是一个涉及多个维度的关键问题。近年来,它受到了越来越多的关注,尤其是在中国。为了提高国民健康水平,中国做了很多努力,比如几年前提出的“健康中国 2030”计划。然而,由于国家情况的复杂性和指标设计的困难,这些努力的结果并不显著。因此,有必要构建一个新的测量指标体系。

方法

基于“健康中国 2030”问卷,我们从中国 31 个省、自治区、直辖市共收集了 3000 名参与者。我们使用多元对应分析和等级效应分析等统计方法处理数据。平衡指数是通过权重划分、顺序计算和排序等一系列操作构建的。

结果

通过多元对应分析,我们可以发现,在对应空间中,满意度为 1、2 和 3 的受访者之间存在密切关系,而满意度为 4 和 5 的受访者之间则存在较远的距离。基于平均期望水平和四个聚类的有序等级聚类分析,我们分别得到了四个正指标和四个负指标。总体而言,性别和居住地区之间没有明显的差异。

结论

我们基于“健康中国 2030”问卷创建并检验了中国健康安全的平衡指标。本研究的结果深入了解了中国健康安全的总体情况,并指出了改进的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/382c/10768473/27b0f2444f0c/12913_2023_10503_Fig1_HTML.jpg

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