揭示高收入国家卫生安全的主要组成部分,模式和结构性差距:使用PCA和多场景集群方法进行比较分析
Adel A Nasser1,2, Mijahed Nasser Aljober2, Abed Saif Ahmed Alghawli3
1Information Systems and Computer Science, Sa'adah University, Sa'adah, Yemen.
F1000Research
|September 19, 2025
概括
高收入国家表现出严重的卫生安全差异,财富不能保证准备. 定制政策和全球合作对于加强国家和全球卫生安全系统至关重要.
科学领域:
- 全球卫生安全 全球卫生安全
- 公共卫生政策 公共卫生政策
- 国际关系 国际关系
背景情况:
- COVID-19大流行暴露了全球卫生安全系统的关键漏洞,即使是在高收入国家中也是如此.
- 现有的研究往往提供了概括性的评估,未能捕捉到卫生安全绩效的微妙内部动态.
- 更深入地了解高收入国家内卫生安全能力和差异是必不可少的.
研究的目的:
- 在高收入国家 (HICs) 确定定义卫生安全能力的潜在因素.
- 根据已识别的健康安全因素对HIC进行集群,以揭示绩效模式.
- 解决有关HIC医疗安全的复杂内部动态的研究差距.
主要方法:
- 利用一个多阶段的分析框架与2017-2021年全球健康安全指数 (GHSI) 数据集.
- 应用主要组件分析 (PCA) 用 varimax 旋转到 37 个 GHSI 指标,识别了 9 个主要组件.
- 雇员K-意味着使用三个场景进行集群:各组件的平均得分,高负载指标和汇总的GHSI类别得分.
主要成果:
- 九个组成部分解释了总差异的74.50%;第一个组成部分占37.62%.
- 聚类发现HIC之间有四个不同的健康安全准备水平,这表明存在显著的差异.
- 鲁,库克群岛和帕劳始终排名最低,在基础能力和系统准备方面存在严重差距.
结论:
- 医疗安全准备不仅取决于经济地位;财富不能保证准备.
- 调查结果突出了各个HIC的独特绩效模式和脆弱性,需要量身定制的政策干预.
- 强调需要多方法评估和持续的全球合作,以加强卫生安全的弹性和指导投资.
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