Establishment of an Index System for Multidimensional Health Poverty in Post-Poverty Alleviation Era in China: Delphi Method and Analytic Hierarchy Process

Establishment of an Index System for Multidimensional Health Poverty in Post-Poverty Alleviation Era in China: Delphi Method and Analytic Hierarchy Process | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Establishment of an Index System for Multidimensional Health Poverty in Post-Poverty Alleviation Era in China: Delphi Method and Analytic Hierarchy Process Jin Hao, Shiju Dong, Jiajia Li This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3816714/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 21 Oct, 2024 Read the published version in BMC Public Health → Version 1 posted 12 You are reading this latest preprint version Abstract Background: This study aimed to establish a multidimensional health poverty evaluation index (MHPI) based on a sustainable livelihood framework to provide a reference for the accurate identification and treatment of the population health poverty in the post-poverty alleviation era. Methods: A two-round Delphi process was used to determine the indicators of the index system. The weight of each indicator was calculated using the analytic hierarchy process (AHP) method. Results: This study developed a new indicator framework covering five dimensions: financial, natural, physical, social, and human capital. The initial 46 indicators formed an indicator pool for the Delphi questionnaire. Based on the final consensus of the expert panel, the Delphi consultation resulted in an index system comprising six first-level and 23 second-level indicators. The weight values of the first-level indicators (economic security, health status, education, social capital, healthcare utilisation, and living conditions) were 0.2715, 0.2593, 0.0855, 0.0657, 0.1812, and 0.1363, respectively. Conclusion: This study established a scientific and effective index to evaluate multidimensional health poverty in China. Economic security, health status,and healthcare utilisation are the most crucial aspects of multidimensional health poverty. Moreover, the results indicated that vocational training and social capital should be emphasised. multidimensional health poverty index Delphi method analytic hierarchy process Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 21 Oct, 2024 Read the published version in BMC Public Health → Version 1 posted Editorial decision: Revision requested 08 Aug, 2024 Reviews received at journal 05 Aug, 2024 Reviewers agreed at journal 08 Jul, 2024 Reviews received at journal 18 Jun, 2024 Reviewers agreed at journal 18 Jun, 2024 Reviewers agreed at journal 17 Jun, 2024 Reviewers agreed at journal 29 May, 2024 Reviewers invited by journal 28 May, 2024 Editor assigned by journal 02 May, 2024 Editor invited by journal 03 Jan, 2024 Submission checks completed at journal 03 Jan, 2024 First submitted to journal 28 Dec, 2023 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3816714","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":264989703,"identity":"057febab-c8e9-4827-9973-cf27ae85ba9a","order_by":0,"name":"Jin Hao","email":"","orcid":"","institution":"Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012","correspondingAuthor":false,"prefix":"","firstName":"Jin","middleName":"","lastName":"Hao","suffix":""},{"id":264989704,"identity":"37c2e5b8-d8ce-44d9-ae95-3239bbe20dbc","order_by":1,"name":"Shiju Dong","email":"","orcid":"","institution":"Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012","correspondingAuthor":false,"prefix":"","firstName":"Shiju","middleName":"","lastName":"Dong","suffix":""},{"id":264989705,"identity":"2ba6bce7-64eb-41af-9668-132146eae458","order_by":2,"name":"Jiajia Li","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA1ElEQVRIiWNgGAWjYBACPmaGhAMMPBIM/AwMBkA+M2EtbDAtkg1Ea4ExDA4QrYWd4eGBHzIW8sbnD2+TYKiwTmxgP3uAoMMO9vBIGG67kVYmwXAmPbGBJy+BsF94eCQYt93gMZNgbDuc2CDBY0DYlj88Evab+88AtfwjUsthoC2JGxhygFoaiNUiwyORPONGWrFFwrF04zaeHPxa+PnPJH9821Nn299/eOONDzXWsv3sZ/BrYWDgSWBg7IGyExiQYgo3YD/AwPCDsLJRMApGwSgYwQAAdb899La0TboAAAAASUVORK5CYII=","orcid":"","institution":"Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012","correspondingAuthor":true,"prefix":"","firstName":"Jiajia","middleName":"","lastName":"Li","suffix":""}],"badges":[],"createdAt":"2023-12-28 12:44:10","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-3816714/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-3816714/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12889-024-20406-y","type":"published","date":"2024-10-21T15:58:02+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":67681996,"identity":"471422fe-6ae0-4154-8d3a-7364d5e68ce4","added_by":"auto","created_at":"2024-10-28 16:12:15","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":632071,"visible":true,"origin":"","legend":"","description":"","filename":"Manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-3816714/v1_covered_12fca4e1-5e4f-4e1e-9d18-557569d8e393.