{"id":633,"date":"2015-10-24T08:43:38","date_gmt":"2015-10-24T08:43:38","guid":{"rendered":"http:\/\/idealhealthcare.net\/?p=633"},"modified":"2015-12-01T06:16:51","modified_gmt":"2015-12-01T06:16:51","slug":"mathematics-behind-this-blog","status":"publish","type":"post","link":"http:\/\/idealhealthcare.net\/index.php\/2015\/10\/24\/mathematics-behind-this-blog\/","title":{"rendered":"Mathematics Behind this Blog"},"content":{"rendered":"<div class=\"otw-sc-box border-top-bottom otw-brown-border bordered otw-pattern-4\"><div><br \/>\n<p style=\"text-align: center;\">Abstract<\/p><br \/>\n<p style=\"text-align: justify;\">This post develops the simple mathematics necessary to (1) compute the relative importance of each of the six attributes of an ideal healthcare system based on public databases and (2) construct the 6P scoring system.<\/p><br \/>\n<p style=\"text-align: justify;\">Together these will (1) measure a given country\u2019s healthcare system\u2019s divergence from achieving an ideal healthcare system, (2) rank countries by how close they are to an ideal healthcare system and (3) guide allocation of healthcare budgets to resources that will help most in achieving an ideal healthcare system.<br \/><br \/>\n<\/div><\/div>\n<h1>Simple Mathematics Proposed in this Blog<\/h1>\n<p style=\"text-align: justify;\">This blog proposes a mathematical basis for measuring a country\u2019s proximity to a goal of achieving an ideal healthcare system. For this purpose, this blog proposes a scoring\u00a0system called the 6P score. In addition, it proposes a multivariate regression that will establish the relative importance of each of the six principles describing an ideal healthcare system through the computation of regression coefficients. These will help policymakers guide investments in healthcare to derive the best bang for the buck so that at the margin, each dollar is spent on a variable that yields the best improvement in <a href=\"http:\/\/www.who.int\/healthinfo\/statistics\/indhale\/en\/\" target=\"_blank\">HALE<\/a>.<\/p>\n<p>In summary,<\/p>\n<p>1. We start with 6 basic variables that define an ideal healthcare system.<\/p>\n<p>2. We collect data on these 6 variables from established WHO databases.<\/p>\n<p>3. We collect data on <a href=\"http:\/\/www.who.int\/healthinfo\/statistics\/indhale\/en\/\" target=\"_blank\">HALE<\/a>.<\/p>\n<p style=\"text-align: justify;\">There are several epidemiological variables other than these six that may affect HALE for a country. For example, if the average age of the population is advanced, the HALE by definition, would be skewed accordingly as the elderly may have shorter intervals of healthy periods of life compared to a decidedly younger population. Second, the presence of a sweeping disease epidemic in a country would alter HALE. Third, the presence of wars or catastrophic events can also alter reported HALE.<\/p>\n<p><a id=\"6P\"><\/a><\/p>\n<p style=\"text-align: justify;\">If for every country denoted by <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-254f8326e16281b0c19df16e331a2e43_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#74;\" title=\"Rendered by QuickLaTeX.com\" height=\"12\" width=\"11\" style=\"vertical-align: 0px;\"\/>, each attribute denoted by <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-5a23762b47f272d2dce019d8dddd4310_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#105;\" title=\"Rendered by QuickLaTeX.com\" height=\"12\" width=\"6\" style=\"vertical-align: 0px;\"\/> is allotted a weight of <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-d9ea0932a8a8484cce6bc7afa940b150_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#119;&#95;&#123;&#105;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"18\" style=\"vertical-align: -3px;\"\/> such that <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-aec852cdd60a8348800de6cd82976a22_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#92;&#115;&#117;&#109;&#95;&#123;&#105;&#61;&#49;&#125;&#94;&#123;&#54;&#125;&#32;&#40;&#119;&#95;&#123;&#105;&#125;&#41;&#61;&#49;\" title=\"Rendered by QuickLaTeX.com\" height=\"23\" width=\"105\" style=\"vertical-align: -6px;\"\/>. The weight <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-d9ea0932a8a8484cce6bc7afa940b150_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#119;&#95;&#123;&#105;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"18\" style=\"vertical-align: -3px;\"\/> is the same across all countries <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-254f8326e16281b0c19df16e331a2e43_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#74;\" title=\"Rendered