Analysis of structural health gaps in OECD countries using the Gowlad Index: A proposal for logarithmic weighted aggregation based on fuzzy logic
DOI:
https://doi.org/10.33110/inceptum.v20i39.510Palabras clave:
agregación logarítmica, desempeño del sistema de salud, lógica difusa, OCDE, política sanitariaResumen
El estudio evalúa las disparidades estructurales en el desempeño de los sistemas de salud de los países de la OCDE mediante un modelo de agregación logarítmica basado en lógica difusa. La investigación justifica su relevancia en la necesidad de medir inequidades que los enfoques tradicionales no logran capturar. Metodológicamente, se aplica el índice GOWLAD, que integra ponderaciones redistributivas y funciones de distancia logarítmica para estimar el grado de rezago estructural entre países durante el periodo 2000–2021. Los resultados revelan una creciente divergencia en el desempeño sanitario y evidencian que las brechas no se deben al avance de los países líderes, sino a la lentitud en la mejora de los rezagados. El modelo propuesto constituye una herramienta innovadora y replicable que contribuye a la formulación de políticas públicas orientadas a la equidad, la eficiencia y la resiliencia de los sistemas de salud.
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