Weight Analysis of the Health Performance Evaluation Index System for Country health alliance Based on Entropy Weight Method

Corresponding author: cuiyueying, cuiyueying0318@163.com

DOI: 10.12201/bmr.202405.00003

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  Abstract: 【】Objective: Under the background of comprehensively promoting the construction of county health alliance,after initially establishing a health performance evaluation index system for county health alliance, this study aims to calculate the weight coefficients of various indicators and dimensions through the entropy weight method,which provides an evaluation orientation for county health alliance to achieve health-centered sustainable development.Method: According to the structure-process-outcome framework and based on existing research, the entropy weight method was used to standardize and calculate the weights of 27 indicators from five sample regions. Results: The weight coefficients for the three dimensions of construction structure, organizational process, and health outcomes are 0.26, 0.30, and 0.44, respectively, reflecting the important role of the health outcome dimension in the evaluation system. In the construction structure dimension, the weight coefficients for inside-county medical utilization rate (0.105) and the proportion of outpatient and emergency visits in primary healthcare institutions inside-county (0.048) are relatively high. In the organizational process dimension, the weight coefficients for standardized management service rates for hypertension at the primary health care (0.062) and diabetes control rates (0.050) are relatively high. In the health outcome dimension, the weight coefficients for the low birth weight rate (0.072) and life expectancy(0.051) are relatively high. These indicators are key areas of focus for the development of county health alliance and reflect differences in development. Conclusion: The weight coefficients of the health performance evaluation indicators for county health alliance calculated based on the entropy weight method highlight the importance of health outcomes.It provides a reference tool for the performance evaluation of county health alliance.

  Key words: County health alliance；Weight Coefficients；Entropy Weight Method；Performance assessment；Index system

  Submit time: 21 May 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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