A consensus-based group decision-making method for multidisciplinary team meeting under q-rung orthopair fuzzy environment

In response to the complex treatment process and evolving medical needs of multimorbidity , multidisciplinary team (MDT) is dedicated to integrating the diagnosis opinions of experts and providing optimal treatment plans. Reaching consensus on disease treatment plans involves a dynamic and iterative group decision-making process, in which traditional methods for MDT meetings fail to address the standardized decision-making procedure, interactive trust relationships, and fuzzy information integration. Given the challenges, this study proposes a dynamic consensus framework based on dual-path feedback mechanism with q -rung orthopair fuzzy set ( q -ROFS). A hybrid trust evolution model is first established within MDT, in which the trust degree is composed of inherent trust and preference similarity in each round. Then the opinion dynamics model is also introduced to the fuzzy environment. Based on trust evolution and opinion dynamics, the dual-path feedback mechanism is employed to provide references for preference adjustment and weight adjustment. Correspondingly, the calculation methods for consensus measure, preference similarity and alternative selection with q -ROFS are proposed. Additionally, a case study about vascular MDT meeting is used to illustrate the effectiveness of the proposed method. The simulation experiments are performed to verify the impact of consensus threshold, group size, individual self-confidence, and trust evolution on the proposed method. The results of the comparative analysis show that increasing the q value can expand the fuzzy information expression space while ensuring the consensus level, and the proposed method is superior to other methods in terms of more efficient and high-quality consensus results.