scholarly journals Decision-making approaches used by UK and international health funding organisations for allocating research funds: A survey of current practice

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0239757
Author(s):  
Katie Meadmore ◽  
Kathryn Fackrell ◽  
Alejandra Recio-Saucedo ◽  
Abby Bull ◽  
Simon D. S. Fraser ◽  
...  
Keyword(s):  
Decision Making ◽  
Peer Review ◽  
Research Funding ◽  
Online Survey ◽  
Health Sector ◽  
International Health ◽  
Decision Points ◽  
Decision Making Processes ◽  
Interactive Workshop ◽  
The Uk

Innovations in decision-making practice for allocation of funds in health research are emerging; however, it is not clear to what extent these are used. This study aims to better understand current decision-making practices for the allocation of research funding from the perspective of UK and international health funders. An online survey (active March-April 2019) was distributed by email to UK and international health and health-related funding organisations (e.g., biomedical and social), and was publicised on social media. The survey collected information about decision-making approaches for research funding allocation, and covered assessment criteria, current and past practices, and considerations for improvements or future practice. A mixed methods analysis provided descriptive statistics (frequencies and percentages of responses) and an inductive thematic framework of key experiences. Thirty-one responses were analysed, representing government-funded organisations and charities in the health sector from the UK, Europe and Australia. Four themes were extracted and provided a narrative framework. 1. The most reported decision-making approaches were external peer review, triage, and face-to-face committee meetings; 2. Key values underpinned decision-making processes. These included transparency and gaining perspectives from reviewers with different expertise (e.g., scientific, patient and public); 3. Cross-cutting challenges of the decision-making processes faced by funders included bias, burden and external limitations; 4. Evidence of variations and innovations from the most reported decision-making approaches, including proportionate peer review, number of decision-points, virtual committee meetings and sandpits (interactive workshop). Broadly similar decision-making processes were used by all funders in this survey. Findings indicated a preference for funders to adapt current decision-making processes rather than using more innovative approaches: however, there is a need for more flexibility in decision-making and support to applicants. Funders indicated the need for information and empirical evidence on innovations which would help to inform decision-making in research fund allocation.

scholarly journals Trust and transparency in times of crisis: Results from an online survey during the first wave (April 2020) of the COVID-19 epidemic in the UK

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0239247
Author(s):  
Luisa Enria ◽  
Naomi Waterlow ◽  
Nina Trivedy Rogers ◽  
Hannah Brindle ◽  
Sham Lal ◽  
...  
Keyword(s):  
Decision Making ◽  
Online Survey ◽  
Multinomial Logistic Regression ◽  
Positive Opinion ◽  
Online Questionnaire ◽  
Demographic Groups ◽  
Government Transparency ◽  
Decision Making Processes ◽  
The Government ◽  
The Uk

Background The success of a government’s COVID-19 control strategy relies on public trust and broad acceptance of response measures. We investigated public perceptions of the UK government’s COVID-19 response, focusing on the relationship between trust and perceived transparency, during the first wave (April 2020) of the COVID-19 pandemic in the United Kingdom. Methods Anonymous survey data were collected (2020-04-06 to 2020-04-22) from 9,322 respondents, aged 20+ using an online questionnaire shared primarily through Facebook. We took an embedded-mixed-methods approach to data analysis. Missing data were imputed via multiple imputation. Binomial & multinomial logistic regression were used to detect associations between demographic characteristics and perceptions or opinions of the UK government’s response to COVID-19. Structural topic modelling (STM), qualitative thematic coding of sub-sets of responses were then used to perform a thematic analysis of topics that were of interest to key demographic groups. Results Most respondents (95.1%) supported government enforcement of behaviour change. While 52.1% of respondents thought the government was making good decisions, differences were apparent across demographic groups, for example respondents from Scotland had lower odds of responding positively than respondents in London. Higher educational levels saw decreasing odds of having a positive opinion of the government response and decreasing household income associated with decreasing positive opinion. Of respondents who thought the government was not making good decisions 60% believed the economy was being prioritised over people and their health. Positive views on government decision-making were associated with positive views on government transparency about the COVID-19 response. Qualitative analysis about perceptions of government transparency highlighted five key themes: (1) the justification of opacity due to the condition of crisis, (2) generalised mistrust of politics, (3) concerns about the role of scientific evidence, (4) quality of government communication and (5) questions about political decision-making processes. Conclusion Our study suggests that trust is not homogenous across communities, and that generalised mistrust, concerns about the transparent use and communication of evidence and insights into decision-making processes can affect perceptions of the government’s pandemic response. We recommend targeted community engagement, tailored to the experiences of different groups and a new focus on accountability and openness around how decisions are made in the response to the UK COVID-19 pandemic.

