The added value of European collaboration to improve the uptake of best practices

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Maassen ◽  
C Sostongs
Keyword(s):  
Decision Making ◽  
Best Practices ◽  
Working Group ◽  
Added Value ◽  
Eu Member States ◽  
Intervention Selection ◽  
European Collaboration ◽  
Scientific Papers ◽  
Decision Making Processes ◽  
User Friendly

Abstract In 2019, members of the EuroHealthNet Partnership established the first Thematic Working Group on Health Promotion and Disease Prevention Programme Registers with the intention of becoming 'the competence engine for Programme Registers in Europe.' The group's objectives include to exchange experience, to initiate joint projects, to identify and further develop common topics relevant to Programme Registers, and to share findings in scientific papers and international conferences. Through such activities, the group builds the foundation for a more systematic and scientific European approach to translating evidence into practice and provides a forum for liaison and exchange between EU Member States, the European Commission, and international partners. Programme registers are only as relevant as they are influential in professionals' and policy makers' decision-making around intervention selection. Facilitating uptake of best practices requires an understanding of incentives, disincentives and decision-making processes, as well as how to make the programme registers more prominent and user-friendly. Outcomes from the 2020 Working Group meeting in Cologne will be presented, including case studies from across Europe, as well as recommendations to improve the uptake of best practices, tailored to portals at different stages of development.

Geographic Marketing in Support of Decision-Making Processes

2020 ◽  
pp. 103-115
Author(s):  
Maria Fernanda Augusto
Keyword(s):  
Decision Making ◽  
Geographic Information ◽  
Essential Elements ◽  
Added Value ◽  
Key Factors ◽  
Digital Maps ◽  
Decision Making Processes ◽  
Growth Prospects ◽  
Definition Of ◽  
Different Sources

Nowadays, geographic information and spatial aspects are essential elements for the definition of companies' strategies. With the use of different sources data, companies were able to obtain insights that they could not obtain without the spatial component and were able to use them to optimize their business. Then, geographic marketing presents itself as an added value for companies, one of the key factors being its role in supporting decision making. The main attributes of geographic marketing or GeoMarketing allow us to identify and present through digital maps the behavior and trends of certain variables based on characteristics of a market. The meticulous study of spatial and demographic information generated by GeoMarketing are crucial for important strategic adjustments in the business plan, such as definitions related to the location considered ideal for the business, target audience, price and growth prospects, among other factors. In this context, GeoMarketing will be introduced, exploring its scope, applicability, and relevance of its use in support of the decision-making process.

scholarly journals 13.E. Workshop: How to improve the uptake of best practices?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Health Promotion ◽  
Best Practices ◽  
Best Practice ◽  
General Information ◽  
Lessons Learned ◽  
Added Value ◽  
Prevention Programme ◽  
European Collaboration ◽  
Framework Conditions ◽  
Successes And Challenges

Abstract Background Several countries have a health promotion and disease prevention programme register (also known as good/best practice portal), designed with the aim of supporting policy and practice with evidence-based information. While some of the programme registers have been in use for many years (USA, the Netherlands, Germany, etc.), others have been established recently (France) or are even under development (Slovenia). Though there are differences in terms of categorising good/best practice, all prevention programme registers have many things in common, for instance submission and review processes. Another similarity lies in the common challenges by all programme registers, which relate to the question: “How to improve the uptake of good/best practices?”. Finding answers to this question might contribute to one of the major Public health challenges of today: The translation of evidence into practice. Objective The organisers of the workshop will present different strategies and approaches to improve the uptake of the prevention programme registers, and discuss the successes and challenges of different strategies with workshop participants, as experience shows that more is needed than just offering the prevention programme registers. Today we know that a range of framework conditions must be in place to ensure a supportive environment for the use of the portals. This starts with needs analysis, support in the selection of the most appropriate good/best practices and their transferability and goes as far as capacity building, incentivisation and fostering feedback on adaptations. In detail, the presentations will address: How to build capacity to best use good/best practice (by Netherlands); Whether and how a more comprehensive approach offering instruments for needs assessment, general information and good/best practice in one portal might facilitate uptake (by Germany); and Dissemination strategies: experience and lessons learned (by France) and the added value of European collaboration to improve the uptake of best practices and create a “centre of excellence” for health promotion portals in Europe with the objective to: discuss which framework conditions are most relevant to improve uptake of good/best practicesdiscuss successes and challenges of different strategies. Key messages This workshop will give participants insight into most relevant approaches and infrastructures to improve uptake of good/best practices. It will discuss which different strategies followed by several countries might be successful.