by QuickLaTeX.com\" height=\"12\" width=\"11\" style=\"vertical-align: 0px;\"\/>. Let the value of each attribute <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-5a23762b47f272d2dce019d8dddd4310_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#105;\" title=\"Rendered by QuickLaTeX.com\" height=\"12\" width=\"6\" style=\"vertical-align: 0px;\"\/> for country <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-254f8326e16281b0c19df16e331a2e43_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#74;\" title=\"Rendered by QuickLaTeX.com\" height=\"12\" width=\"11\" style=\"vertical-align: 0px;\"\/> be\u00a0<img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-4ca2093734141659ba678852184b694d_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#118;&#95;&#123;&#105;&#74;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"23\" style=\"vertical-align: -3px;\"\/>. This value <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-4ca2093734141659ba678852184b694d_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#118;&#95;&#123;&#105;&#74;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"23\" style=\"vertical-align: -3px;\"\/> is the amount each country <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-254f8326e16281b0c19df16e331a2e43_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#74;\" title=\"Rendered by QuickLaTeX.com\" height=\"12\" width=\"11\" style=\"vertical-align: 0px;\"\/> has invested in the attribute <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-5a23762b47f272d2dce019d8dddd4310_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#105;\" title=\"Rendered by QuickLaTeX.com\" height=\"12\" width=\"6\" style=\"vertical-align: 0px;\"\/>. \u00a0<img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-4ca2093734141659ba678852184b694d_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#118;&#95;&#123;&#105;&#74;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"23\" style=\"vertical-align: -3px;\"\/> may be a PPP dollar amount or a rank order or a binary yes\/no variable. Then the weighted average 6P score <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-b3c25bdc76ea03385221c6f769fa07a9_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#80;&#95;&#123;&#74;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"15\" width=\"20\" style=\"vertical-align: -3px;\"\/> is:<\/p>\n<p><a name=\"id2948393461\"><\/a><\/p>\n<p class=\"ql-center-displayed-equation\" style=\"line-height: 99px;\"><span class=\"ql-right-eqno\"> (1) <\/span><span class=\"ql-left-eqno\"> &nbsp; <\/span><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-a8f13d5b816c236d35e6c5061850d3ea_l3.png\" height=\"99\" width=\"223\" class=\"ql-img-displayed-equation quicklatex-auto-format\" alt=\"&#92;&#98;&#101;&#103;&#105;&#110;&#123;&#101;&#113;&#117;&#97;&#116;&#105;&#111;&#110;&#42;&#125; &#92;&#98;&#111;&#120;&#101;&#100;&#123; &#80;&#95;&#123;&#74;&#125;&#61;&#92;&#115;&#117;&#109;&#95;&#123;&#105;&#61;&#49;&#125;&#94;&#123;&#54;&#125;&#32;&#40;&#123;&#119;&#95;&#123;&#105;&#125;&#41;&#32;&#40;&#118;&#95;&#123;&#105;&#74;&#125;&#125;&#41; &#125; &#92;&#101;&#110;&#100;&#123;&#101;&#113;&#117;&#97;&#116;&#105;&#111;&#110;&#42;&#125;\" title=\"Rendered by QuickLaTeX.com\"\/><\/p>\n<h3><strong><span style=\"color: #800080;\">How to estimate the relative attribute weights <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-d9ea0932a8a8484cce6bc7afa940b150_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#119;&#95;&#123;&#105;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"18\" style=\"vertical-align: -3px;\"\/>? &#8211; A multivariate regression<\/span><\/strong><\/h3>\n<p style=\"text-align: justify;\">The weights <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-d9ea0932a8a8484cce6bc7afa940b150_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#119;&#95;&#123;&#105;&#125;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"18\" style=\"vertical-align: -3px;\"\/> are estimated using current data on these attributes. A multivariate regression can be\u00a0run with the six attributes and three epidemiological variables as the independent variables and, say, HALE\u00a0as the dependent variable. The resulting coefficients, for the six variables normalized to a total of 1 become the weights.