3. Decision-making and democracy in the EU

2020 ◽  
pp. 61-87
Author(s):  
Sylvia de Mars
Keyword(s):  
Decision Making ◽  
Financial Crisis ◽  
Transition Period ◽  
Democratic Deficit ◽  
Eu Law ◽  
Democratic Government ◽  
Decision Making Processes ◽  
Big Events ◽  
The Uk ◽  
The Eu

This chapter analyses what EU academics have termed the ‘democratic deficit’ in the EU. In EU law, the concept of the ‘democratic deficit’ is used to classify the EU as a system that may hold some of the qualities of a democratic government, but is lacking others. The chapter then investigates just how much ‘democracy’ exists in the EU decision-making processes. There are those who claim that the EU will never be democratic, and those who argue that the EU actually does not suffer from true shortcomings. The chapter evaluates both of those claims, and considers if recent big events in the EU — such as the ratification of the Lisbon Treaty, and the so-called Eurozone financial crisis — impact upon the debate. It also looks at the nature of Brexit during the Withdrawal Agreement's transition period, as well as the future relationship between the UK and the EU.

scholarly journals Spiritual Discernment, the Incorporated Organization, and Corporate Law: The Case of Quaker Business Method

Religions ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 35
Author(s):  
Nicholas Burton ◽  
Jonathan Bainbridge
Keyword(s):  
Decision Making ◽  
Corporate Law ◽  
Religious Organizations ◽  
Future Research ◽  
Management Innovation ◽  
Society Of Friends ◽  
Spiritual Discernment ◽  
Decision Making Processes ◽  
The Uk ◽  
Religious Society Of Friends

The purpose of this paper is to examine the extent to which practices from the spiritual traditions—in our case, spiritual discernment—may offer opportunities for management innovation in non-religious organizations in designing collaborative and participative decision-making processes. We examine the case of a spiritual discernment practice associated with the Religious Society of Friends (Quakers) in the UK—known as the Quaker Business Method (QBM)—to help illuminate the opportunities of spiritual discernment in private limited companies. Given that the majority of non-religious, trading organizations are structured as private limited companies, our paper addresses the extent to which QBM can be utilized by such entities. Thus, we bring religion and corporate law into conversation to address this under-explored terrain. We find that embedding many elements of Quaker spiritual discernment in private limited companies pose non-trivial challenges. However, many of these challenges can be overcome so long as those involved in managing and owning organizations actively engage with corporate law, and specifically consider the benefits of adopting bespoke articles of association or entering into a separate shareholder agreement to reflect the practice of spiritual discernment. We necessarily adopt a practice-orientated perspective, and conclude by proposing new pathways for future research.

scholarly journals The Information Needs of Adolescent Idiopathic Scoliosis Patients and Their Parents in the UK: An Online Survey

Healthcare ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 78
Author(s):  
Shaun Wellburn ◽  
Paul van Schaik ◽  
Josette Bettany-Saltikov
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Information Needs ◽  
Online Survey ◽  
Support Needs ◽  
The Mean ◽  
Information Materials ◽  
The Uk

