Supplementary File 1- Income-Based Analysis of Health Security in Western Asia through an Integrated GHSI, MCDM, and Clustering Model.pdf

Summary: This supplementary material supports our study titled "Income-Based Analysis of HealthSecurity in Western Asia through an Integrated GHSI, MCDM, and Clustering Model." Additionalcontext and data tables are provided to enrich the main analysis and findings. The document is dividedinto four primary sections. It begins by outlining the key health security criteria used to evaluatecountries: prevention, detection and reporting, rapid response, health system adequacy, commitmentto international norms, and overall risk environment. These criteria were applied to decision matricesfor 2019 and 2021. This section also includes the development of matrices that determine the weightsof the health security criteria, rank countries, and group them by performance. Comprehensive scoresare presented for different income groups, including high-income (HIC), upper-middle-income(UMC), lower-middle-income (LMC), and low-income (LIC) countries. The second section detailsthe results of the D-CRITIC calculations used to establish the relative importance of health securityindicators for Western Asian nations, broken down by income category (LIC, LMC, UMC, HIC) forboth 2019 and 2021. The third section explores the application of the D-CRITIC-CoCoSo model inranking the health security performance of these countries for the same years. It includes normalizedvalues, weighted comparability sequences, and final rankings that highlight the changes over time.The final section presents the clustering analysis, which segments countries based on their healthsecurity performance scores derived from the D-CRITIC-CoCoSo model. This analysis identifieddistinct performance clusters and assigned grades, showing the distribution of countries acrossincome levels in both years本补充材料用于支撑题为《基于收入视角的西亚健康安全分析——整合全球健康安全指数（GHSI）、多准则决策（MCDM）与聚类模型》的研究。文中提供了额外背景信息与数据表，以丰富主分析与研究发现。该文档分为四个主要部分。第一部分首先概述了用于评估各国健康安全的核心准则：预防、监测与报告、快速响应、卫生系统充足性、国际准则遵从性以及整体风险环境。上述准则被应用于2019年与2021年的决策矩阵。本部分还包含了用于确定健康安全准则权重、对国家进行排名及按绩效分组的矩阵构建流程。文中给出了不同收入组别的综合得分，涵盖高收入经济体（HIC）、中高收入经济体（UMC）、中低收入经济体（LMC）与低收入经济体（LIC）。第二部分详细阐述了D-CRITIC计算的结果，该方法用于确定西亚各国健康安全指标的相对重要性，并按收入类别（LIC、LMC、UMC、HIC）分别呈现了2019年与2021年的计算结果。第三部分探讨了D-CRITIC-CoCoSo模型在同期对各国健康安全绩效进行排名的应用，其中包含标准化值、加权可比序列以及凸显时间变迁的最终排名结果。第四部分展示了聚类分析结果，该分析基于D-CRITIC-CoCoSo模型得出的健康安全绩效得分对各国进行分组。本次分析识别出了差异化的绩效集群并赋予等级划分，同时呈现了两年间各国在不同收入层级的分布情况。