Abstract
Patient-centered care is an essential part of the implementation of integrated medicine, integrating humanistic care into nursing services, enhancing communication between caregivers and patients, and providing personalized service to patients. Based on the similarity of interval type-2 fuzzy numbers (IT2FNs), a novel similarity-based methodology is presented for the selection of the most suitable medical treatment under a patient-centered environment. First, we propose a new similarity based on the geometric properties of interval type-2 fuzzy numbers and present a new property based on the center of gravity. Meanwhile, in order to better highlight the advantages of the proposed similarity, we selected 30 samples for comparative experiments. Second, considering the straightforward logic of the multi-attributive border approximation area comparison (MABAC) method, we extended it based on similarity to make the decision more accurate. Finally, a realistic patient-centered type-2 diabetes treatment selection problem is presented to verify the practicality and effectiveness of the proposed algorithm. A comparative analysis with existing methods is also described.
Highlights
With the advancement of human society and medical technology, the medical service mode of disease-centered care has been gradually replaced by patient-centered care (PCC)
In this paper, based on the difference of proportion, geometric distance, height, and center-of-gravity distance of two interval type-2 fuzzy numbers, we developed a new similarity measure within an interval type-2 fuzzy environment
We selected 30 different sets of general type-2 fuzzy numbers (GT2FNs) given in Figure 2 to operate an comparative experiment with the existing similarity measures [30,32,35,36,37,38,39]
Summary
With the advancement of human society and medical technology, the medical service mode of disease-centered care has been gradually replaced by patient-centered care (PCC). Patient-centered care can provide patients with a full range of quality services in a variety of ways, including physical, psychological, and social needs [1,2] by satisfying and responding the patient's wants, needs, and preferences, allowing patients to participate in decision-making of their own treatment and care [3]. As Steiger and Balog [4] point out, PCC treats the patient as a unique individual, places the patient in the center of the care process, and takes into account the patient’s beliefs and values, as well as physical and emotional needs [5,6]. PCC provides patients with plenty of opportunities to participate in decision-making, that is, to assume that the patient can quantify their needs and make decisions that meet their specific needs and wants [7].
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