Assessing the vulnerability of urban public health system based on a hybrid model
BackgroundPublic health emergencies pose direct threats to economic and social development. The vulnerability of urban public health system is a major cause of public health emergency outbreaks. It is essential to assess the vulnerability urban public health system.Materials and methodsTo address th...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1576214/full |
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| author | Lingmei Fu Zhirong Wang Yutao Zhu Benbu Liang Ting Qian Haiyun Ma |
| author_facet | Lingmei Fu Zhirong Wang Yutao Zhu Benbu Liang Ting Qian Haiyun Ma |
| author_sort | Lingmei Fu |
| collection | DOAJ |
| description | BackgroundPublic health emergencies pose direct threats to economic and social development. The vulnerability of urban public health system is a major cause of public health emergency outbreaks. It is essential to assess the vulnerability urban public health system.Materials and methodsTo address the uncertainty inherent to the vulnerability assessment process, a novel hybrid model is proposed. Stage 1 involves the development of an indicator system, incorporating a comprehensive set of vulnerability factors identified through literature review and expert consultation. Stage 2 involves the calculation of indicator weights using the Bayesian best-worst method (BWM)—a novel probabilistic group decision-making approach that incorporates Bayesian statistics with the traditional BWM. Stage 3 involves the determination of vulnerability levels using a cloud model. The cloud model can combine the randomness and fuzziness of assessment to deal with uncertainty. The model is applied to assess the vulnerability of Shanghai's public health system. Moreover, a sensitivity analysis was conducted to validate the effectiveness and robustness of the model.ResultsA total of 18 factors were identified as affecting the vulnerability of the urban public health system. The most significant among them are “poor coordination and cooperation among various personnel,” “insufficient information assurance,” “low public awareness,” and “low competency among staff in relevant departments and institutions.”ConclusionThe proposed hybrid model is both effective and robust. This study contributes to reducing the vulnerability of urban public health systems, thereby enhancing public health risk management in urban settings. |
| format | Article |
| id | doaj-art-1a6e5a95bb794fc694be13dd59c90805 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-1a6e5a95bb794fc694be13dd59c908052025-08-20T03:47:41ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15762141576214Assessing the vulnerability of urban public health system based on a hybrid modelLingmei Fu0Zhirong Wang1Yutao Zhu2Benbu Liang3Ting Qian4Haiyun Ma5College of Emergency Management, Nanjing Tech University, Nanjing, Jiangsu, ChinaCollege of Emergency Management, Nanjing Tech University, Nanjing, Jiangsu, ChinaSchool of Management, Wuhan University of Technology, Wuhan, Hubei, ChinaSchool of Law, Humanities and Sociology, Wuhan University of Technology, Wuhan, Hubei, ChinaCollege of Emergency Management, Nanjing Tech University, Nanjing, Jiangsu, ChinaCollege of Emergency Management, Nanjing Tech University, Nanjing, Jiangsu, ChinaBackgroundPublic health emergencies pose direct threats to economic and social development. The vulnerability of urban public health system is a major cause of public health emergency outbreaks. It is essential to assess the vulnerability urban public health system.Materials and methodsTo address the uncertainty inherent to the vulnerability assessment process, a novel hybrid model is proposed. Stage 1 involves the development of an indicator system, incorporating a comprehensive set of vulnerability factors identified through literature review and expert consultation. Stage 2 involves the calculation of indicator weights using the Bayesian best-worst method (BWM)—a novel probabilistic group decision-making approach that incorporates Bayesian statistics with the traditional BWM. Stage 3 involves the determination of vulnerability levels using a cloud model. The cloud model can combine the randomness and fuzziness of assessment to deal with uncertainty. The model is applied to assess the vulnerability of Shanghai's public health system. Moreover, a sensitivity analysis was conducted to validate the effectiveness and robustness of the model.ResultsA total of 18 factors were identified as affecting the vulnerability of the urban public health system. The most significant among them are “poor coordination and cooperation among various personnel,” “insufficient information assurance,” “low public awareness,” and “low competency among staff in relevant departments and institutions.”ConclusionThe proposed hybrid model is both effective and robust. This study contributes to reducing the vulnerability of urban public health systems, thereby enhancing public health risk management in urban settings.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1576214/fullurban public health systemvulnerability assessmentinfluential factorweight determinationpublic health management |
| spellingShingle | Lingmei Fu Zhirong Wang Yutao Zhu Benbu Liang Ting Qian Haiyun Ma Assessing the vulnerability of urban public health system based on a hybrid model Frontiers in Public Health urban public health system vulnerability assessment influential factor weight determination public health management |
| title | Assessing the vulnerability of urban public health system based on a hybrid model |
| title_full | Assessing the vulnerability of urban public health system based on a hybrid model |
| title_fullStr | Assessing the vulnerability of urban public health system based on a hybrid model |
| title_full_unstemmed | Assessing the vulnerability of urban public health system based on a hybrid model |
| title_short | Assessing the vulnerability of urban public health system based on a hybrid model |
| title_sort | assessing the vulnerability of urban public health system based on a hybrid model |
| topic | urban public health system vulnerability assessment influential factor weight determination public health management |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1576214/full |
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