Evaluating Complex Health and Social Care Program Using Multi-criteria Decision Analysis: A Case Study of “Better Together in Amsterdam North”

BackgroundCommunity multidisciplinary teams (MDTs) represent a model of integrated care comprising health, social care, and the voluntary sector where members work collaboratively to coordinate care for those patients most at risk.AimThe evaluation will answer the question, ‘What are the enablers and what are the restrictors to the embedding of the case study MDT into the routine practice of the health and social care teams involved in the project?’MethodThe MDT was evaluated using a mixed-method approach with normalisation process theory as a methodological tool. Both quantitative and qualitative data were gathered through a questionnaire consisting of the NoMAD survey followed by free-form questions.ResultsThe concepts of the MDT were generally clear, and participants could see the potential benefits of the programme, though this was found to be lower in GPs. Certain professionals, particularly mental health and nursing professionals, found it difficult to integrate the MDT into normal working patterns because of a lack of resources. Participants also felt there was a lack of training for MDT working. A lack of awareness of evidence supporting the programme was shown particularly within management, GP, and nursing roles.ConclusionSpecific recommendations have been made in order to improve the MDT under evaluation. These include adjustments to IT systems and meeting documentation, continued education as to the purpose of the MDT, and the engagement of GPs to enable better buy-in. Recommendations were made to focus the agenda with specialist attendance when necessary, and to expand the MDT remit, particularly in mental health and geriatrics.

Download Full-text

Study of selected influential criteria on groundwater potential storage using geospatial technology and multi-criteria decision analysis (MCDA) approach: A case study

The Egyptian Journal of Remote Sensing and Space Science ◽

10.1016/j.ejrs.2021.06.004 ◽

2021 ◽

Author(s):

Ankana ◽

Gownamani Dhanaraj

Keyword(s):

Decision Analysis ◽

Groundwater Potential ◽

Geospatial Technology ◽

Multi Criteria Decision Analysis

Download Full-text

Using multi criteria decision analysis to evaluate nanotechnology: nAg enabled textiles as a case study

Environmental Science Nano ◽

10.1039/c7en00429j ◽

2017 ◽

Vol 4 (8) ◽

pp. 1647-1655 ◽

Cited By ~ 6

Author(s):

Andrea L. Hicks

Keyword(s):

Decision Analysis ◽

Multi Criteria Decision Analysis

Nanosilver enabled textiles represent an advancement in clothing technology, due to their antimicrobial nature.

Download Full-text

Risiko- und Notfallmanagement unter Unsicherheit (Teil 2)

Der Betriebswirt: Volume 54, Issue 3 - Der Betriebswirt ◽

10.3790/dbw.52.2.12 ◽

2011 ◽

Vol 52 (2) ◽

pp. 12-16

Author(s):

Jutta Geldermann ◽

Valentin Bertsch ◽

Florian Gering

Keyword(s):

Monte Carlo ◽

Decision Analysis ◽

Supply Chains ◽

Decision Processes ◽

Decision Makers ◽

Decision Situation ◽

Multi Criteria Decision Analysis ◽

Accident Scenario ◽

Complex Decision

Komplexe Entscheidungssituationen, wie sie beispielsweise im Notfall- und Sanierungsmanagement nach einem kerntechnischen Störfall auftreten, erfordern eine Berücksichtigung technischer, ökonomischer, ökologischer, sozio-psychologischer und politischer Aspekte. Ansätze der Mehrzielentscheidungsunterstützung ermöglichen eine aggregierte Betrachtung verschiedener Aspekte, das Miteinbeziehen der subjektiven Präferenzen der Entscheidungsträger und tragen zu mehr Transparenz und Nachvollziehbarkeit von Entscheidungsprozessen bei. Dieser Beitrag befasst sich schwerpunktmäßig mit der Betrachtung von Unsicherheiten in solchen Entscheidungsprozessen. Zur Modellierung, Fortpflanzung und Visualisierung von Unsicherheiten wird ein Monte-Carlo-Ansatz vorgestellt und beispielhaft auf Daten eines fiktiven nuklearen Unfallszenarios angewendet. Generell ist der Ansatz jedoch auf allgemeine komplexe Entscheidungssituationen erweiterbar, insbesondere auf den Bereich sonstiger industrieller Notfälle. Eine interessante Fragestellung besteht weiterhin in der Untersuchung der Auswirkungen industrieller Notfälle auf die gesamte Wertschöpfungskette. Der erste Teil des Aufsatzes wurde bereits in Der Betriebswirt 1/2011 veröffentlicht, der letzte Teil folgt in Ausgabe 3/2011. Complex decision situations, such as in nuclear emergency and remediation management, require the consideration of technical, economic, ecological, socio-psychological and political aspects. Approaches for Multi-Criteria Decision Analysis (MCDA) help to take into account various incommensurable aspects and subjective preferences of the decision makers and thus contribute to transparency and traceability of decision processes. This paper focuses on the handling of uncertainties in such decision processes. Monte Carlo approaches can be used to model, propagate and finally visualise the uncertainties, as a case study on a hypothetical radiological accident scenario illustrates. In general, the presented approach can be adopted for any complex decision situation, especially for industrial emergencies. Further research would be necessary for the analysis of their consequences for entire supply chains. Keywords: risiko und notfallmanagement unter unsicherheit

