A decision support tool for supporting individuals living with long-term conditions make informed choices: LTC-Choices tool for continuous healthcare

An increasing number of individuals are now living with some form of chronic, long-term condition (LTC). The holistic perspective of LTCs makes it important to acknowledge that priorities and decisions are in fluctuation over the course of an individual’s life. The landscape of digital healthcare is full of information systems that capture individuals’ health data, clinical guidelines and/or advice on health conditions, which taken together can help create a comprehensive overview of suitable lifestyle choices to optimise health and well-being. Despite this, there is no evidence of existing frameworks to support individuals living with LTCs from a continuum of care perspective. In this paper, we propose such a multidimensional model for a decision support tool – LTC-Choices. This tool was developed from existing work conducted by the authors around use of multicriteria to support health decisionmaking. We illustrate how LTC-Choices can be implemented using the example of individuals living post-stroke

Using multiple criteria decision analysis to aid the selection of enterprise resource planning software : a case study

BHC Ltd is a family owned SME which specialises in steel fabrication for the construction industry. Due to rapid growth over the past decade the company’s current business software has evolved from a collection of semi-integrated individual packages and Excel spreadsheets. To help the company become more efficient during the current financial downturn and to ensure they are capable of future growth, BHC Ltd initiated a project with the University of Strathclyde to select and implement an Enterprise Resource Planning (ERP) solution. This paper will provide a case study of BHC’s ERP selection process. In particular it will discuss how steel specific business requirements and organisational culture led us to use multiple criteria decision analysis (MCDA) when making a final software selection. The MCDA process that was followed is further discussed and includes the success that was achieved by using this approach

Environmental urbanization assessment using gis and multicriteria decision analysis: a case study for Denizli (Turkey) municipal area

In recent years, life quality of the urban areas is a growing interest of civil engineering. Environmental quality is essential to display the position of sustainable development and asserts the corresponding countermeasures to the protection of environment. Urban environmental quality involves multidisciplinary parameters and difficulties to be analyzed. The problem is not only complex but also involves many uncertainties, and decision-making on these issues is a challenging problem which contains many parameters and alternatives inherently. Multicriteria decision analysis (MCDA) is a very prepotent technique to solve that sort of problems, and it guides the users confidence by synthesizing that information. Environmental concerns frequently contain spatial information. Spatial multicriteria decision analysis (SMCDA) that includes Geographic Information System (GIS) is efficient to tackle that type of problems. This study has employed some geographic and urbanization parameters to assess the environmental urbanization quality used by those methods. The study area has been described in five categories: very favorable, favorable, moderate, unfavorable, and very unfavorable. The results are momentous to see the current situation, and they could help to mitigate the related concerns. The study proves that the SMCDA descriptions match the environmental quality perception in the city. © 2018 Erdal Akyol et al

Organic farming and multicriteria decisions: An economic survey

Organic food production is a sphere where decision making is multi-facetted and complex. This applies to producers, political decision makers and consumers alike. This paper provides an overview of the economic methods that can aid such multi criteria decision making. We first provide an outline of the many different Multi-Criteria Analysis (MCA) techniques available and their relative advantages and disadvantages. In addition, theoretical and practical problems related to the use of Cost-Benefit Analysis (CBA) and MCA respectively are briefly discussed. We then review the MCA literature on case studies on organic farming. Based on this review we provide directional markers for future research where MCA may possibly be applied and adapted in order to provide useful knowledge and support for decision makers in the context of organic farming

Инструментальные средства моделирования выбора наилучших доступных технологий

Одним из ключевых элементов в решении природоохранных задач является внедрение принципов наилучших доступных технологий, на основании которых производится нормирование негативного воздействия на окружающую среду и регулирование деятельности промышленных предприятий, оказывающих значительное загрязнение окружающей среды. Проблема состоит в определении того, какая из альтернативных технологий является практически и экономически наиболее выгодной в случаях, когда отсутствуют явные предпочтения в отношении какой-либо конкретной технологи

Observing the observers – uncovering the role of values in research assessments of organic food systems

Assessing the overall effects of organic food systems is important, but also a challenge because organic food systems cannot be fully assessed from one single research perspective. The aim of the article is to uncover the role of values in assessments of organic food systems as a basis for discussing the implications of combining multiple perspectives in overall sustainability assessments of the food system. We explore how values are embedded in five research perspectives assessing organic food systems, 1) Food Science, 2) Discourse Analysis, 3) Phenomenology, 4) Neoclassical Welfare Economics and 5) Actor-Network Theory. The article shows that value has various meanings in different scientific perspectives, and that a strategy for including and balancing different forms of knowledge in overall assessments of the effects of food systems is needed. Based on the analysis, we propose five ecommendations: 1) Elucidate values as a necessary foundation for research assessment across perspectives. 2 The choice of perspective is decisive and should be openly discussed 3) Formulate common goals which can be translated into the different perspectives and 4) Consider assessment of food system sustainability a learning process and design it as such

An integrated MCDA software application for forest planning : a case study in southwestern Sweden

Forest planning in Sweden today translates not only into planning of timber production, but also for the provision of other functions and services. Multi-criteria decision analysis (MCDA) methods provide a way to take also non-monetary values into account in planning. The purpose of this study was to gain experience on how to use a forest decision support system combined with an MCDA tool in practical forestry. We used a new forest planning tool, PlanWise, which includes an integrated MCDA module, PlanEval. Using the software, the decision maker can compare different forest plans and evaluate them against his/her objectives in a structured and analytical manner. The analysis thus provides a ranking of the alternatives based on the individual preferences of the decision maker. PlanEval and the MCDA planning process are described in a case study, where the manager of a forest estate in southwestern Sweden used the program to compare different forest plans made for the estate. In the paper, we analyze possibilities and challenges of this approach and identify problems such as the adherence to formal requirements of MCDA techniques and the difficulty of comparing maps. Possibilities to expedite an MCDA planning process further are also discussed. The findings confirm that integration of an MCDA tool with a forest decision support system is valuable, but requires expert assistance to be successful

A state-of-the-art multi-criteria model for drug benefit-risk analysis

Drug benefit-risk analysis is based on firm clinical evidence related to various safety and efficacy outcomes, such as tolerability, treatment response, and adverse events. In this paper, we propose a new approach for constructing a supporting multi-criteria model that fully takes into account this evidence. Our approach is based on the Stochastic Multicriteria Acceptability Analysis (SMAA) methodology, which allows us to compute the typical value judgments that support a decision, to quantify uncertainty, and to compute a comprehensive benefit-risk profile. As an example, we constructed a multi-criteria model for the therapeutic group of second-generation antidepressants. We analyzed Fluoxetine, Paroxetine, Sertraline, and Venlafaxine according to relative efficacy and absolute rates of several common adverse drug reactions using meta-analytical data from the literature. Our model showed that there are clear trade-offs among the four drugs. Based on our experiences from this study, SMAA appears to be a suitable approach for quantifying trade-offs and decision uncertainty in drug benefit-risk analysis.

Enhancing geographical information systems capabilities with multi-criteria evaluation functions

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