76,282 research outputs found

    Use of discrete choice to obtain urban freight evaluation data

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    The ex-ante evaluation of urban freight solutions is a complex task, due to the interference of different stakeholder groups with different views and objectives. The multi-actor multi-criteria methods have developed as a response to this scenario, but the determination of the weights required by them remains an unclear and controversial task. We propose the use of discrete choice methods as a powerful tool to confront these multi-faced evaluation problems, since the resulting surveys are flexible and easy to respond, and do not give away the final quantitative results. We have applied this methodology to the selection of urban freight solutions in the city of Seville, in Spain, followed by the determination of the relative weights associated to different objectives, both analyses carried out from the side of the carriers stakeholder group.Ministerio de EconomĂ­a y Competitividad TEC2013-47286-C3-3-

    Information architecture for a federated health record server

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    This paper describes the information models that have been used to implement a federated health record server and to deploy it in a live clinical setting. The authors, working at the Centre for Health Informatics and Multiprofessional Education (University College London), have built up over a decade of experience within Europe on the requirements and information models that are needed to underpin comprehensive multi-professional electronic health records. This work has involved collaboration with a wide range of health care and informatics organisations and partners in the healthcare computing industry across Europe though the EU Health Telematics projects GEHR, Synapses, EHCR-SupA, SynEx and Medicate. The resulting architecture models have fed into recent European standardisation work in this area, such as CEN TC/251 ENV 13606. UCL has implemented a federated health record server based on these models which is now running in the Department of Cardiovascular Medicine at the Whittington Hospital in North London. The information models described in this paper reflect a refinement based on this implementation experience

    What are GPs' preferences for financial and non-financial incentives in cancer screening? Evidence for breast, cervical, and colorectal cancers

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    We benefited for this research from grants provided by the French National Institute for Cancer (INCa) (INCA_7014). We would like to thank Dr Diane Skatun, Mary Kilonzo, and the three anonymous reviewers for their useful comments on the paper.Peer reviewedPostprin

    Evaluating change in professional behaviour: issues in design and analysis

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    Implementing the findings of research to change the behaviour of health care professionals has become an increasingly prominent issue. However, designing valid studies to evaluate different methods of achieving changes requires considerable care and there are a number of pitfalls evident from published previous work. The various steps in the development of an implementation method and issues arising are explored in this text. Aspects include conceptualisation, essential background work, a structured development process, the relative merits of randomised and non-equivalent group designs, the unit of analysis, the role of multi-level models, block designs, economic analysis, and the content or message to be disseminated. An ongoing, large, randomised trial of educational outreach visits by trained pharmacists is used to illustrate some of the issues.behavioural change, implementation methods, economic evaluation, design of trials

    The estimation of a preference-based measure of health from the SF-36

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    This paper reports on the findings of a study to derive a preference-based measure of health from the SF-36 for use in economic evaluation. The SF-36 was revised into a six-dimensional health state classification called the SF-6D. A sample of 249 states defined by the SF-6D have been valued by a representative sample of 611 members of the UK general population, using standard gamble. Models are estimated for predicting health state valuations for all 18,000 states defined by the SF-6D. The econometric modelling had to cope with the hierarchical nature of the data and its skewed distribution. The recommended models have produced significant coefficients for levels of the SF-6D, which are robust across model specification. However, there are concerns with some inconsistent estimates and over prediction of the value of the poorest health states. These problems must be weighed against the rich descriptive ability of the SF-6D, and the potential application of these models to existing and future SF-36 data set

    WHY FUZZY ANALYTIC HIERARCHY PROCESS APPROACH FOR TRANSPORT PROBLEMS?

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    The evaluation of transport projects has become increasingly complex. Different aspects have to be taken into account and the consequences of the problems are usually far reaching and the different policy alternatives are numerous and difficult to predict. Several pressure or action groups have also emerged causing an even more complex decision making process. The use of multi criteria analysis for the evaluation of transport projects has increased due to this increasing complexity of the problem situation. At the same time, the importance of stakeholders within this evaluation process should have been recognized. Researches on transport projects are generally carried out to provide information to policymakers that have to operate within restrictive parameters (political, economical, social, etc…). Researchers should therefore take greater account of the different priorities of stakeholders such as policymakers, private enterprises and households. These stakeholders should be incorporated explicitly in the evaluation process. The Analytic Hierarchy Process is one of the Fuzzy Multiple Criteria Decision Making methods. It can be applied in a very broad range of applications of decision problems. Logistics, urban planning, public politics, marketing, finance, education, economics are a part of this wide application area. In transport subjects it can be used for the evaluation of transport policy measures or decision making problems. Due to its wide range application area, it has been an exciting research subject for many different field researchers. The aim of this paper is to introduce AHP method and to offer how to benefit it for the preference of urban planners in transport problems. This paper is composed of two main parts. First part consists of the literature survey regarding with the AHP and its application areas. The advantage of methods had been mentioned. Second part focuses on a sample application of AHP technique. The study uses AHP technique to determine the selection criteria in the transhipment port selection decision-making process. Keywords: Analytic Hierarchy Process, Multi criteria analysis, Transshipment port selection.
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