scholarly journals The decision-making process in public healthcare entities – identification of the decision-making process type

Management ◽  
2017 ◽  
Vol 21 (1) ◽  
pp. 191-204 ◽  
Author(s):  
Karolina Szymaniec-Mlicka

SummaryThe decisions made in the organization determine its success, therefore, conducting studies in the scope of decision-making seems important both for theory and practice. The aim of the studies was to identify the type of decision-making process in public medical entities with the use of typology developed by P. Nutt. For this purpose we used qualitative methods. Interviews with 8 directors of hospitals were conducted and the reconstruction was made on the basis of the decision-making process, which enabled the assignment of the model of decision-making process to the organization. The research indicated that four organizations use the historical decision-making model, three organizations represent the model of generating solutions, and one organization uses the model of available solutions.

2013 ◽  
Vol 756-759 ◽  
pp. 504-508
Author(s):  
De Min Li ◽  
Jian Zou ◽  
Kai Kai Yue ◽  
Hong Yun Guan ◽  
Jia Cun Wang

Evacuation for a firefighter in complex fire scene is challenge problem. In this paper, we discuss a firefighters evacuation decision making model in ad hoc robot network on fire scene. Due to the dynamics on fire scene, we know that the sensed information in ad hoc robot network is also dynamically variance. So in this paper, we adapt dynamic decision method, Markov decision process, to model the firefighters decision making process for evacuation from fire scene. In firefighting decision making process, we know that the critical problems are how to define action space and evaluate the transition law in Markov decision process. In this paper, we discuss those problems according to the triangular sensors situation in ad hoc robot network and describe a decision making model for a firefighters evacuation the in the end.


2015 ◽  
Vol 21 (5) ◽  
pp. 720-737 ◽  
Author(s):  
Andrés CID-LÓPEZ ◽  
Miguel J. HORNOS ◽  
Ramón Alberto CARRASCO ◽  
Enrique HERRERA-VIEDMA

The majority of businesses in the Information and Communications Technology (ICT) sector face decision-making problems on a daily basis. Most of these problems are based on contexts of uncertainty, where decisions are founded on qualitative information which may be imprecise or perception-based. In these cases, the information which is expressed by experts and users of evaluated services can be treated using processes of computing with words (CW). In this paper, we present a hybrid decision-making model especially designed for the ICT sector whereby the experts have the support of an intelligent system which provides information about the opinions of users related to those problems which are to be analysed. These opinions are obtained by using different mechanisms and techniques when users conduct business with the service provider. In addition, we employ a procedure for obtaining consensus between experts which enriches and strengthens the decision-making process.


Author(s):  
Iryna Debela

One of the main tasks of the decision support theory is the study of methods and tools for solving the problem of minimizing the negative consequences and risks in choosing strategic directions for the development of the studied system - the object of management. The formal algorithm of the optimization in conditions of the decision-making process stochastic uncertainty, and realization of steady states in system is investigated. The purpose of the algorithm model is to provide the predicted dynamics, compensation of structural, parametric uncertainty of the control system. The ambiguity of the choice the alternative solutions and as a consequence - the inadequacy of the mathematical model, due to the significant amount of stochastic and functional relationships, different ways of presenting input data, the impossibility formalizing the studied processes. Solutions in conditions of partial or complete uncertainty can be found by searching for elements of a set the alternatives, each of which with some probability may be the optimal solution. If statistical observations of the studied object or management process are incomplete, insufficiently formalized, or impossible at all, then the uncertainty of the decision to predict the directions of their possible development is clear. The decision-making process in conditions of uncertainty is proposed to be divided into stages: specification and formalization of the decision-making model; choice methods and algorithms for constructing alternatives taking into account the peculiarities of the chosen decision-making model. Parametric uncertainty is described as an interval estimate of possible values of the studied parameter. The interval can be strictly limited by numerical values, or with not clear limits - descriptive qualitative variables. Modeling of the control process in conditions of stochastic uncertainty is based on the definition of the object under study as a complex system. A promising area of research on this topic is a mathematical description of the value distribution function within the interval, which can be formalized on the basis of expert estimates, or as a heuristic probability distribution function of unpredictable events.


Author(s):  
Norizah Mustamil ◽  
Mohammed Quaddus

Studies have shown that organizations are putting more effort in enforcing the ethical practices in their decision making activities (Janet, Armen, & Ted, 2001). An increasing number of models have also been proposed that have attempted to explore and explain various philosophical approaches to ethical decision making behaviour. In addition, many empirical studies have been presented in various scholarly journals focusing on this subject with the aim of putting theory into practice (O’Fallon & Butterfield, 2005). Nevertheless, unethical practices including fraud, corruption, and bribery continue to be reported (Trevino & Victor, 1992). Bartlett (2003) claims that there is a large gap between theory and practice in ethical decision making research, as existing models are trapped either in undersocialized view (focus on individual factors only) or oversocialized view (focus on situational factor only). Development of a theoretical framework in the ethical decision making area has proven to be very challenging due to the multitude of complex and varied factors that contribute to ethical behaviour. This article attempts to contribute in this challenging area by reviewing and examining the major existing models and presenting an integrated model of ethical decision making model.


