Study on weight assignment of home care service quality indicators for the disabled elderly in Beijing based on the game theory
10.3760/cma.j.cn114798-20241206-00945
- VernacularTitle:北京市失能老人上门医疗服务质量评价指标体系权重赋值研究:基于博弈论
- Author:
Tiancheng ZHANG
1
;
Wen BAI
;
Zhengwen FENG
;
Hui LI
;
Xiaolei CHEN
;
Shuang SHAO
;
Juan DU
Author Information
1. 北京市丰台区大红门社区卫生服务中心,北京 100075
- Publication Type:Journal Article
- Keywords:
Medical service;
Door-to-door service;
Quality improvement;
Game theory;
Weight;
Indicators system
- From:
Chinese Journal of General Practitioners
2025;24(3):279-287
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To determine the weight coefficient of home care service quality indicators for the disabled elderly in Beijing.Methods:In the early stage, our research group has preliminarily constructed quality indicators of home care service for the disabled elderly in Beijing. The importance scores of all indicators were obtained through expert consultation from September to October 2021. Based on the game theory, the subjective and objective weighting methods were integrated to quantify the combinatorial optimization weight assignment of those indicators, in which the subjective weighting was calculated by proportional distribution method, and the objective weighting was obtained by entropy weight method.Results:The subjective weight assignments of the first-level indicators “service conditions”“service process” and “service outcome”were 0.332 2, 0.338 9, and 0.328 9, respectively; the objective weight assignments of the above indicators were 0.332 2, 0.338 9 and 0.328 9, respectively; the combinatorial optimization weight assignment of those indicators were 0.332 2, 0.338 9, and 0.328 9, respectively. Among the second-level indicators, the combination optimization weight coefficients of the top 3 important indicators “patient family evaluation”(1.3),“emergency configuration”(1.4), and“operation process”(2.2) were 0.198 4, 0.198 4 and 0.170 8, respectively. And among the third-level indicators, the combination optimization weight coefficients of the top 5 important indicators“emergency plan”(1.4.1), “humanistic care”(2.2.6), “first aid supplies”(1.4.2), “evaluation of potential resources”(1.3.4), and “means of home visit transportation”(1.2.1) were 0.124 7, 0.075 0, 0.073 8, 0.066 5 and 0.052 7, respectively.Conclusion:The study has successfully conducted the optimization weight assignment of home care service quality indicators for the disabled elderly in Beijing, which indicates that the service conditions and service process are crucial to the quality of service.