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TEA-IS: A hybrid DEA-TOPSIS approach for assessing performance and synergy in Chinese health care

Antunes, J.J.M.
Hadi-Vencheh, A.
Jamshidi, A.
Tan, Yong
Wanke, P.F.
Publication Date
2023-08
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Rights
2023 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Peer-Reviewed
Yes
Open Access status
openAccess
Accepted for publication
25/12/2022
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Abstract
This paper presents an assessment of the Chinese healthcare system in 31 provinces for a 10-year period in light of relevant physical and human resource variables. First, a novel TEA-IS (Trigonometric Envelopment Analysis for Ideal Solutions) model is developed to assess healthcare efficiency at the province level. Machine learning methods are also employed to predict high-low performance and the synergistic Chinese healthcare province in terms of contextual variables. The results indicate that synergy has played a pivotal role in the Chinese healthcare systems, not only by triggering higher performance levels due to the progressive adoption of best practices over the course of time, but also by being closely related to different socioeconomic and demographic variables, such as the illiteracy rate. It is possible to claim that healthcare performance has remained stable in China over the past two decades, performance and synergy at the province level are still heterogeneous.
Version
Published version
Citation
Antunes J, Hadi-Vencheh A, Jamshidi A et al (2023) TEA-IS: A hybrid DEA-TOPSIS approach for assessing performance and synergy in Chinese health care. Decision Support Systems. 171: 113916.
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Link to published version
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Article
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