Secret sauce in collaborative tumor boards: Team-based characteristics that optimize tumor board functionality.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e23015-e23015
Author(s):  
Barbara Oureilidis-DeVivo
Keyword(s):  
Decision Making ◽  
Best Practices ◽  
Organizational Behavior ◽  
Treatment Decision ◽  
The United States ◽  
Interdisciplinary Teams ◽  
Tumor Board ◽  
Treatment Decision Making ◽  
Tumor Boards ◽  
Decision Making Processes

e23015 Background: Interdisciplinary teams are an indispensable characteristic of modern organizations, particularly in healthcare settings that require specialists to work together to solve multifaceted patient care problems. Multidisciplinary tumor boards (TBs) aim to coordinate multidisciplinary perspectives to help the oncology team devise the best treatment program for the patient. Yet, while this is their purpose, studies have found that TBs do not always achieve that goal effectively. Why are some tumor board (TB) teams more effective than others? This study shed light on key characteristics found among highly effective TBs. It provides a theoretical explanation of their organizational behaviors and structures and their effect on cancer treatment decision-making. The research is grounded in organizational behavior theories that have historical prominence in group decision-making, social hierarchy, and interdisciplinary collaboration, and are used to explain the phenomenon under investigation best. Methods: Qualitative research was used in the study. Data from 44 different TB observations and 18 interviews were gathered over four years at seven research hospitals in the United States and United Kingdom. The data were then coded, analyzed and synthesized with organizational behavior theory to explain the social phenomena under investigation. Results: The study revealed that certain TBs practice strong collaboration displaying high levels of partnership, cooperation, equality, and interdependency, which was incorporated explicitly into their meeting systems to achieve their common goal. Team-based characteristics such as members’ consistent shared preferences and identity, coordinated interactions, a collective learning process, and shared power and partnership are key markers found within these teams that positively influenced treatment decision-making processes and outcomes, earmarking best practices in TB groups. Conclusions: Organizational theory that suggests that for a collaborative process to be effective, team-based mechanisms need to be adopted in which each member respects, trusts, and acknowledges the skills and expertise of other disciplines in the organization, shares team values, decision-making processes, responsibilities, and planning, relies mutually upon other team members, and works outside normal professional boundaries openly and willingly. In an egalitarian structure like that of the TBs reviewed in this study, where preferences and identities are consistent and groups are collaborative, treatment decisions are less biased and incorporate multidisciplinary perspectives. Thus, this study suggests that by possessing both team- and task-based characteristics and practices, TBs engage in best practices, and thereby optimize their functionality.

scholarly journals Willingness-to-pay for a probabilistic flood forecast: a risk-based decision-making game

2016 ◽  
Vol 20 (8) ◽  
pp. 3109-3128 ◽  
Author(s):  
Louise Arnal ◽  
Maria-Helena Ramos ◽  
Erin Coughlan de Perez ◽  
Hannah Louise Cloke ◽  
Elisabeth Stephens ◽  
...  
Keyword(s):  
Decision Making ◽  
Willingness To Pay ◽  
Economic Value ◽  
Decision Makers ◽  
Flood Protection ◽  
Added Value ◽  
Hydroelectric Power ◽  
Probabilistic Forecasts ◽  
Decision Making Processes

Abstract. Probabilistic hydro-meteorological forecasts have over the last decades been used more frequently to communicate forecast uncertainty. This uncertainty is twofold, as it constitutes both an added value and a challenge for the forecaster and the user of the forecasts. Many authors have demonstrated the added (economic) value of probabilistic over deterministic forecasts across the water sector (e.g. flood protection, hydroelectric power management and navigation). However, the richness of the information is also a source of challenges for operational uses, due partially to the difficulty in transforming the probability of occurrence of an event into a binary decision. This paper presents the results of a risk-based decision-making game on the topic of flood protection mitigation, called "How much are you prepared to pay for a forecast?". The game was played at several workshops in 2015, which were attended by operational forecasters and academics working in the field of hydro-meteorology. The aim of this game was to better understand the role of probabilistic forecasts in decision-making processes and their perceived value by decision-makers. Based on the participants' willingness-to-pay for a forecast, the results of the game show that the value (or the usefulness) of a forecast depends on several factors, including the way users perceive the quality of their forecasts and link it to the perception of their own performances as decision-makers.

