课题基金基金详情
分级诊疗向下转诊医院选择的多准则决策方法研究
结题报告
批准号:
72001091
项目类别:
青年科学基金项目
资助金额:
24.0 万元
负责人:
郭柏淇
依托单位:
学科分类:
信息系统与管理
结题年份:
2023
批准年份:
2020
项目状态:
已结题
项目参与者:
郭柏淇
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中文摘要
我国分级诊疗制度一直存在“向上转诊容易、向下转诊难”的问题,导致医疗资源分配严重失衡。增强患者参与医疗转诊决策,进而提高患者对于自身病情与目标转诊机构的了解是确保双向转诊通道畅通的关键。因此,构建一种患者参与的决策支持系统契合我国当前医改的需求。本项目面向向下转诊中“决策难”的问题,基于Vague集理论和TOPSIS方法,研究包含决策者风险态度、信息不确定及非单调变化条件的多准则决策问题。首先采用系统评价和荟萃分析归纳相关研究成果,得出医院选择的评价指标集,然后采用逻辑演绎推理及形式化证明改善Vague集TOPSIS方法的数理架构,最后采用随机对照试验验证新设计多准则决策理论的合理性。本项目将为向下转诊医院选择决策支持系统的落地应用提供重要的理论支撑;为验证多准则决策理论效能的研究提供方法借鉴,具有重要的学术和应用价值。
英文摘要
China’s hierarchical medical treatment system is facing a problem of “easy to upward-referral, hard to downward-referral”, resulting in a severe imbalance in the allocation of medical resources. It is believed that enhancing patients’ participation in medical referral decisions is the key to encourage downward referral, as it can help to improve patients’ understanding of their own conditions and the targeted referral hospitals. Therefore, constructing a decision support system for patient participation is of great significance. This project aims at solving the complicated decision-making process during selecting downward referral hospitals, which is indeed a multi-criteria decision-making problem that involves decision-makers’ risk attitudes, information uncertainty, and non-monotonic changing conditions, based on Vague set theory and TOPSIS method. This study includes three main parts: First, systematic research and meta-analysis are used to summarize the relevant research results to obtain a set of evaluation criteria for choosing hospitals. Then, logical deductive reasoning and mathematical proof are used to improve the mathematical structure of the Vague set TOPSIS method. Finally, randomized controlled trials are used to verify the rationality of the newly designed multi-criteria decision-making theory. This project should provide theoretical support for the construction of a decision support system for choosing downward referral hospitals. It should also provide evidence on the effectiveness of the multi-criteria decision theories. This study is of great significance in terms of academic and practical application.
期刊论文列表
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专利列表
DOI:10.3390/healthcare11091232
发表时间:2023-04-26
期刊:HEALTHCARE
影响因子:2.8
作者:Yan, Mian;Zhang, Meijuan;Kwok, Alex Pak Ki;Zeng, Haoyan;Li, Yanfeng
通讯作者:Li, Yanfeng
DOI:10.1016/j.neulet.2023.137408
发表时间:2023
期刊:Neuroscience Letters
影响因子:--
作者:Jiacheng Chen;Alex Pak Ki Kwok;Yanan Li
通讯作者:Yanan Li
DOI:10.4236/ape.2021.113027
发表时间:2021-01-01
期刊:Advances in Physical Education
影响因子:--
作者:Li, Yan-an;Kwok, Alex Pak Ki
通讯作者:Kwok, Alex Pak Ki
A systematic review of immersive technology applications for medical practice and education - Trends, application areas, recipients, teaching contents, evaluation methods, and performance
系统回顾沉浸式技术在医疗实践和教育中的应用——趋势、应用领域、接受者、教学内容、评估方法和绩效
DOI:10.1016/j.edurev.2021.100429
发表时间:2022
期刊:Educational Research Review
影响因子:11.7
作者:Yuk;K. Chau;Alex Pak Ki Kwok;Tongcun Zhu;Xiangdong Ma
通讯作者:Xiangdong Ma
DOI:10.1016/j.ijdrr.2021.102577
发表时间:2021-11
期刊:International journal of disaster risk reduction : IJDRR
影响因子:--
作者:Kwok APK;Yan M;Huang YT;Gao C;Li WZ
通讯作者:Li WZ
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