<\/p>\n<p>The regression equation would then be:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-79d1dd30c0668d79050a1e6686fbb070_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#92;&#118;&#115;&#112;&#97;&#99;&#101;&#123;&#53;&#32;&#112;&#116;&#125;&#72;&#65;&#76;&#69;&#32;&#61;&#92;&#110;&#101;&#119;&#108;&#105;&#110;&#101; &#92;&#104;&#115;&#112;&#97;&#99;&#101;&#42;&#123;&#54;&#32;&#112;&#116;&#125;&#92;&#118;&#115;&#112;&#97;&#99;&#101;&#123;&#53;&#32;&#112;&#116;&#125;&#40;&#119;&#95;&#49;&#41;&#32;&#40;&#80;&#114;&#101;&#118;&#101;&#110;&#116;&#105;&#111;&#110;&#41;&#43;&#40;&#119;&#95;&#50;&#41;&#40;&#84;&#101;&#99;&#104;&#69;&#120;&#99;&#101;&#108;&#108;&#101;&#110;&#99;&#101;&#41;&#43;&#40;&#119;&#95;&#51;&#41;&#40;&#66;&#111;&#100;&#121;&#77;&#105;&#110;&#100;&#83;&#112;&#105;&#114;&#105;&#116;&#41;&#43; &#92;&#108;&#105;&#110;&#101;&#98;&#114;&#101;&#97;&#107;&#92;&#118;&#115;&#112;&#97;&#99;&#101;&#123;&#53;&#32;&#112;&#116;&#125;&#40;&#119;&#95;&#52;&#41;&#40;&#84;&#105;&#109;&#101;&#108;&#121;&#65;&#99;&#99;&#101;&#115;&#115;&#41;&#43;&#40;&#119;&#95;&#53;&#41;&#40;&#67;&#111;&#109;&#112;&#97;&#115;&#115;&#105;&#111;&#110;&#41;&#43;&#40;&#119;&#95;&#54;&#41;&#40;&#70;&#114;&#101;&#101;&#72;&#101;&#97;&#108;&#116;&#104;&#99;&#97;&#114;&#101;&#41;&#43; &#92;&#108;&#105;&#110;&#101;&#98;&#114;&#101;&#97;&#107;&#92;&#104;&#115;&#112;&#97;&#99;&#101;&#42;&#123;&#52;&#32;&#112;&#116;&#125;&#40;&#119;&#95;&#55;&#41;&#40;&#65;&#118;&#101;&#114;&#97;&#103;&#101;&#65;&#103;&#101;&#41;&#43;&#40;&#119;&#95;&#56;&#41;&#40;&#69;&#112;&#105;&#100;&#101;&#109;&#105;&#99;&#115;&#41;&#43;&#40;&#119;&#95;&#57;&#41;&#40;&#67;&#97;&#116;&#97;&#115;&#116;&#114;&#111;&#112;&#104;&#105;&#99;&#97;&#108;&#69;&#118;&#101;&#110;&#116;&#115;&#41;\" title=\"Rendered by QuickLaTeX.com\" height=\"140\" width=\"761\" style=\"vertical-align: -6px;\"\/><\/p>\n<p>where <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/idealhealthcare.net\/wp-content\/ql-cache\/quicklatex.com-34ad0dc6cd28c498a3a4bdeb5c4923c3_l3.png\" class=\"ql-img-inline-formula quicklatex-auto-format\" alt=\"&#119;&#95;&#105;\" title=\"Rendered by QuickLaTeX.com\" height=\"11\" width=\"18\" style=\"vertical-align: -3px;\"\/> are the respective coefficients.<\/p>\n<div class=\"theParallaxCrestaBlock\"><div class=\"theParallaxCresta fortunato-short-parallax-772\" style=\"background-image: url(http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/10\/Math-Knowledge.jpg); height:550px;\"><h2><em>No human investigation can claim to be scientific<br \/>\nif it doesn't pass the test of mathematical proof.<\/em><\/p>\n<p>-Leonardo Da Vinci<\/h2><\/div><\/div><script type=\"text\/javascript\">(function($) { $(document).ready(function() { if ( \/Android|webOS|iPhone|iPad|iPod|BlackBerry|IEMobile|Opera Mini\/i.test(navigator.userAgent) ) {} else { $(\".fortunato-short-parallax-772\").scrollparallax(\"50%\", \"0.2\"); } }); })(jQuery);<\/script>\n<p>By its very nature, multivariate regression has several underlying assumptions:<div class=\"otw-sc-box bordered otw-brown-border bordered shadow-outer rounded-3 otw-pattern-2\" style=\"background-color: #fcf5ff;\"><div><br \/>\n<ol><br \/>\n<li><span style=\"font-size: 12pt;\"><span style=\"text-decoration: underline;\">Linearity<\/span>. Is there is a linear relationship between the independent variables and the dependent variable?<\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><span style=\"text-decoration: underline;\">Normality<\/span>. Is the statistical distribution of each variable a normal distribution?<\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><span style=\"text-decoration: underline;\">No\u00a0multicollinearity<\/span>. Are our six independent variables independent of each other?<\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><span style=\"text-decoration: underline;\">No\u00a0autocorrelation<\/span>. Every independent variable has a statistical distribution described mathematically with a residual term. Are these residuals independent of each other?<\/span><\/li><br \/>\n<li><span style=\"font-size: 12pt;\"><span style=\"text-decoration: underline;\">No\u00a0heteroscedasticity<\/span>. Are the error terms equally distributed around the regression line?<\/span><\/div><\/div><\/li>\n<\/ol>\n<p style=\"text-align: justify;\">In our instance, we will have to check to ensure that these assumptions are upheld. Our independent variables must especially be checked for multicollinearity and autocorrelation. Statistical tests are available to check for these assumptions.