Drawing the Short Straw: Disproportional Effects of Russian Sanctions on Central Europe and the Baltic States

2016 ◽  
Author(s):  
Jacqueline Dufalla
Keyword(s):  
Decision Making ◽  
Soviet Bloc ◽  
Economic Assistance ◽  
The European Union ◽  
Member States ◽  
Eu Member States ◽  
Decision Making Processes ◽  
The Baltic ◽  
Southern European Countries ◽  
The Eu

In 2014, the agricultural sanctions Russia imposed on the European Union (EU) had a perceivable impact on the EU’s economy. Yet the sanctions arguably had a disproportionate impact, which suggests they were particularly successful in exposing underlying issues within the EU. Specifically, former Soviet bloc countries and southern European countries were far more greatly impacted by the sanctions than the larger western EU member states. This brings to light problems of disproportionate representation of member states within decision-making processes (especially within the Committee for Agriculture and Rural Development), and the fragility of the EU's internal cohesion. By comparing typical decision-making processes of the EU with its responses during times of crisis, it becomes clear that the EU’s decision-making process and its internal cohesion with regard to economic assistance for former Soviet states, are vulnerable to Russia’s actions. The essay will conclude with recommendations on how to improve EU decision-making during times of crisis to counter this vulnerability. Full text available at: https://doi.org/10.22215/rera.v10i1.261  

Factors Affecting Public and Political Acceptance for the Implementation of Geological Disposal

2007 ◽  
Author(s):  
Bernard Neerdael
Keyword(s):  
Decision Making ◽  
Policy Development ◽  
Implementation Process ◽  
Social Dimension ◽  
Added Value ◽  
Acceptable Solution ◽  
Factors Affecting ◽  
The Public ◽  
Value Judgements ◽  
Decision Making Processes

The main objective of this paper is to identify conditions which affect public concern (either increase or decrease) and political acceptance for developing and implementing programmes for geologic disposal of long-lived radioactive waste. It also looks how citizens and relevant actors can be associated in the decision making process in such a way that their input is enriching the outcome towards a more socially robust and sustainable solution. Finally, it aims at learning from the interaction how to optimise risk management addressing needs and expectations of the public and of other relevant stakeholders. In order to meet these objectives, factors of relevance for societal acceptance conditions are identified, described and analysed. Subsequently these factors are looked for in the real world of nuclear waste management through cases in several countries. The analysis is conducted for six stages of a repository programme and implementation process, from policy development to the realisation of the repository itself. The diversity of characteristics of such contexts increases insight in the way society and values of reference are influencing technological decision making. These interrelated factors need to be integrated in step by step decision making processes as emerging the last years in HLW disposal management. In the conclusions, the effect of each factor on acceptance is derived from the empirical record. In the course of carrying out this analysis, it became clear that acceptance had a different meaning in the first three stages of the process, more generic and therefore mainly discussed at policy level and the other stages, by nature more site-specific, and therefore requesting both public and political acceptance. Experience as clearly addressed in this report has shown that a feasible solution has its technical dimension but that “an acceptable solution” always will have a combined technical and social dimension. If the paper provides tentative answers to the central question how factors affect public and political acceptance, it also aims at illustrating the added value of broadening the technical dimension with social dialogue and insight in value judgements.

Are Key Principles for improved health technology assessment supported and used by health technology assessment organizations?

