Choosing Doctors Wisely: Can Assisted Choice Enhance Patients’ Selection of Clinicians?

2017 ◽  
Vol 76 (5) ◽  
pp. 572-596 ◽  
Author(s):  
Steven C. Martino ◽  
Rachel Grob ◽  
Sarah Davis ◽  
Andrew M. Parker ◽  
Melissa L. Finucane ◽  
...  

We conducted a simulated clinician-choice experiment, comparing choices and decision-making processes of participants ( N = 688) randomized among four experimental arms: a conventional website reporting only quantitative performance information, a website reporting both qualitative (patient comments) and quantitative information, the second website augmented by a decision aid (labeling of patient comments), and the decision-aided website further augmented by the presence of a trained navigator. Introducing patient comments enhanced engagement with the quality information but led to a decline in decision quality, particularly the consistency of choices with consumers’ stated preferences. Labeling comments helped erase the decline in decision quality, although the highest percentage of preference-congruent choices was seen in the navigator arm. Engagement with the quality information and satisfaction with choices available were likewise highest in the navigator arm. Findings held for high- and low-skilled decision makers. Thus, navigator assistance may be a promising strategy for equitably promoting higher quality choices in information-rich contexts.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Partha Sarathi Mishra ◽  
Soumi Muhuri

PurposeRanking and grading of architectural heritage (AH) are common for the conservation process. Decision-makers are often intuitively made decisions for the selection of the AH. However, on many occasions, these decisions are not transparent and sometimes focused only on a few aspects of the AH.Design/methodology/approachA transparent and robust methodology must be adopted to select and manage AH for the present and future generations. Selecting the list of parameters that are affecting the AH, and assessing their significance can strengthen the holistic assessment. From the literature, parameters and dimensions are identified for the evaluation of AH and its application for Odishan temple architecture (OTA). For minimizing biasedness associated with assessment, the research considered the opinion of experts, researchers and various stakeholders. For objective decision-making, the Delphi, the analytical hierarchy process (AHP) and the technique for order preference by similarity to ideal solutions (TOPSIS) methods were adopted.FindingsLater, by observing the dimension-wise ranks and comparing the obtained grading of OTA with the existing state of protection, it was found that some temples, though having higher values with distinct dimension, lack significantly in other dimensions. However, for unbiased evaluation, all the possible dimensions should be considered. This methodology will also be useful for other decision-making processes concerning the same.Research limitations/implicationsThis research is limited to the OTA. However, this methodology can be adopted by changing the definitions of the parameters according to the contextual needs.Practical implicationsThis methodology may be helpful for the further policy-making process for the conservation and management of such AH.Originality/valueTo date, OTA is not graded through such a methodology. Also, limited studies are found in similar line worldwide.


2021 ◽  
Vol 3 (5) ◽  
pp. 144-156
Author(s):  
Jia Jia ◽  
Liyun Wu

To ensure the continuity and stability of the supply chain under the sudden crisis, flexible supplier selection has taken up an important position in the operation decision of enterprises. Considering the differences of different expert decision-making and decision-making results that contain fuzziness, randomness and hesitation, the flexible supplier selection was studied by using the method of combining hesitant fuzzy language with normal cloud model and hesitant cloud linguistic term set was established. The weights were calculated according to the decision quality and aggregated with the evaluation results. Finally, WASPAS was used for scheme sorting to select the best supplier. The validity and applicability of the model were verified by a case study, which provided a scientific basis for enterprise decision makers to avoid interruption risk.


2016 ◽  
Vol 10 (4) ◽  
Author(s):  
Taylor C. Hornung ◽  
Stephen J. Piazza ◽  
Everett C. Hills ◽  
Jason Z. Moore

This paper explores the design of a dynamically weighted therapy bar, which can provide real-time quantitative performance information and adjustments during rehabilitation exercise. In contrast, typical therapy equipment is passive, offering no feedback to the patient or clinician. The dynamic weighted bar (DWB) was designed and fabricated containing an inertial sensor which tracks the orientation of the bar and adjusts the position of an internal weight accordingly, in turn providing a targeted force imbalance between the patient's two arms. Step input experiments were performed on the device while it was held in various stationary positions. The DWB was able to successfully function and transmit motion information. It was able to produce a center of mass shift of 101.6 mm, and a complete travel time between 0.96 s and 1.41 s over the entire length. The use of the DWB device can offer many benefits during rehabilitation including access to more quantitative information for clinicians as well as the potential for more personalized therapy programs.


