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MCMICM优秀建模论文(AssessHealthCareSystems)
国防科技大学:黄魁华、赵翔、杨海滨
Assess Health Care Systems:
AAsssseessss HHeeaalltthh CCaarree SSyysstteemmss::
Comparison of Effectiveness and Efficiency
CCoommppaarriissoonn ooff EEffffeeccttiivveenneessss aanndd EEffffiicciieennccyy
Summary
Social attention has been increasingly paid to health care systems varied in effectiveness and
efficiency. This paper addresses the assessment and prediction of health care system. First and
foremost, a metrics list is established and refined for further assessment. Secondly, model tests are
conducted between countries. Thirdly, a predictive model based on the relationship between
changes and performance is proposed for restructure of the United States health system.
Under the guidance of WHO Health System Performance Framework, we gain an insight of the
problem. Focusing on the outcomes, health, responsiveness and financial protection, we devise
metrics to build an index system for evaluat ion. Lists which describe each metric are presented
afterwards. Using Comprehensive Evaluation Method (CEM) , combinations of metrics are carried
out, yielding metric A for effectiveness and P for efficiency, which are the ultimate goals of
o o
health care system. With these metrics, we can compare the relative quality of systems. After a
thorough search of data sources, we refine the metrics list based on data availability, and also
present the estimating and obtaining approaches.
For the purpose of international comparison, Principal Components Analysis is applied to choose
the most important and viable metrics. Life expectancy at birth, prevalence of tuberculosis,
immunization cov
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