Uncertainty, Decision-Making and Team Work in High-tech Healthcare

10.1142/12788 ◽  
2022 ◽  
Author(s):  
Federica Raia ◽  
Murray Kwon ◽  
Mario Deng
Keyword(s):  
Decision Making ◽  
Team Work ◽  
High Tech

scholarly journals What is that’s going on here? A multidimensional time concept is foundational to framing for decision making in situations of uncertainty

2021 ◽  
Author(s):  
Federica Raia ◽  
Lezel Legados ◽  
Irina Silacheva ◽  
Jennifer B. Plotkin ◽  
Srikanth Krishnan ◽  
...  
Keyword(s):  
Decision Making ◽  
Medical Knowledge ◽  
High Tech ◽  
Evidence Based ◽  
Dominant Culture ◽  
Cultural Changes ◽  
Cultural Paradigm ◽  
Life Saving ◽  
Cultural Dominance ◽  
K 12

AbstractSTEM disciplines are the dominant culture in K-12 education. With its study of organs and diseases that afflict patients’ bodies, Western evidence-based medicine is seen and understood in the modern cultural paradigm as a science and as the practice in which a subject, the doctor, acts on an object; the patient’s body—a dominant culture in the patient’s journey. However, with the continually evolving high-technological and medical knowledge, life-saving therapeutic options are life-changing. They can range from changes in the diet, requiring structural and cultural changes in family life, to changes related to the experiences of learning to live tethered to a machine that is partly inside and partly outside one’s body or with somebody else’s heart. In this article, we show how competing needs to personalize care for the patient as a person forcefully emerge in response to evidence-based medicine’s global cultural dominance. We highlight two fundamental issues emerging in decision-making processes: (1) Framing evidence-based knowledge, uncertainties of the course of the disease and options, and (2) working with different, equally important, and often at odds conceptions of time in the care for the Other. Through the longitudinal analysis of moment-to-moment interactions in high-tech medicine encounters of a patient, his family, and the team caring for them, we show how framing and different conceptions of time emerge as issues, are profoundly interconnected, and are addressed by participants to care for a patient confronting existential decisions.

The internationalization strategies of rapidly internationalizing high-tech UK SMEs

2014 ◽  
Vol 26 (5) ◽  
pp. 421-448 ◽  
Author(s):  
Dave Crick ◽  
James Crick
Keyword(s):  
Decision Making ◽  
Small And Medium Enterprises ◽  
Potential Effect ◽  
Small Sample ◽  
High Tech ◽  
Niche Markets ◽  
Content Type ◽  
Parental Decision Making ◽  
Internationalization Strategies ◽  
Medium Enterprises

Purpose – The purpose of this paper is to investigate aspects of causation and effectuation decision-making in respect of the planned and unplanned nature of the internationalization strategies of a small sample of rapidly internationalizing, high-tech UK small and medium enterprises (SMEs). These exhibit four different rates of scale of international intensity (percentage of overseas sales to total sales) and market scope (geographical coverage and commitment). Design/methodology/approach – Interviews with managers of 16 independently owned high-technology-oriented manufacturing SMEs were undertaken in this investigation to reduce the potential effect of bias from parental decision-making and firm size, also trade sectoral conditions. These were drawn from an existing database. Findings – Aspects of both causation and effectuation logic were evident in planned and unplanned aspects of decision-making. Moreover, industry factors were seen to affect internationalization strategies in various ways and not least in respect of the need to exploit windows of opportunity in international niche markets and the usefulness of utilizing managers’ experience and networks in the sector in which firms operated. Originality/value – The contribution of this study is to build on earlier work where authors have used different terminology to describe firms that have internationalized soon after their foundation. Specifically, with respect to the planned versus unplanned nature of respective internationalization strategies and the causation as opposed to effectuation logic in decision-making.

Editorial

2007 ◽  
Vol 32 (3) ◽  
pp. 5-6
Author(s):  
Nicholas Wilkinson
Keyword(s):  
Decision Making ◽  
Physical Properties ◽  
Manufacturing Industries ◽  
High Tech ◽  
Building Industry ◽  
Mass Housing ◽  
Steel Construction ◽  
Relationship Problem ◽  
Per Se

The Support and Infill concept has been generally accepted and adopted by the design disciplines as well as the construction and manufacturing industries. Support and Infill were developed as an alternative to mass housing (Habraken 1961) The author argued that mass housing made no sense because of the absence of the user as a player in the housing process. This led to all sorts ills and wasted opportunities. This was mainly a relationship problem between the inhabitant and the dwelling itself resulting in identical units in identical blocks in identical neighborhoods which never changed nor ever moved until the mass demolishers came in to make way for something better which often was ‘supports’. Overlapping with this concept, Open Building emerges describing decision making levels of the urban tissue, supports, infill and all their spatial and physical properties and components. Now Time Based Architecture (TBA) (Leupen 2005) has come to the front. It is, as the name suggests, an Architecture which does not resist change but which embraces it. It is something close to Supports and Open Building but slightly different. All Supports are TBA edifices but not all TBA edifices are Supports? To explain this it is perhaps sufficient to say here that Supports did not deal in flexibility per se but with restructuring the building industry, to re-orientate decision making and also a large amount of attention was paid to modular co-ordination. TBA addresses this but also crosses borders into high tech buildings, flexibility and explores the use of contemporary materials and the flexible nature of glass and steel construction.

Do Public Enterprises Need a Corporate Strategy?

1987 ◽  
Vol 12 (2) ◽  
pp. 9-20 ◽  
Author(s):  
K R S Murthy
Keyword(s):  
Decision Making ◽  
Corporate Strategy ◽  
Team Work ◽  
Strategic Decision ◽  
Strategic Decision Making ◽  
Decision Making Process ◽  
Public Enterprises ◽  
Strategic Competence ◽  
The Public ◽  
Low Level

A large gap has arisen between the stated objectives of the public enterprises in India and their achievements, largely owing to inherent conflicts in their strategic decision making process. In this article, K R S Murthy stresses that any public enterprise's strategic competence depends on the interplay among three actors (managers, bureaucrats, and politicians) with diverse motivations, careers, and systems. Team work with common values and commitment among the three actors alone can improve the low level of strategic competence. Since the prerequisites for strategic formulations are riot met in public enterprises, it is a debatable point whether they should have a corporate strategy at all.

scholarly journals USING A HYBRID DECISION-MAKING MODEL TO EVALUATE THE SUSTAINABLE DEVELOPMENT PERFORMANCE OF HIGH-TECH LISTED COMPANIES

2016 ◽  
Vol 17 (3) ◽  
pp. 331-346 ◽  
Author(s):  
Yih-Chang OU
Keyword(s):  
Decision Making ◽  
Sustainable Development ◽  
Performance Evaluation ◽  
Listed Companies ◽  
Investment Strategy ◽  
Management Decision ◽  
High Tech ◽  
Bottom Line ◽  
Ranking Problem ◽  
The Sustainable Development

In this study, we use a triple bottom-line concept including economic, social and environmental performance as the sustainable development performance evaluation categories for companies. Moreover, an integrated model based on grey relational analysis, decision-making trial and evaluation laboratory, analytic network process and the technique for order preference by similarity to ideal solution is proposed for solving a corporate sustainability performance evaluation and ranking problem. In order to verify the proposed model, we adopt 34 high-tech listed companies in Taiwan as the research object to measure companies’ sustainable development performance and ranking in 2013. The results can be used as an important basis for management decision-making, and can also serve as reference for banks and investors when developing investment strategy.

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