2015 ◽  
Vol 4 (1and2) ◽  
Author(s):  
Rajeev Dhingra ◽  
Preetvanti Singh

Decision problems are usually complex and involve evaluation of several conflicting criteria (parameters). Multi Criteria Decision Making (MCDM) is a promising field that considers the parallel influence of all criteria and aims at helping decision makers in expressing their preferences, over a set of predefined alternatives, on the basis of criteria (parameters) that are contradictory in nature. The Analytic Hierarchy Process (AHP) is a useful and widespread MCDM tool for solving such type of problems, as it allows the incorporation of conflicting objectives and decision makers preferences in the decision making. The AHP utilizes the concept of pair wise comparison to find the order of criteria (parameters) and alternatives. The comparison in a pairwise manner becomes quite tedious and complex for problems having eight alternatives or more, thereby, limiting the application of AHP. This paper presents a soft hierarchical process approach based on soft set decision making which eliminates the least promising candidate alternatives and selects the optimum(potential) ones that results in the significant reduction in the number of pairwise comparisons necessary for the selection of the best alternative using AHP, giving the approach a more realistic view. A supplier selection problem is used to illustrate the proposed approach.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 364-364
Author(s):  
Michaela Clark ◽  
Julie Hicks Patrick ◽  
Michaela Reardon

Abstract Consumer tasks permit an ecologically-valid context in which to examine the contributions of affective and cognitive resources to decision-making processes and outcomes. Although previous work shows that cognitive factors are important when individuals make decisions (Patrick et al., 2013; Queen et al.), the role of affective components is less clear. We examine these issues in two studies. Study 1 used data from 1000+ adults to inform a cluster analysis examining affective aspects (importance, meaningfulness) of making different types of decisions. A 4-cluster solution resulted. In Study 2, we used affective cluster membership and cognitive performance as predictors of experimental decision-making outcomes among a subset of participants (N = 60). Results of the regression (F(2, 40) = 6.51, p < .01, R2 = .25.) revealed that both the affective clusters (b = .37, p = .01) and cognitive ability (b = -.30, p = .04) uniquely contributed to the variance explained in decision quality. Age did not uniquely contribute. Results are discussed in the context of developing measures that enable us to move the field forward.


2005 ◽  
Vol 23 (7) ◽  
pp. 709-721 ◽  
Author(s):  
Kun-Sei Lee ◽  
Werner B F Brouwer ◽  
Sang-Il Lee ◽  
Hye-Won Koo

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tobias Berger ◽  
Frank Daumann

PurposeThe NBA Draft policy pursues the goal to provide the weakest teams with the most talented young players to close the gap to the superior competition. But it hinges on appropriate talent evaluation skills of the respective organizations. Research suggests the policy might be valid but to date unable to produce its intended results due to the “human judgement-factor”. This paper investigates specific managerial selection-behavior-influencing information to examine why decision-makers seem to fail to constantly seize the opportunities the draft presents them with.Design/methodology/approachAthleticism data produced within the NBA Draft Combine setting is strongly considered in the player evaluations and consequently informs the draft decisions of NBA managers. Curiously, research has failed to find much predictive power within the players pre-draft combine results for their post-draft performance. This paper investigates this clear disconnect, by examining the pre- and post-draft data from 2000 to 2019 using principal component and regression analysis.FindingsEvidence for an athletic-induced decision-quality-lowering bias within the NBA Draft process was found. The analysis proves that players with better NBA Draft Combine results tend to get drafted earlier. Controlling for position, age and pre-draft performance there seems to be no proper justification based on post-draft performance for this managerial behavior. This produces systematic errors within the structure of the NBA Draft process and leads to problematic outcomes for the entire league-policy.Originality/valueThe paper delivers first evidence for an athleticism-induced decision-making bias regarding the NBA Draft process. Informing future selection-behavior of managers this research could improve NBA Draft decision-making quality.


1981 ◽  
Author(s):  
Deborah W. Berman

This study develops a simplified comparative procedure for use in preliminary yacht design to predict Equilibrium sideforce, resistance, leeway angle and speed made good to windward for a canoe hull sailing yacht within specific form parameters on any of five standard series keels. These forces, angles and speeds are predicted for any yacht hull resembling one of nine models - ranging from light to medium-heavy length to displacement ratio - (190 to 351) - of the Delft Systematic Series for which there is numerical data. The forces are calculated at speed to length ratio of 1. 3 and heel angle of 30° to enable the designer to make use of existing comparative sail plan and rigging data. The five keels of varying aspect and area ratio, spanning current design practice, are part of a matrix developed at the Davidson Laboratory. In this paper, a canoe yacht hull form similar to Model 7 of the Delft Series is tank tested on 3 Standard Series keels and compared to results obtained from testing a 5.5 m hull, which is similar to Model 8, on the same keels. A prediction procedure is developed and checked against test results. A few Equations, selected values from included tabulations, a calculator, pencil and paper will yield quantitative information for the yacht designer in the selection of a keel for the hull of a sailing yacht.


The selection of hospital sites is one of the most important choice a decision maker has to take so as to resist the pandemic. The decision may considerably affect the outbreak transmission in terms of efficiency , budget, etc. The main targeted objective of this study is to find the ideal location where to set up a hospital in the willaya of Oran Alg. For this reason, we have used a geographic information system coupled to the multi-criteria analysis method AHP in order to evaluate diverse criteria of physiological positioning , environmental and economical. Another objective of this study is to evaluate the advanced techniques of the automatic learning . the method of the random forest (RF) for the patterning of the hospital site selection in the willaya of Oran. The result of our study may be useful to decision makers to know the suitability of the sites as it provides a high level of confidence and consequently accelerate the power to control the COVID19 pandemic.


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