Identification of Medical Surge Risk Influencing Factors and Analysis of Causal Coupling Relationships Based on DEMATEL-ISM
- VernacularTitle:基于DEMATEL-ISM的医疗浪涌风险影响因素识别及因果耦合关系分析
- Author:
Yiran GAO
1
;
Nan MENG
;
Tian YU
;
Yanping WANG
;
Min WEI
;
Wanmeng TENG
;
Jialin LU
;
Peng WANG
;
Kexin WANG
;
Ning NING
;
Yanhua HAO
;
Avdeev SERGEY
;
Qunhong WU
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江 哈尔滨 150081
- Publication Type:Journal Article
- Keywords:
Decision-Making and Trial Evaluation Laboratory;
Interpretative Structural Modeling;
medical surge risks;
influencing factors;
coupling relationship
- From:
Chinese Hospital Management
2025;45(11):6-10
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the key factors affecting the risk of medical surges and their coupling relation5 ships,providing strategic support for medical institutions to optimize risk management and emergency governance.Methods 17 influencing factors were determined based on WSR theory,and an expert scoring method was employed to assess the impact strength among the factors.The DEMATEL method was applied to calculate the centrality,cau5 sality,influence,and being influenced degrees of the influencing factors.The ISM method was used to construct a hierarchical structure of the influencing factors related to medical surge risks,thereby revealing the connections and interaction mechanisms among these factors.Results Seven critical influencing factors were identified,including the crisis decision-making capacity and leadership effectiveness of emergency managers,the completeness of the emer5 gency system and dynamic execution capabilities,and the cross-departmental coordination mechanism and com5 mand collaboration efficiency.Deep driving factors and coupling pathways were also revealed.Conclusion The risk of medical surges exhibits multi-factorial coupling cascade effects;attention should be directed towards the construc5 tion of mid-to-deep level mechanisms such as information systems,institutional frameworks,and organizational management,to enhance targeted capabilities and systemic resilience in risk governance.
