使用 MOORA 方法评估经合组织国家卫生系统的绩效

Ferit Sevim, E. Aldogan
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摘要

卫生系统绩效的国际比较为各国、政策制定者和决策者提供了证据。本研究旨在根据确定的卫生绩效指标,对经济发展与合作组织(OECD)国家的卫生系统绩效水平进行排名和比较。研究中使用并评估了 2000-2017 年间各国的数据。研究对象包括经合组织的 36 个成员国。数据采用 MOORA(基于比率分析的多目标优化)方法进行分析,该方法是多标准决策方法之一,可对各国卫生系统的绩效进行比较。经合组织国家卫生系统绩效评估的结果。经合组织国家卫生系统绩效评估的结论是,瑞士、德国和瑞典等国的卫生系统绩效水平较高,而墨西哥、哥伦比亚和土耳其等国的卫生系统绩效水平较低。由于卫生系统的结构、人口特点、教育水平和技术发展水平等原因,卫生系统绩效水平较低的国家仍可通过选择适合其目的的替代国家,并将这些国家的政策和战略纳入本国系统,从而实现发展。
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Evaluation of Health Systems Performance of OECD Countries Using MOORA Method
International comparison of health systems performance provides evidence to countries, policymakers and decision-makers. This study was conducted in order to rank and compare the health systems performance levels of the Organization for Economic Development and Cooperation (OECD) countries according to the determined health performance indicators. In the study, the data of the countries between the years of 2000–2017 were used and evaluated. The study consists of 36 member countries of the OECD. The data was analysed with the MOORA (Multi-Objective Optimization on the basis of Ratio Analysis) method, which is one of the multi-criteria decision-making methods, allowing the comparison of the performance of health systems across countries is compared. As a result of the health system performance evaluations of OECD countries. As a result of the health system performance evaluations of OECD countries, it has been concluded that countries such as Switzerland, Germany and Sweden have a high level of health systems performance, and Mexico, Colombia and Turkey have a lower performance compared to other countries. It is expected that countries with lower health system performance levels due to health system structures, demographic characteristics, education levels and technological development levels can still develop by selecting alternative countries suitable for their purpose and adopting the policies and strategies of such countries to their own systems.
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