scholarly journals Evaluation of Nursing Homes Using a Novel PROMETHEE Method for Probabilistic Linguistic Term Sets

Complexity ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Peng Li ◽  
Zhiwei Xu

Aging has become a serious social problem in China. Traditional informal long-term care is hard to sustain because of the reduction in family size and elders’ children migration to big cities. The institution offering services for the disabled elders has been a tendency. There exists a strange phenomenon: some nursing homes are difficult to enter for most disabled elders, while the other ones must search for elders to maintain operation. Therefore, for the evaluation of nursing homes, two problems should be considered: (1) selecting suitable nursing homes for disabled elders; (2) obtaining the key factors influencing the selection of elders and helping nursing homes improve their services based on the key factors. First, we propose a new DEMATEL (Decision-Making Trial and Evaluation Laboratory) method for PLTSs to solve the second problem. Then, we present a novel PROMETHEE (Preference Ranking Organization Methods for Enrichment Evaluations) method to rank the alternatives and make a sensitivity analysis for criteria. Finally, we illustrate our proposed methods to an evaluation problem in Zhenjiang City by a case study. Based on the case study, we can obtain that our proposed methods are effective and practicable.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 59-59
Author(s):  
Rajean Moone

Abstract The COVID-19 pandemic disproportionately impacted residents, families, and staff of nursing homes and senior care communities. Even with federally mandated emergency planning, the pandemic highlighted the lack of preparation to meet the daily challenges faced in senior care. In response, the federal CARES Act including funding for a nationwide network of nursing home cohorts led by academic health centers to disseminate clinical guidance in infection control and pandemic mitigation strategies. We present a case study of a successful diffusion model as implemented in Minnesota with seven cohorts comprised of 242 nursing homes and 544 employees. Experts in geriatric care, long term care regulatory management, and public health led ninety-minute sessions held over the span of sixteen weeks. The session format included foundational evidence-based practices in pandemic management (including infection control, social isolation, leadership, and other topics), individual case studies, peer to peer knowledge diffusion, and expert guidance.


2018 ◽  
Vol 26 (2) ◽  
pp. 135-148 ◽  
Author(s):  
Leszek Butowski

Abstract As a subject of scientific investigation, evaluations of the attractiveness of tourist destinations have had a relatively long history, particularly among geographers and regional economists. Based on mathematical and psychological principles and using methods that combine the Analytical Hierarchy Process (AHP) and the Preference Ranking Organization Method for Enrichment Evaluation (PROMETHEE) approach, this research project constructs an evaluation structure used for the assessment of European coastal and offshore areas for sailing tourism. A case study with a three-level evaluation structure has been defined and tested. It contains: at the top of the hierarchy an overall objective defined as the attractiveness of the European coastal and offshore areas for sailing tourism; six criteria of evaluation (on the second level); and ten coastal areas (at the bottom level). This structure covers almost all the coasts around Europe, as they were the subjects of evaluation and comparison. The evaluation was carried out by a group of experts who made the assessment taking into account previously determined criteria with weights. The findings indicate that the AHP-PROMETHEE method may be a useful tool to evaluate the attractiveness of different destinations. It can be also used for practical purposes, particularly to determine strengths and weaknesses, as well as the competitive position, of given coastal areas in relation to others.


2019 ◽  
Vol 11 (5) ◽  
pp. 1405 ◽  
Author(s):  
Xiaobing Yu ◽  
Hong Chen ◽  
Zhonghui Ji

The meteorological disasters have brought destructive damages all around the world in the past decades. These disasters have posed great threats to sustainable development. It is necessary to evaluate meteorological disaster risk to make corresponding emergency measures. The process is uncertain and fuzzy regarding the experts’ preferences. To deal with the problem, a novel evaluation approach based on PROMETHEE method and probabilistic linguistic term set (PLTS) is firstly proposed. First of all, PLTS is adopted to express preferences’ of experts. Then, the weights of criteria are obtained by the differential evolution (DE) algorithm, and steps of the method are proposed. Finally, the proposed method is used to evaluate the whole meteorological disaster risk in the southeast coastal areas of China and results have verified the effectiveness of the method. By comparing with some similar methods, results have demonstrated the advantages of the approach.