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Establishment of an Index System for Multidimensional Health Poverty in Post-Poverty Alleviation Era in China: Delphi Method and Analytic Hierarchy Process","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-public-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"pubh","sideBox":"Learn more about [BMC Public Health](http://bmcpublichealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/pubh/default.aspx","title":"BMC Public Health","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"multidimensional health poverty, index, Delphi method, analytic hierarchy process","lastPublishedDoi":"10.21203/rs.3.rs-3816714/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-3816714/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e This study aimed to establish a multidimensional health poverty evaluation index (MHPI) based on a sustainable livelihood framework to provide a reference for the accurate identification and treatment of the population health poverty in the post-poverty alleviation era.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e A two-round Delphi process was used to determine the indicators of the index system. The weight of each indicator was calculated using the analytic hierarchy process (AHP) method.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults: \u003c/strong\u003eThis study developed a new indicator framework covering five dimensions: financial, natural, physical, social, and human capital. The initial 46 indicators formed an indicator pool for the Delphi questionnaire. Based on the final consensus of the expert panel, the Delphi consultation resulted in an index system comprising six first-level and 23 second-level indicators. The weight values of the first-level indicators (economic security, health status, education, social capital, healthcare utilisation, and living conditions) were 0.2715, 0.2593, 0.0855, 0.0657, 0.1812, and 0.1363, respectively.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e This study established a scientific and effective index to evaluate multidimensional health poverty in China. Economic security, health status,and healthcare utilisation are the most crucial aspects of multidimensional health poverty. Moreover, the results indicated that vocational training and social capital should be emphasised.\u003c/p\u003e","manuscriptTitle":"Establishment of an Index System for Multidimensional Health Poverty in Post-Poverty Alleviation Era in China: Delphi Method and Analytic Hierarchy Process","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-01-08 18:57:20","doi":"10.21203/rs.3.rs-3816714/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-08-08T06:30:40+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-08-05T13:24:38+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"180587170332839588641944006782516036976","date":"2024-07-08T11:28:27+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-06-18T05:52:57+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"173591870570907990621248320444633863640","date":"2024-06-18T05:27:59+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"67160403973074964896287071587725782052","date":"2024-06-17T09:10:28+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"297988043757642435811930938567962109374","date":"2024-05-29T04:11:27+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-05-28T14:06:38+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-05-02T07:52:00+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2024-01-03T12:56:54+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-01-03T12:54:29+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Public Health","date":"2023-12-28T12:34:42+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-public-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"pubh","sideBox":"Learn more about [BMC Public Health](http://bmcpublichealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/pubh/default.aspx","title":"BMC Public Health","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"79b3b3d9-e895-4195-bd2a-9ea52063136c","owner":[],"postedDate":"January 8th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-10-28T16:04:59+00:00","versionOfRecord":{"articleIdentity":"rs-3816714","link":"https://doi.org/10.1186/s12889-024-20406-y","journal":{"identity":"bmc-public-health","isVorOnly":false,"title":"BMC Public Health"},"publishedOn":"2024-10-21 15:58:02","publishedOnDateReadable":"October 21st, 2024"},"versionCreatedAt":"2024-01-08 18:57:20","video":"","vorDoi":"10.1186/s12889-024-20406-y","vorDoiUrl":"https://doi.org/10.1186/s12889-024-20406-y","workflowStages":[]},"version":"v1","identity":"rs-3816714","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-3816714","identity":"rs-3816714","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}