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Turkish Journal of Medical Sciences

Author ORCID Identifier

TEVFİK BULUT: 0000-0002-3668-7436

MEHMET TOP: 0000-0001-9162-4238

MURAT ATAN: 0000-0002-2485-9456

BURKAY GENÇ: 0000-0001-5134-1487

DOI

10.55730/1300-0144.5854

Abstract

Background/aimThe Global Health Security Index (GHSI), which is used to assess global health security preparedness level of countries, and Bulut Index-Beta (BI-β) method, developed as a multi-criteria decision-making method, were compared in terms of global health security in the context of world countries. Thus, it is aimed to demonstrate feasibility of BI-β method by testing it on GHSI datasets and then to contribute to methodological development of GHSI.Materials and methodsData set of the study consists of the publicly available GHSI data set, which allows for comparative evaluation of countries. BI-β method and GHSI were used to compare countries in terms of global health security.ResultsIn 2021, the top three best performing alternatives in terms of global health security are the United States (BI-β=85.46), Australia (BI-β=82.53) and the United Kingdom (BI-β=82.29). In 2019, as in 2021, the United States (BI-β=85.44) and Australia (BI-β=81.69) maintained the same rank, while the United Kingdom (BI-β=76.63) dropped to 9th place. On the other hand, there is a statistically significant positive weak monotonic relationship between BI-β and GHSI rankings.ConclusionSince GHSI scoring system is not consistent and questionable, the weighting process needs to be objectively reconsidered and the reasons for the weighting processes need to be explained. GHSI is conceptualized from a narrow and technical framework. Therefore, it is recommended that social and political determinants of public health should be taken into account in GHSI. On the other hand, BI-β method can be easily used in solving other multi-criteria decision-making problems, especially in public health areas such as global health security.

Keywords

BI-β, Bulut Index-Beta, COVID-19, GHSI, Global Health Security Index, Pandemic

First Page

822

Last Page

837

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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