Department of Health Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Ankara, Turkiye.
Department of Econometrics, Faculty of Economics and Administrative Sciences, Ankara Hacı Bayram Veli University, Ankara, Turkiye.
Turk J Med Sci. 2024 Jun 1;54(4):822-837. doi: 10.55730/1300-0144.5854. eCollection 2024.
BACKGROUND/AIM: The Global Health Security Index (GHSI), which is used to assess the global health security preparedness levels of countries, and the Bulut Index-Beta (BI-β) method, developed as a multicriteria decision-making method, were compared in terms of global health security in the context of the world's countries. It was aimed to demonstrate the feasibility of the BI-β method by testing it on GHSI datasets and contribute to the methodological development of the GHSI.
The datasets used in this study were the publicly available GHSI datasets, which allow for comparative evaluations of countries. The BI-β method and GHSI were used to compare countries in terms of global health security.
In 2021, the top three best-performing countries in terms of global health security were the United States (BI-β = 85.46), Australia (BI-β = 82.53), and the United Kingdom (BI-β = 82.29). For 2019, the United States (BI-β = 85.44) and Australia (BI-β = 81.69) had the same ranks as in 2021, but the United Kingdom (BI-β = 76.63) dropped to 9th place. There was a statistically significant positive weak monotonic relationship between BI-β and GHSI rankings.
Since the GHSI scoring system is not consistent or questionable, the weighting process needs to be objectively reconsidered and the reasons for the weighting process need to be explained. The GHSI was conceptualized based on a narrow and technical framework. Therefore, it is recommended that the social and political determinants of public health be taken into account in the GHSI. On the other hand, the BI-β method can be easily used in solving other multicriteria decision-making problems, especially in public health areas such as global health security.
背景/目的：全球卫生安全指数（GHSI）用于评估各国的全球卫生安全准备水平，而 Bulut 指数-Beta（BI-β）方法作为一种多准则决策方法，在评估各国的全球卫生安全方面进行了比较。目的是通过对 GHSI 数据集进行测试来验证 BI-β 方法的可行性，并为 GHSI 的方法学发展做出贡献。
本研究使用的数据集是公开的 GHSI 数据集，允许对各国进行比较评估。BI-β 方法和 GHSI 用于比较各国的全球卫生安全状况。
2021 年，全球卫生安全表现最好的三个国家是美国（BI-β=85.46）、澳大利亚（BI-β=82.53）和英国（BI-β=82.29）。2019 年，美国（BI-β=85.44）和澳大利亚（BI-β=81.69）与 2021 年的排名相同，但英国（BI-β=76.63）降至第 9 位。BI-β 和 GHSI 排名之间存在统计学上显著的正弱单调关系。
由于 GHSI 评分系统不一致或存在疑问，需要客观地重新考虑加权过程，并解释加权过程的原因。GHSI 的概念是基于一个狭隘和技术性的框架。因此，建议在 GHSI 中考虑公共卫生的社会和政治决定因素。另一方面，BI-β 方法可以很容易地用于解决其他多准则决策问题，特别是在全球卫生安全等公共卫生领域。
