To construct a TOPSIS-RSR-Markov chain model to comprehensively evaluate the current situation of traditional Chinese medicine service ability in Shanxi Province and predict the dynamic evolution trend.
Based on the data of public traditional Chinese medicine hospitals in 11 prefecture-level cities in Shanxi Province from 2021 to 2023, an evaluation system containing two first-class and ten second-class indicators was constructed. TOPSIS method and RSR method were used to rank the ability, and Markov model was used to predict the change trend from 2024 to 2025.
TOPSIS showed that Yuncheng (C=0.88), Jinzhong (C=0.75), Taiyuan (C=0.75) ranked the top three, and Shuozhou (C=0.10) ranked the bottom. The RSR method ranked Taiyuan (RSR=0.818) and Changzhi (RSR=0.75) in the highest grade. The two methods were moderately consistent (Spearman r=0.56). Markov prediction showed that the short-term capacity differentiation, the head agglomeration effect was enhanced, and some low- and medium-level cities were at risk of being downgraded. The proportion of low-level cities was stable at 25%. Sensitivity analysis confirmed that the core conclusions were robust, optimistic and structural optimization scenarios could increase the proportion of high-level cities, and pessimistic scenarios exacerbated the Matthew effect.
The service ability of traditional Chinese medicine in Shanxi Province is characterized by “dynamic evolution in gradient differentiation”. It is necessary to implement the differentiation strategy of “leading by the head city-breakthrough by the central city-bottom out by the tail city” to accelerate the development of traditional Chinese medicine in Shanxi Province.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |