{"title":"Evaluating the Governance Ability of Urban Public Health Using EM-AHP-TOPSIS Method: A Case Study in China.","authors":"Ysijun Shou, Jixia Shou","doi":"10.18502/ijph.v53i8.16287","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Evaluating the governance capacity of urban public health is the key to improving the level of urban public health. We aimed to evaluate the governance ability of urban public health.</p><p><strong>Methods: </strong>An index system of governance ability of urban public health was established. The governance ability of urban public health was evaluated, and major constraints against the ability improvement were analyzed through the EM (Entropy Method)-AHP (Analytic Hierarchy Process)-TOPSIS (Technique for Order Preference by Similarity to an Ideal Solution) model and data of urban agglomeration in Yangtze River Delta, China in 2023.</p><p><strong>Results: </strong>Shanghai, Nanjing, Hangzhou, Suzhou, and Ningbo rank top 5 in terms of governance ability of public health, and they are in the first echelon. Hefei, Yancheng, Wuxi, Taizhou and Shaoxing rank 6-10, and they are in the second echelon. The remaining 17 cities are in the third echelon. Major sources of governance ability of urban public health and major factors that decrease governance ability are Medical Facility (A12), Health Improvement (A33), Medical Staff (A13), Government Ability (A11), and Health Loss (A34). For urban agglomeration in Yangtze River Delta, China, public health foundations, environmental exposure risks, public health performance, and public health emergencies all can influence the governance ability of public health.</p><p><strong>Conclusion: </strong>Accurate evaluation of the governance ability of urban public health can provide guidance and policy propositions to improve the governance system of public health and improve the emergency coordination ability of the government.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 8","pages":"1815-1825"},"PeriodicalIF":1.3000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475180/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18502/ijph.v53i8.16287","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Evaluating the governance capacity of urban public health is the key to improving the level of urban public health. We aimed to evaluate the governance ability of urban public health.
Methods: An index system of governance ability of urban public health was established. The governance ability of urban public health was evaluated, and major constraints against the ability improvement were analyzed through the EM (Entropy Method)-AHP (Analytic Hierarchy Process)-TOPSIS (Technique for Order Preference by Similarity to an Ideal Solution) model and data of urban agglomeration in Yangtze River Delta, China in 2023.
Results: Shanghai, Nanjing, Hangzhou, Suzhou, and Ningbo rank top 5 in terms of governance ability of public health, and they are in the first echelon. Hefei, Yancheng, Wuxi, Taizhou and Shaoxing rank 6-10, and they are in the second echelon. The remaining 17 cities are in the third echelon. Major sources of governance ability of urban public health and major factors that decrease governance ability are Medical Facility (A12), Health Improvement (A33), Medical Staff (A13), Government Ability (A11), and Health Loss (A34). For urban agglomeration in Yangtze River Delta, China, public health foundations, environmental exposure risks, public health performance, and public health emergencies all can influence the governance ability of public health.
Conclusion: Accurate evaluation of the governance ability of urban public health can provide guidance and policy propositions to improve the governance system of public health and improve the emergency coordination ability of the government.
期刊介绍:
Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.