2010 ◽  
Vol 26 (1) ◽  
pp. 71-78 ◽  
Author(s):  
◽  
Peter J. Neumann ◽  
Michael F. Drummond ◽  
Bengt Jönsson ◽  
Bryan R. Luce ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Technology Assessment ◽  
Societal Perspective ◽  
Technology Assessment ◽  
Working Group ◽  
Good Practice ◽  
Health Technology ◽  
Wide Range ◽  
Decision Making Processes

Previously, our group—the International Working Group for HTA Advancement—proposed a set of fifteen Key Principles that could be applied to health technology assessment (HTA) programs in different jurisdictions and across a range of organizations and perspectives. In this commentary, we investigate the extent to which these principles are supported and used by fourteen selected HTA organizations worldwide. We find that some principles are broadly supported: examples include being explicit about HTA goals and scope; considering a wide range of evidence and outcomes; and being unbiased and transparent. Other principles receive less widespread support: examples are addressing issues of generalizability and transferability; being transparent on the link between HTA findings and decision-making processes; considering a full societal perspective; and monitoring the implementation of HTA findings. The analysis also suggests a lack of consensus in the field about some principles—for example, considering a societal perspective. Our study highlights differences in the uptake of key principles for HTA and indicates considerable room for improvement for HTA organizations to adopt principles identified to reflect good HTA practices. Most HTA organizations espouse certain general concepts of good practice—for example, assessments should be unbiased and transparent. However, principles that require more intensive follow-up—for example, monitoring the implementation of HTA findings—have received little support and execution.

Widen NomoGram for multinomial logistic regression: an application to staging liver fibrosis in chronic hepatitis C patients

2014 ◽  
Vol 26 (2) ◽  
pp. 823-838 ◽  
Author(s):  
Ilaria Ardoino ◽  
Monica Lanzoni ◽  
Giuseppe Marano ◽  
Patrizia Boracchi ◽  
Elisabetta Sagrini ◽  
...  
Keyword(s):  
Decision Making ◽  
Logistic Regression ◽  
Hepatitis C ◽  
Liver Fibrosis ◽  
Regression Models ◽  
Multinomial Logistic Regression ◽  
Multinomial Regression ◽  
Graphical Tool ◽  
Decision Making Processes ◽  
User Friendly

The interpretation of regression models results can often benefit from the generation of nomograms, ‘user friendly’ graphical devices especially useful for assisting the decision-making processes. However, in the case of multinomial regression models, whenever categorical responses with more than two classes are involved, nomograms cannot be drawn in the conventional way. Such a difficulty in managing and interpreting the outcome could often result in a limitation of the use of multinomial regression in decision-making support. In the present paper, we illustrate the derivation of a non-conventional nomogram for multinomial regression models, intended to overcome this issue. Although it may appear less straightforward at first sight, the proposed methodology allows an easy interpretation of the results of multinomial regression models and makes them more accessible for clinicians and general practitioners too. Development of prediction model based on multinomial logistic regression and of the pertinent graphical tool is illustrated by means of an example involving the prediction of the extent of liver fibrosis in hepatitis C patients by routinely available markers.

scholarly journals Investigating Decision Mechanisms of Statutory Stakeholders in Flood Risk Strategy Formation: A Computational Experiments Approach

Water ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2716
Author(s):  
Ifigeneia Koutiva ◽  
Archontia Lykou ◽  
Chris Pantazis ◽  
Christos Makropoulos
Keyword(s):  
Decision Making ◽  
Flood Risk ◽  
Strategy Formation ◽  
Protection Measures ◽  
Agent Based ◽  
Decision Making Processes ◽  
Decision Mechanisms ◽  
User Friendly ◽  
The City

Cities at risk of extreme hydro-meteorological events need to be prepared to decrease the extent of the impacts. However, sometimes, authorities only react to catastrophes failing to proactively prepare against extremes. This can be a result of both absent structural protection measures and problematic governance. While for the first, models exist that can simulate the effect, the effect of the latter is difficult to quantify. This work aims to explore the effects that typical authorities’ behaviour has on the decisions for preparing and protecting a city against floods. This behaviour includes how the different authorities decide, for example, on whether or not to cooperate with each other, build something, assign funding to something, etc. These decisions affect directly the preparedness against and the protection from flood events. For that matter, the institutional analysis framework was used to conceptualise the decision-making processes of authorities responsible for flood risk management. Based on this, an agent-based modelling tool has been created, enabling the exploration of the system’s behaviour under different scenarios. The tool is used as a case study of the responsible authorities for flood protection in the city of Rethymno on the island of Crete, Greece. The tool has a user-friendly interface enabling the end-users to explore the drivers of decision-making processes under different conditions.

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