2009 ◽  
pp. 1-10
Author(s):  
Albert Boonstra ◽  
Bert de Brock

The past few years, many organizations have been using the Internet in quite arbitrary and experimental ways. This phase, which can be considered as a period of learning and experimentation, has created a need for a more systematic approach to the identification, the ordering and the assessment of e-business options. It is the objective of this paper to address this need by presenting a methodology that aims at supporting management in using alternative e-business applications in the first stage of the decision-making process. Figure 1 shows how a systematic decision-making process can be organized by using e-business options. The steps are based on Simon’s intelligence, design, and choice trichotomy (Simon, 1960). First, alternative e-business options have to be identified and ordered. Then the possible options have to be assessed and selected. After this stage the selected opportunities have to be specified and designed. Next, implementation, operation, maintenance, and evaluation may follow. In Figure 1 this is called the “formal life cycle”. We will apply the word “e-business option” referring to the possibility to use an electronic network for a business purpose. An e-business opportunity is defined here as an assessed and selected e-business option. In practice, different intermediate feedback activities, interrupts, delays and adjustments are often necessary to reconsider earlier steps (Mintzberg, Raisinghani, & Théorêt, 1976). This is—among other reasons—because decision-making processes of this kind take place in dynamic environments and decisions are made in political contexts (Pettigrew, 2002). Moreover, participants in decision-making processes are often lacking the necessary information to make well-considered decisions right from the start (Miller, Hickson, & Wilson, 1996). In Figure 1 these activities are called “intermediate feedback”.


2012 ◽  
Vol 50 (No. 5) ◽  
pp. 243-247
Author(s):  
M. Kašková

The basic condition of forest management development is the accessibility of the forest. A design of the forest road network in relation to all-society functions of forests has been made in the catchment of the Vilčok stream. The catchment is situated in Protected Landscape Area Beskydy. The method Quantification and quantitative evaluation of functions of forests as a basis for their evaluation (Vyskot et al. 2003) was used for the design. This method can be applied to road planning. It can serve as another component in the decision-making process of the planning of forest road construction.


2020 ◽  
Vol 12 (1) ◽  
pp. 85-95
Author(s):  
Barbara Kaczmarczyk

Threats have accompanied humanity since the dawn of time. Most of them can develop into crisis situations that can be interpreted in many different ways. The crisis situation is closely linked with the concept of crisis management, which is implemented in four phases. At every stage of work, various elements are significant in terms of crisis management. There are also elements that are very important at every stage. These include: threat analysis, estimation of the probability of their occurrence in a given area, and assessment of their sensitivity. An appropriate information flow system supports the implementation of the above elements. This system should be effective in such relations as between services and between services and society. The effectiveness of information flow depends on the reliability of this information and its flow channel. Information is of particular importance in the decision-making process. It should have appropriate features and properties. Based on the information, both good and bad decisions can be made. In crisis management, this can be relevant to human health and even human life. This article discusses issues related to the nature of information in crisis management.


2010 ◽  
Vol 3 (2) ◽  
pp. 265-277 ◽  
Author(s):  
Alaka Sarmah ◽  
Chucheng Fa Gogoi

Governance today is of paramount apprehension for any state. Concern for governance therefore reveals new areas of articulation for a state and the people living within its jurisdiction. For many, governance refers to certain conditions necessary for a state through which it can exercise power in managing the nation's social and economic assets and also becomes the precondition for realizing democratic ideals. Though the notion of governance is different for different people, one common understanding of it is the decision making process as well as the process of implementation of those decisions. This process also identifies involvement of different structures from different walks of life, signifying both the formal as well as informal actors. In this background, the traditional institutions of a society also have their appeal for involvement of local structures in the issues of governance. The traditional institutions of Karbi Anglong also entails such appeals, because of its involvement in civil, socio-economic and religious jurisdiction of the local interests. Therefore the participation of people through such institutions has been recognized as a process of grass rooting the democratic principle of governance in its most popular form as mentioned above. In this paper an attempt is made in recognizing the effect of the traditional institutions in Karbi Anglong more specifically among the Karbi Tribes.


1975 ◽  
Vol 20 (8) ◽  
pp. 567-575 ◽  
Author(s):  
G. Bartolucci ◽  
J.T. Goodman ◽  
D.L. Streiner

The literature regarding the decision-making process leading to psychiatric hospitalization in a general hospital is reviewed. On the basis of the limited data available in the literature, a decision-making model is proposed, based on variables relating to the clinician, the patient and the situational context.


2013 ◽  
Vol 411-414 ◽  
pp. 2684-2693
Author(s):  
Yue E ◽  
Ye Ping Zhu

Based on the occurrence and evolution of the natural disaster is characteristic of uncertainty and complexity, in this article, Agent theory and technology is applied to emergency decision-making of natural disaster in China, built the disaster emergency collaborative decision-making framework based on multi-agent, design the collaborative decision-making model, discuss the emergency decision-making mechanism based on scenario-response, through effective collaboration based on multi-agent, achieve natural disaster dynamic emergency decision-making process.


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