Patients’ involvement in decision-making regarding their own health care is considered to be of great importance. However, their information needs are frequently reported to be unfulfilled. Few studies have investigated the knowledge, information and support needs of adolescent idiopathic scoliosis (AIS) patients and their families. Furthermore, previous studies have predominantly focussed on information needs relating to surgery. No previous studies have been conducted to specifically identify the information needs of AIS patients and their families. An online survey consisting of 18 questions was conducted to investigate the information needs of AIS patients and their families. Completed surveys of 83 participants (76 female, 7 male) from 44 differing postcode areas were analysed. The mean age of the respondents with scoliosis was 13.3 years (SD = 1.9; range = 10–18). Participants identified with feelings including worry, anxiety and being upset. The main information needs related to the cause and prognosis of the condition. Where participants had received information, there were contrasting views of the quality. The findings of this study stress the necessity for information materials to be accurate and applicable to each individual patient. Furthermore, the information should be presented in such a way as to be easily understandable, yet contain the necessary information required by AIS patients and their families.

scholarly journals Resource allocation and health technology assessment in Australia: Views from the local level

2009 ◽  
Vol 25 (02) ◽  
pp. 134-140 ◽  
Author(s):  
Gisselle Gallego ◽  
Kees van Gool ◽  
Dianne Kelleher
Keyword(s):  
Decision Making ◽  
Health Service ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Online Survey ◽  
Local Level ◽  
Healthcare Providers ◽  
Health Technology ◽  
Health Technologies ◽  
Decision Making Processes

Objectives:Several studies have shown that a key determinant of successful health technology assessment (HTA) uptake is a clear, fair, and consistent decision-making process for the approval and introduction of health technologies. The aim of this study was to gauge healthcare providers' and managers' perceptions of local level decision making and determine whether these processes offer a conducive environment for HTA. An Area Health Service (AHS) aimed to use the results of this study to help design a new process of technology assessment and decision making.Methods:An online survey was sent to all health service managers and healthcare providers working in one AHS in Sydney, Australia. Questions related to perceptions of current health technology decisions in participants' own institution/facility and opinions on key criteria for successful decision-making processes.Results:Less than a third of participants agreed with the statements that local decision-making processes were appropriate, easy to understand, evidence-based, fair, or consistently applied. Decisions were reportedly largely influenced by total cost considerations as well as by the central state health departments and the Area executive.Conclusions:Although there are renewed initiatives in HTA in Australia, there is a risk that such investments will not be productive unless policy makers also examine the decision-making contexts within which HTA can successfully be implemented. The results of this survey show that this is especially true at the local level and that any HTA initiative should be accompanied by efforts to improve decision-making processes.

scholarly journals Investigative decision-making: interviews with detectives

2019 ◽  
Vol 9 (2) ◽  
pp. 88-107
Author(s):  
Elpiniki Spanoudaki ◽  
Maria Ioannou ◽  
John Synnott ◽  
Calli Tzani-Pepelasi ◽  
Ntaniella Roumpini Pylarinou
Keyword(s):  
Decision Making ◽  
Law Enforcement ◽  
Qualitative Content Analysis ◽  
Naturalistic Inquiry ◽  
Naturalistic Decision Making ◽  
Internal Factors ◽  
Content Type ◽  
Decision Making Processes ◽  
The Uk ◽  
Decision Making Model

PurposeThe purpose of this paper is to explore investigative decision-making processes in the context of major crimes as experienced by the law enforcement agents.Design/methodology/approachEpisodic interviews were conducted with six agents from medium-sized police forces in the UK. Following the framework of naturalistic inquiry, qualitative content analysis took place with the assistance of Atlas.ti software. To ensure the validity of findings, the within method triangulation was preferred, by additionally analysing the interview transcripts with Alceste.FindingsFindings from this study revealed a variety of internal factors at play, shaping the decision-making course into an act of balancing various desired goals. Detectives appear to assess a situation based on their experiences confirming that the naturalistic decision-making model may assist in understanding investigative decision-making.Research limitations/implicationsDue to the busy schedule of law enforcement agents the number of participants was limited and availability difficult; therefore, this study can be thought of as a pilot study that will inspire researchers to use the same method for in-depth understanding of investigative decision-making.Practical implicationsResults captured the ill-defined goals in the police environment and provided ways of decreasing their impact on investigative decision-making thus should help detectives to understand their decision-making limitations and strengths.Social implicationsThis project will enhance the psychological understanding of investigative decision-making.Originality/valueThis project assists in understanding the psychological aspect of investigative decision-making during police duty and provides the opportunity to law enforcement agents to re-evaluate situations in order to improve the investigative decision-making process; while adds to existing literature.