Download Full-text

Assessment of the soil protection function of forest ecosystems using GIS-based Multi-Criteria Decision Analysis: A case study in Adıyaman, Turkey

Global Ecology and Conservation ◽

10.1016/j.gecco.2020.e01271 ◽

2020 ◽

Vol 24 ◽

pp. e01271

Author(s):

Nuri Bozali

Keyword(s):

Decision Analysis ◽

Forest Ecosystems ◽

Soil Protection ◽

Multi Criteria Decision Analysis

Download Full-text

Comprehensive Assessment of Water Sensitive Urban Design Practices based on Multi-criteria Decision Analysis via a Case Study of the University of Melbourne, Australia

Water ◽

10.3390/w12102885 ◽

2020 ◽

Vol 12 (10) ◽

pp. 2885

Author(s):

Hanxiang Xiong ◽

Yafei Sun ◽

Xingwei Ren

Keyword(s):

Decision Analysis ◽

Urban Design ◽

Comprehensive Assessment ◽

Multi Criteria Decision Analysis ◽

Water Sensitive Urban Design ◽

Final Score ◽

Green Stormwater Infrastructure ◽

A Site ◽

The University

Water sensitive urban design (WSUD), as a typical green stormwater infrastructure (GSI), contains various facilities to decrease the urbanization impacts and enhance the values of amenity, ecosystem, and livability in Australia. Although WSUD has developed over 30 years, existing studies for WSUD performances have sometimes ignored its economic and social benefits, and there is still a lack of an integrated framework to optimize the GSI combinations based on various criteria in a site. This paper aims to utilize “score-rank-select” strategy to comprehensively assess WSUD combination scenarios from functional, economic, social, and environmental aspects, by taking the University of Melbourne (Parkville campus) as a case study. In detail, multi-criteria decision analysis (MCDA) was used for weight determination and scenario comparison. The results showed that scenario 4 with 52% green WSUD facilities had the highest assessment score (0.771) among the five scenarios, while the final score (0.758) of scenario 5 was lower than scenario 4 although its green facility proportion reached 69%. The trade-off relation between the proportion of grey and green WSUD facilities was further demonstrated. Additionally, this paper strongly recommends that the MCDA-based comprehensive assessment framework described here can be generally promoted for the water sector to solve the decision-making problems. The use of such a framework can further promote sustainable development by helping water managers to make informed and inclusive decisions involving a variety of factors.

Download Full-text

Implementation of a national policy for improving health and social care: a comparative case study using the Consolidated Framework for Implementation Research

BMC Health Services Research ◽

10.1186/s12913-019-4591-2 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Helena Strehlenert ◽

Johan Hansson ◽

Monica Elisabeth Nyström ◽

Henna Hasson

Keyword(s):

Implementation Research ◽

Social Care ◽

National Policy ◽

Peer Pressure ◽

Wicked Problems ◽

Local Context ◽

Comparative Case Study ◽

Health And Social Care ◽

National Quality

Abstract Background Comprehensive policies are becoming common for addressing wicked problems in health and social care. Success of these policies often varies between target organizations. This variation can often be attributed to contextual factors. However, there is a lack of knowledge about the conditions for successful policy implementation and how context influences this process. The aim of this study was to investigate county-level actors’ perspectives on the implementation of a comprehensive national policy in three Swedish counties. The policy focused on developing quality of care for elderly based on the use of national quality registries (NQRs) and to improve coordination of care. Methods A comparative case study approach was used. Data was collected longitudinally through documents and interviews. The Consolidated Framework for Implementation Research (CFIR) guided the analysis. Results All three counties shared the view that the policy addressed important issues. Still, there was variation regarding how it was perceived and managed. Adaptable features—i.e., NQRs and improvement coaches—were perceived as relevant and useful. However, the counties differed in their perceptions of another policy component—i.e., senior management program—as an opportunity or a disturbance. This program, while tackling complex issues of collaboration, fell short in recognizing the counties’ pre-existing conditions and needs and also offered few opportunities for adaptations. Performance bonuses and peer pressure were strong incentives for all counties to implement the policy, despite the poor fit of policy content and local context. Conclusions Comprehensive health policies aiming to address wicked problems have better chances of succeeding if the implementation includes assessments of the target organizations’ implementation capacity as well as the implicit quid pro quos involved in policy development. Special attention is warranted regarding the use of financial incentives when dealing with wicked problems since the complexity makes it difficult to align incentives with the goals and to assess potential consequences. Other important aspects in the implementation of such policies are the use of collaborative approaches to engage stakeholders with differing perspectives, and the tailoring of policy communication to facilitate shared understanding and commitment.

Download Full-text