使用多标准决策分析 (MCDA) 来支持在卫生紧急情况下的决策:一个范围审查
Stanislav Gaievskyi1,2, Nicholas Delfrate3, Luca Ragazzoni1,2
1Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, Novara, Italy.
Frontiers in public health
|May 26, 2025
概括
多标准决策分析 (MCDA) 可以提高应对卫生紧急情况的有效性. 这次审查发现,MCDA在非传染性危害方面未得到充分利用,突出了为满足日益增长的全球卫生需求而需要量身定制的方法和标准化的方法的需要.
科学领域:
- 公共卫生 公共卫生
- 卫生紧急情况管理管理
- 决策科学 决策科学 决策科学
背景情况:
- 在紧急响应中,卫生需求和资源之间的差距越来越大.
- 提高卫生紧急响应的有效性至关重要.
- 多标准决策分析 (MCDA) 是一种提高决策能力的潜在工具.
研究的目的:
- 审查MCDA在卫生紧急情况管理中的实证应用.
- 为了确定当前的趋势,差距和MCDA在这个领域的未来方向.
- 评估不同类型的健康紧急情况中MCDA利用的程度.
主要方法:
- 自2004年以来对同行评审的英语文章进行范围审查.
- 在Scopus,PubMed和Web of Science数据库中进行的搜索.
- 以乔安娜·布里格斯研究所的方法论和PRISMA-ScR检查清单为指导的分析;数据分析量化和质量化.
主要成果:
- 包括71篇文章,详细介绍了MCDA在卫生紧急管理中的应用.
- MCDA主要应用于传染性危险,对其他危险类型的应用有限.
- 确定了MCDA应用中缺乏标准化的方法,包括标准识别,权重和利益相关方参与.
结论:
- MCDA是健康紧急决策的宝贵工具,但在非传染性危害方面未得到充分利用.
- 开发定制的MCDA方法和标准化的方法对于更广泛的采用至关重要.
- 改进MCDA的实施可以提高应对效率,并在紧急情况下解决不断升级的全球卫生需求.
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