<\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #800080;\"><strong>The Next Steps<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\">The next six posts will describe the nature of data for each of the six\u00a0principles. They will discuss the pitfalls and methods used to interpret and collect data on the six components. Once data is collected for all six components together with the three epidemiological variables affecting HALE, the\u00a0multivariate regression can be run with HALE\u00a0as the independent variable and the aforementioned nine variables as dependent. The coefficients of the six variables characterizing an ideal healthcare can next be normalized to a total of 1 thus yielding weights for each of the six attributes.<\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #800080;\"><strong>Results<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\">Using the results of the regression\u00a0above with normalized weights for each of the six attributes, one can calculate the 6P score\u00a0using the formula (<a href=\"#id2948393461\">1<\/a>) above and rank countries in their closeness to an ideal healthcare system. \u00a0One can also calculate the correlation between these weights and HALE. This identifies those attributes that are significant contributors to population health measured by HALE.<\/p>\n<h3 style=\"text-align: justify;\"><strong><span style=\"color: #800080;\">What does all this mean?<\/span><\/strong><\/h3>\n<p style=\"text-align: justify;\">As an illustration of the technique, let us consider the 11 countries listed in the\u00a0<a href=\"http:\/\/www.commonwealthfund.org\/~\/media\/files\/publications\/fund-report\/2014\/jun\/1755_davis_mirror_mirror_2014_exec_summ.pdf\" target=\"_blank\">OECD report<\/a>\u00a0below taken from\u00a0K. Davis, K. Stremikis, C. Schoen, and D. Squires,\u00a0<em>Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally,<\/em>\u00a0The Commonwealth Fund, June 2014. The table below is taken directly from their paper.<\/p>\n<p><a href=\"http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/09\/OECD-Mirror-Mirror.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-85 size-full\" title=\"OECD Country Ranking Data\" src=\"http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/09\/OECD-Mirror-Mirror.jpg\" alt=\"OECD Mirror Mirror\" width=\"739\" height=\"423\" srcset=\"http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/09\/OECD-Mirror-Mirror.jpg 739w, http:\/\/idealhealthcare.net\/wp-content\/uploads\/2015\/09\/OECD-Mirror-Mirror-300x172.jpg 300w\" sizes=\"auto, (max-width: 739px) 100vw, 739px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\">Consider the following attributes: Effective Care (presumed proxy for state-of-the-art), Patient Centred Care (presumed proxy for compassionate care), Access (presumed proxy for timely access), Healthy Lives (presumed proxy for disease prevention). We do not have data on actual expenditures at this moment in this Table. However, we can apply our calculations to the ordinal rankings. Please see a good discussion of this technique in\u00a0<em>Optimum Studia Ekonomiczne<\/em>, 5(65), 14-33, 2013. Please also note that\u00a0because we are using ranks to calculate the aggregate weight adjusted scores for each country, the final ranking will be dependent on the initial ranking and the cohort.<\/p>\n<p style=\"text-align: justify;\">The following Table summarizes the results. Please note that the country rankings can potentially change because of the relative weights assigned to the attributes.<\/p>\n<h2 id=\"tablepress-2-name\" class=\"tablepress-table-name tablepress-table-name-id-2\">Weight Adjusted Country Rank<\/h2>\n\n<table id=\"tablepress-2\" class=\"tablepress tablepress-id-2\" aria-labelledby=\"tablepress-2-name\" aria-describedby=\"tablepress-2-description\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Attribute <br \/>\n(Weight)<\/th><th class=\"column-2\">USA<\/th><th class=\"column-3\">UK<\/th><th class=\"column-4\">SWZ<\/th><th class=\"column-5\">SWE<\/th><th class=\"column-6\">AUS<\/th><th class=\"column-7\">GER<\/th><th class=\"column-8\">NET<\/th><th class=\"column-9\">NZL<\/th><th class=\"column-10\">NOR<\/th><th class=\"column-11\">FRA<\/th><th class=\"column-12\">CAN<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Effective <br \/>\n(0.3)<\/td><td class=\"column-2\">0.9<\/td><td class=\"column-3\">0.3<\/td><td class=\"column-4\">2.4<\/td><td class=\"column-5\">3.0<\/td><td class=\"column-6\">1.2<\/td><td class=\"column-7\">1.8<\/td><td class=\"column-8\">1.5<\/td><td class=\"column-9\">0.6<\/td><td class=\"column-10\">3.3<\/td><td class=\"column-11\">2.7<\/td><td class=\"column-12\">2.1<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Patient Centred <br \/>\n(0.4)<\/td><td class=\"column-2\">0.8<\/td><td class=\"column-3\">0.2<\/td><td class=\"column-4\">0.4<\/td><td