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. 2021 Apr;50(4):806–815. doi: 10.18502/ijph.v50i4.6007

Table 3:

Total Interpretive Structural Modeling

Part1- Structural Self-Interaction Matrix (SSIM)
Variable C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11
C1 Crisis sensing 1 V O V V V V x O O O
C2 Opportunity seizing 1 V V V V V O V V O
C3 Reconfiguration 1 V A V V O V O O
C4 Health technology assessment 1 O O O V V V O
C5 Sustainable financing 1 V O V V V O
C6 Persistent integration 1 A V V V O
C7 Comprehensive health system communication 1 V V V O
C8 Learning & Skill development 1 O X A
C9 Redundancy 1 X V
C10 Agility 1 V
C11 Health system resilience 1
Part 2- Final Matrix (FM)
Variables Reachability set Antecedent set Intersection set levels
C11 C11 C11 C11 Level 1
C10 C8,C9,C10 C8,C9,C10,C11 C8,C9,C10 Level 2
C9 C8,C9,C10 C8,C9,C10,C11 C8,C9,C10 Level 2
C8 C8,C9,C10 C8,C9,C10,C11 C8,C9,C10 Level 2
C7 C4,C5,C6,C7 C4,C5,C6,C7,C9 C4,C5,C6,C7,C8 Level 3
C6 C4,C5,C6,C7 C4,C5,C6,C7,C9 C4,C5,C6,C7,C8 Level 3
C5 C4,C5,C6,C7 C4,C5,C6,C7,C9 C4,C5,C6,C7,C8 Level 3
C4 C4,C5,C6,C7 C4,C5,C6,C7,C9 C4,C5,C6,C7,C8 Level 3
C3 C1,C2,C3 C1,C2,C3,C5 C1,C2,C3,C4 Level 4
C2 C1,C2,C3 C1,C2,C3,C5 C1,C2,C3,C4 Level 4
C1 C1,C2,C3 C1,C2,C3,C5 C1,C2,C3,C4 Level 4

V: If criterion i only affects criterion j. X: Both criterion i affect j and criterion j affects criterion i. A: If the only criterion j affects criterion i. O: There is no effective relationship between the two criteria.