The Dynamic Evaluation Model of Health Sustainability under MCDM Benchmarking Health Indicator Standards

The coronavirus pandemic causing millions of deaths around the world has raised awareness of the importance of healthcare in a city, especially its efficiency in the city’s system. Although the health dimension is found to have critical effects on sustainable development in addition to the existing three dimensions, the majority of sustainability assessments that are developed based on the UN’s Sustainable Development Goals (SDGs) do not define standards for each indicator. On the contrary, an effective assessment model should be dynamic and suitable to the context of each city by referring to standardized criteria, such as those in a health indicator standard (HIS), instead of comparing with other cities. Hence, this research presents a new sustainability assessment model that integrates the health dimension (HEDm) with the other three dimensions generally used in studies of sustainable development (STD) and develops an assessment method to evaluate real data with references to the HIS from reliable organizations, such as the World Health Organization (WHO) and the United Nations (UN), for the SDGs. By using the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) with the framework obtained from literature reviews, ISO Standards (ISO37120, ISO37122, ISO37123) and U4SSC, the researchers formed indicators in four dimensions with a total of 15 elements and 45 indicators. Afterwards, the weight of each indicator was determined with the Analytic Hierarchy Process (AHP) conducted in each dimension and element, resulting in a four-dimensional sustainability assessment model based on HIS value that limits the need to compare with other cities. The results from Khon Kaen province have shown the weaknesses and strengths of the target city that policymakers can reference to formulate a policy and strategy to improve HIS values in each dimension to meet standards, elevate city capacity and raise quality of life for the people living in the area.