scholarly journals A preliminary study of the decision-making process within general practice

2000 ◽  
Vol 17 (5) ◽  
pp. 428-429 ◽  
Author(s):  
R. Mears
1995 ◽  
Vol 32 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Y. Azzout ◽  
S. Barraud ◽  
F. N. Cres ◽  
E. Alfakih

The choice of alternative techniques in urban stormwater drainage (infiltration and detention systems), in the course of a project, is most often made with a poor understanding of site constraints, and the possibilities afforded by these techniques. This gives rise to extra costs and also subsequent malfunctioning. To arrive at feasible choices, we have formalised the decision-making process, taking account of the multiple criteria and the large number of partners involved. At present, we are developing a decision-making tool for alternative techniques in urban stormwater management at the preliminary study stage. The first phase makes it possible to eliminate solutions which are unworkable (elimination phase). It is aimed at the designer. Work on the next phase (the decision-making phase), which is more complex, is in progress. It will make it possible, in collaboration with all the partners involved, to choose a stormwater drainage strategy which will best suit the objectives and the wishes of the partners. It uses multi-criteria methods.


2000 ◽  
Vol 16 (1_suppl) ◽  
pp. S31-S39 ◽  
Author(s):  
Daren K. Heyland ◽  
Joan Tranmer ◽  
Deb Feldman-Stewart

Recent studies of patient/family satisfaction with end-of-life care suggest that improvements in communication and decision making are likely to have the greatest impact on improving the quality of end-of-life care. The apparent failure of recent studies specifically designed to improve decision making strongly suggest that there are powerful determinants of the decision making process that are not completely understood. In this paper, we present an organizing framework that describes the decision making process and breaks it into three analytic steps: information exchange, deliberation, and making the decision. In addition, we report the results of a preliminary study of end-of-life decision making that incorporates aspects of this organizing framework. Thirty-seven seriously ill hospitalized patients were interviewed. The majority wanted to share decisional responsibility with physicians. We demonstrated the feasibility of measuring certain aspects of the decision making process in such patients. By providing and using a framework related to end-of-life decision making, we hope to better understand the complex interaction and processes between dying patients, caregivers, and physicians.


2019 ◽  
Vol 24 (5) ◽  
pp. 174-176 ◽  
Author(s):  
Gloria Cordoba ◽  
Carl Llor

This paper summarises the discussion during the workshop on ‘Overdiagnosis and overtreatment of infectious diseases in general practice. How and where to break the endless loop?’ The workshop was organised as part of the overdiagnosis conference carried out in August 2018 in Copenhagen, Denmark. During the workshop, participants from all over the world reflected on the challenges of embracing the overdiagnosis paradigm as a tool to advance understanding and to find solutions to the unnecessary use of antibiotics in primary health care. It was concluded that the narrow view of the overdiagnosis paradigm does not provide theoretical resources to address the problem of the inherent connection between diagnostic error and treatment decision. In contrast to the overdiagnosis paradigm, the too much medicine paradigm is an umbrella term suitable to frame actions that recognise the complexity of the decision-making process during the consultation and its impact on overtreatment.


2011 ◽  
Vol 39 (2) ◽  
pp. 166-172 ◽  
Author(s):  
Jan Cosyn ◽  
Stefanie Raes ◽  
Stefanie Meyer ◽  
Filiep Raes ◽  
Ronald Buyl ◽  
...  

2014 ◽  
Vol 23 (2) ◽  
pp. 104-111 ◽  
Author(s):  
Mary Ann Abbott ◽  
Debby McBride

The purpose of this article is to outline a decision-making process and highlight which portions of the augmentative and alternative communication (AAC) evaluation process deserve special attention when deciding which features are required for a communication system in order to provide optimal benefit for the user. The clinician then will be able to use a feature-match approach as part of the decision-making process to determine whether mobile technology or a dedicated device is the best choice for communication. The term mobile technology will be used to describe off-the-shelf, commercially available, tablet-style devices like an iPhone®, iPod Touch®, iPad®, and Android® or Windows® tablet.


1970 ◽  
pp. 53-57
Author(s):  
Azza Charara Baydoun

Women today are considered to be outside the political and administrative power structures and their participation in the decision-making process is non-existent. As far as their participation in the political life is concerned they are still on the margins. The existence of patriarchal society in Lebanon as well as the absence of governmental policies and procedures that aim at helping women and enhancing their political participation has made it very difficult for women to be accepted as leaders and to be granted votes in elections (UNIFEM, 2002).This above quote is taken from a report that was prepared to assess the progress made regarding the status of Lebanese women both on the social and governmental levels in light of the Beijing Platform for Action – the name given to the provisions of the Fourth Conference on Women held in Beijing in 1995. The above quote describes the slow progress achieved by Lebanese women in view of the ambitious goal that requires that the proportion of women occupying administrative or political positions in Lebanon should reach 30 percent of thetotal by the year 2005!


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