class=\"column-5\">1.0<\/td><td class=\"column-6\">1.0<\/td><td class=\"column-7\">1.4<\/td><td class=\"column-8\">0.6<\/td><td class=\"column-9\">1.2<\/td><td class=\"column-10\">2.2<\/td><td class=\"column-11\">2.0<\/td><td class=\"column-12\">1.6<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Access <br \/>\n(0.2)<\/td><td class=\"column-2\">1.8<\/td><td class=\"column-3\">0.2<\/td><td class=\"column-4\">0.4<\/td><td class=\"column-5\">1.6<\/td><td class=\"column-6\">1.6<\/td><td class=\"column-7\">0.4<\/td><td class=\"column-8\">0.8<\/td><td class=\"column-9\">1.4<\/td><td class=\"column-10\">1.2<\/td><td class=\"column-11\">2.2<\/td><td class=\"column-12\">1.8<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Healthy Lives <br \/>\n(0.3)<\/td><td class=\"column-2\">3.3<\/td><td class=\"column-3\">3.0<\/td><td class=\"column-4\">0.9<\/td><td class=\"column-5\">1.2<\/td><td class=\"column-6\">1.2<\/td><td class=\"column-7\">2.1<\/td><td class=\"column-8\">1.5<\/td><td class=\"column-9\">2.7<\/td><td class=\"column-10\">1.8<\/td><td class=\"column-11\">0.3<\/td><td class=\"column-12\">2.4<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Overall Score<\/td><td class=\"column-2\">6.8<\/td><td class=\"column-3\">3.7<\/td><td class=\"column-4\">4.1<\/td><td class=\"column-5\">6.2<\/td><td class=\"column-6\">5.0<\/td><td class=\"column-7\">5.7<\/td><td class=\"column-8\">4.4<\/td><td class=\"column-9\">5.9<\/td><td class=\"column-10\">8.5<\/td><td class=\"column-11\">7.2<\/td><td class=\"column-12\">7.9<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">New Ranking<\/td><td class=\"column-2\">9<\/td><td class=\"column-3\">1<\/td><td class=\"column-4\">2<\/td><td class=\"column-5\">7<\/td><td class=\"column-6\">4<\/td><td class=\"column-7\">5<\/td><td class=\"column-8\">3<\/td><td class=\"column-9\">6<\/td><td class=\"column-10\">11<\/td><td class=\"column-11\">8<\/td><td class=\"column-12\">10<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<span id=\"tablepress-2-description\" class=\"tablepress-table-description tablepress-table-description-id-2\">This Table shows an example of why the weight adjusted rankings can differ from raw rankings depending upon the weights used. In practice these weights would be calculated based on the results of a multivariate analysis described above.<\/span>\n<!-- #tablepress-2 from cache -->\n<h3><span style=\"color: #800080;\"><strong>What do we need to do?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\">We need to collect data on expenditures, rankings or binary answers (<a href=\"https:\/\/en.wikipedia.org\/wiki\/Dummy_variable_(statistics)\" target=\"_blank\">dummy variables<\/a>) on the six\u00a0principles (attributes), and three epidemiological variables and HALE for each country. Next, we need to run a multivariate regression using this data.\u00a0Then, we obtain the relative weights normalized to 1 for the six variables from the result of the regression analysis. Finally, we use these weights to compute the 6P score\u00a0for each country, the adjusted weighted rankings of countries in how they measure up to an ideal healthcare system and the marginal contribution of each attribute to the country&#8217;s HALE.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Simple Mathematics Proposed in this Blog This blog proposes a mathematical basis for measuring a country\u2019s proximity to a goal of achieving an ideal healthcare system. For this purpose, this blog proposes a scoring\u00a0system called the 6P score. In addition, it proposes a multivariate regression that will establish the relative importance of each of the&hellip;<\/p>\n","protected":false},"author":1,"featured_media":708,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-633","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-principles"],"_links":{"self":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts\/633","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/comments?post=633"}],"version-history":[{"count":74,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts\/633\/revisions"}],"predecessor-version":[{"id":984,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/posts\/633\/revisions\/984"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/media\/708"}],"wp:attachment":[{"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/media?parent=633"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/categories?post=633"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/idealhealthcare.net\/index.php\/wp-json\/wp\/v2\/tags?post=633"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}