Zhou Tao,Zhang Wei,Zhang Xianpeng,et al.Application of fuzzy combination of TOPSIS method and rank sum ratio method to comprehensive evaluation of radiodiagnosis and radiotherapy services[J].Chinese Journal of Radiological Medicine and Protection,2024,44(8):681-687
Application of fuzzy combination of TOPSIS method and rank sum ratio method to comprehensive evaluation of radiodiagnosis and radiotherapy services
Received:March 29, 2024  
DOI:10.3760/cma.j.cn112271-20240329-00113
KeyWords:Level of radiodiagnosis and radiotherapy services  Comprehensive evaluation  TOPSIS method  Rank sum ratio method
FundProject:齐鲁卫生与健康领军人才项目(2021—2025)
Author NameAffiliationE-mail
Zhou Tao Institute of Public Health Surveillance and Evaluation, Shandong Center for Disease Control and Prevention, Jinan 250100, China  
Zhang Wei Institute of Public Health Surveillance and Evaluation, Shandong Center for Disease Control and Prevention, Jinan 250100, China  
Zhang Xianpeng Institute of Public Health Surveillance and Evaluation, Shandong Center for Disease Control and Prevention, Jinan 250100, China  
Tang Bo Institute of Public Health Surveillance and Evaluation, Shandong Center for Disease Control and Prevention, Jinan 250100, China  
Yang Ke Institute of Public Health Surveillance and Evaluation, Shandong Center for Disease Control and Prevention, Jinan 250100, China ayyangke@163.com 
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Abstract::
      Objective To explore a comprehensive evaluation method for radiodiagnosis and radiotherapy services, with 16 cities in Shandong province as a case study. Methods The survey data from 3 475 radiodiagnosis and radiotherapy facilities in the province in 2023 were analyzed using a weighted fuzzy combined approach of the TOPSIS method and rank sum ratio method. Seven key indicators were selected, including the number of radiodiagnosis and radiotherapy facilities per million population, the number of radiological workers per million population, the number of items of radiodiagnosis and radiotherapy equipment per million population, the number of X-ray diagnoses per thousand population, the number of interventions per thousand population, the number of radiotherapies per thousand population, and the number of nuclear medicine diagnoses and therapies per thousand population, to provide a comprehensive assessment of the quality of radiodiagnosis and radiotherapy services in the 16 cities of Shandong province in 2023. The study also explored the association between the quality of radiodiagnosis and radiotherapy services in each city and its per capita GDP. Results The findings indicated an unbalanced development of radiodiagnosis and radiotherapy services in Shandong province, with Jinan, Dongying, and Qingdao ranking the top three cities, and Heze, Linyi, and Dezhou ranking the bottom three. Furthermore, the number of radiological workers per million population, the number of X-ray diagnoses per thousand population, the number of interventions per thousand population, and the outcomes of the weighted fuzzy combination method, TOPSIS method, and RSR were shown to be positively correlated with the per capita GDP in each city (r=0.597-0.750,P < 0.05). Conclusions The combined application of the TOPSIS method and rank sum ratio method offers an impartial evaluation of radiodiagnosis and radiotherapy services across various cities in Shandong province. This method is considered appropriate for the comprehensive assessment of radiodiagnosis and radiotherapy services and holds practical significance for broader implementation.
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