2020 ◽  
Vol 14 (6) ◽  
pp. 213-227
Author(s):  
Miquel Àngel Pellicena ◽  
Ignasi Ivern ◽  
Climent Giné ◽  
Olga Múries

Purpose This study aims to contribute to a better understanding of organizational strategies, attitudes and supports that can help people with intellectual disabilities to access competitive jobs through supported employment. Design/methodology/approach A multiple case study was carried out based on an intentional sampling involving the coworker mentors of six people with intellectual disabilities currently working in standardized environments. Semi-structured interviews were performed with the participants, and an inductive thematic analysis was used for data analysis. Findings The study identified five critical factors in the work of people with intellectual disabilities in standardized work environments, which potentially could act as facilitators or as obstacles, depending on how they were managed. The study also identified two key factors that acted mainly as facilitators and one as an obstacle. Originality/value The study reveals the existence of factors that sometimes act as facilitators and sometimes as obstacles, depending on how they are managed by the company leaders or the disabled worker himself.


2016 ◽  
Vol 78 (5-7) ◽  
Author(s):  
Muhamad Rasydan Mokhtar ◽  
Md Pauzi Abdullah ◽  
Mohammad Yusri Hassan ◽  
Faridah Hussin

Demand Side Management (DSM) is a method used to modify the electrical load profile of a consumer to reduce its electricity bill. There are various types of DSM options available but mostly involve costs to be incurred by consumers. Moreover, the effectiveness of a DSM option depends on various factors including investment cost, saved energy, payback period and more. Multi Criteria Decision Analysis (MCDA) is a tool that can be applied to make decision when a lot of factors to be taken into account. In DSM, Analytical Hierarchy Process (AHP) is one MCDA technique that is widely used in ranking the DSM options. However, AHP requires additive aggregation that may cause lost in detailed information. This paper presents another MDCA method; Preference Ranking Organization Method for Enrichment Evaluation (PROMETHEE) to perform the ranking of DSM options. PROMETHEE (I and II) were used in a case study and the results shows that PROMETHEE give the same result as AHP. PROMETHEE has an advantage over AHP as it does not require additive aggregation even the problem is multi-dimensional and could provide visual analysis.  


Transport ◽  
2014 ◽  
Vol 29 (4) ◽  
pp. 412-418 ◽  
Author(s):  
Birol Elevli

Fuzzy Preference Ranking Organization METHod for Enrichment Evaluation (F-PROMETHEE) was applied for choosing among potential logistics center locations. The method combines the concept of fuzzy sets to represent uncertain information with the PROMETHEE, a subgroup of Multi-Criteria Decision-Making (MCDM) methods. Criteria are identified based on review of scientific and trade literature and inputs received from experts. The suitability of areas have been evaluated on the basis of these criteria. There are substantial uncertainties and subjectivity about site information. Therefore F-PROMETHEE method is preferred. The case study shows that this application provides reasonable results.


2020 ◽  
Vol 32 (5) ◽  
pp. 264-271
Author(s):  
Rachel E. López

The elderly prison population continues to rise along with higher rates of dementia behind bars. To maintain the detention of this elderly population, federal and state prisons are creating long-term care units, which in turn carry a heavy financial burden. Prisons are thus gearing up to become nursing homes, but without the proper trained staff and adequate financial support. The costs both to taxpayers and to human dignity are only now becoming clear. This article squarely addresses the second dimension of this carceral practice, that is the cost to human dignity. Namely, it sets out why indefinitely incarcerating someone with dementia or other neurocognitive disorders violates the Eighth Amendment of the United States Constitution’s prohibition on cruel and unusual punishment. This conclusion derives from the confluence of two lines of U.S. Supreme Court precedent. First, in Madison v. Alabama, the Court recently held that executing someone (in Madison’s case someone with dementia) who cannot rationally understand their sentence amounts to cruel and unusual punishment. Second, in line with Miller v. Alabama, which puts life without parole (LWOP) sentences in the same class as death sentences due to their irrevocability, this holding should be extended to LWOP sentences. Put another way, this article explains why being condemned to life is equivalent to death for someone whose neurodegenerative disease is so severe that they cannot rationally understand their punishment.


Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.


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