scholarly journals How to reinvent the High Street: evidence from the HS2020

2017 ◽  
Vol 10 (4) ◽  
pp. 380-391 ◽  
Author(s):  
Costas Theodoridis ◽  
Nikos Ntounis ◽  
John Pal
Keyword(s):  
Decision Making ◽  
Design Methodology ◽  
Academic Community ◽  
Discussion Paper ◽  
Content Type ◽  
High Street ◽  
Decision Making Processes ◽  
The Uk ◽  
Practical Implications ◽  
Do So

Purpose The purpose of the paper is to present and critically discuss the findings of the ESRC-funded HS2020 project. The aim is to discuss the retail-led change that has happened to the High Streets that participated to the project that, in some cases, is revolutionary and is leading to the reinvention of the place. To do so reference is made to various retail change theories discussing both institutional and consumer-led change. Design/methodology/approach This is a discussion paper on the findings of the HS2020 project. Findings The major finding reported in this paper is that the reinvention is a natural learning process that involves the comprehension of change and the development of knowledge that will lead to the reinvention of the High Street. Research limitations/implications The findings of the research are based on data that were collected from a total of ten towns across the UK. Practical implications The paper suggests that to reinvent the High Street the stakeholders that are involved in the place decision-making processes they should embrace the change as a natural development and try to understand and learn from it rather than resisting to it. The HS2020 project provides a comprehensive guide of the areas that change can be managed and if it happens it can facilitate the reinvention. Originality/value The paper is relevant to the academic community, as it offers insight to the theories of retail change, and to the practitioners, as it provides evidence as to how to deal with the change that happens to the High Streets.

scholarly journals Eliciting public values on health inequalities: missing evidence for policy windows?

2021 ◽  
Author(s):  
Neil McHugh
Keyword(s):  
Decision Making ◽  
Health Outcomes ◽  
Health Inequalities ◽  
Stated Preference ◽  
Health Policies ◽  
Public Values ◽  
Decision Making Processes ◽  
Policy Windows ◽  
The Creation ◽  
The Uk

Background: There is a widening health divide in the UK despite health inequalities being a longstanding subject of policy and research. New types of evidence are needed.Key points for discussion: Knowledge of public values for non-health policies and their associated (non-)health outcomes is currently missing from decision-making processes. Eliciting public values using stated preference techniques can provide insights on what the general public would be willing to give up for different distributions of (non-)health outcomes and the policies that can achieve them. To understand the role this evidence could have in decision-making processes, Kingdon’s multiple streams analysis (MSA) is used as a policy lens to explore how evidence of public values could affect policy processes for ways to tackle health inequalities.Conclusions and implications: This paper outlines how evidence of public values could be elicited through the use of stated preference techniques and suggests this could facilitate the creation of policy windows for tackling health inequalities. Additionally, Kingdon’s MSA helps make explicit six crosscutting issues when generating this new form of evidence. This suggests the need to explore reasons for public values and how decision makers would use such evidence. With an awareness of these issues, evidence on public values has the potential to support upstream policies to tackle health inequalities.<br />Key messages<br /><ul><li>UK health inequalities are widening despite being a longstanding subject of policy and research;</li><br /><li>We are missing evidence of public values for non-health policies and their (non-)health outcomes;</li><br /><li>Kingdon’s MSA is used to consider the role this evidence could have in decision-making processes;</li><br /><li>This evidence could facilitate the creation of policy windows for tackling health inequalities.</li></ul>

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