Achieving Person-Centred Health Systems


Book Description

The idea of person-centred health systems is widely advocated in political and policy declarations to better address health system challenges. A person-centred approach is advocated on political, ethical and instrumental grounds and believed to benefit service users, health professionals and the health system more broadly. However, there is continuing debate about the strategies that are available and effective to promote and implement 'person-centred' approaches. This book brings together the world's leading experts in the field to present the evidence base and analyse current challenges and issues. It examines 'person-centredness' from the different roles people take in health systems, as individual service users, care managers, taxpayers or active citizens. The evidence presented will not only provide invaluable policy advice to practitioners and policymakers working on the design and implementation of person-centred health systems but will also be an excellent resource for academics and graduate students researching health systems in Europe. This title is available as Open Access on Cambridge Core.







Shared Decision Making in Health Care


Book Description

Over the past decade health care systems around the world have placed increasing importance on the relationship between patient choice and clinical decision-making. In the years since the publication of the second edition of Shared Decision Making in Health Care, there have been significant new developments in the field, most notably in the US where 'Obamacare' puts shared decision making (SDM) at the centre of the 2009 Affordable Care Act. This new edition explores shared decision making by examining, from practical and theoretical perspectives, what should comprise an effective decision-making process. It also looks at the benefits and potential difficulties that arise when patients and clinicians share health care decisions. Written by leading experts from around the world and utilizing high quality evidence, the book provides an up-to-date reference with real-word context to the topics discussed, and in-depth coverage of the practicalities of implementing and teaching SDM. The breadth of information in Shared Decision Making in Health Care makes it an essential resource for policy-makers and health care workers. As health care systems adapt to increasingly collaborative patient-clinician care frameworks, this will also prove a useful guide to SDM for clinicians of all disciplines.




Tools to Aid Environmental Decision Making


Book Description

This book is unique in identifying and presenting tools to environmental decision-makers to help them improve the quality and clarity of their work. These tools range from software to policy approaches, and from environmental databases to focus groups. Equally of value to environmental managers, and students in environmental risk, policy, economics and law.




Fundamentals of Clinical Data Science


Book Description

This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.




Crossing the Quality Chasm


Book Description

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.




Multiple Criteria Decision Aid


Book Description

Multiple criteria decision aid (MCDA) methods are illustrated in this book through theoretical and computational techniques utilizing Python. Existing methods are presented in detail with a step by step learning approach. Theoretical background is given for TOPSIS, VIKOR, PROMETHEE, SIR, AHP, goal programming, and their variations. Comprehensive numerical examples are also discussed for each method in conjunction with easy to follow Python code. Extensions to multiple criteria decision making algorithms such as fuzzy number theory and group decision making are introduced and implemented through Python as well. Readers will learn how to implement and use each method based on the problem, the available data, the stakeholders involved, and the various requirements needed. Focusing on the practical aspects of the multiple criteria decision making methodologies, this book is designed for researchers, practitioners and advanced graduate students in the applied mathematics, information systems, operations research and business administration disciplines, as well as other engineers and scientists oriented in interdisciplinary research. Readers will greatly benefit from this book by learning and applying various MCDM/A methods. (Adiel Teixeira de Almeida, CDSID-Center for Decision System and Information Development, Universidade Federal de Pernambuco, Recife, Brazil) Promoting the development and application of multicriteria decision aid is essential to ensure more ethical and sustainable decisions. This book is a great contribution to this objective. It is a perfect blend of theory and practice, providing potential users and researchers with the theoretical bases of some of the best-known methods as well as with the computing tools needed to practice, to compare and to put these methods to use. (Jean-Pierre Brans, Vrije Universiteit Brussel, Brussels, Belgium) This book is intended for researchers, practitioners and students alike in decision support who wish to familiarize themselves quickly and efficiently with multicriteria decision aiding algorithms. The proposed approach is original, as it presents a selection of methods from the theory to the practical implementation in Python, including a detailed example. This will certainly facilitate the learning of these techniques, and contribute to their effective dissemination in applications. (Patrick Meyer, IMT Atlantique, Lab-STICC, Univ. Bretagne Loire, Brest, France)




Encyclopedia of Decision Making and Decision Support Technologies


Book Description

As effective organizational decision making is a major factor in a company's success, a comprehensive account of current available research on the core concepts of the decision support agenda is in high demand by academicians and professionals. Through 110 authoritative contributions by over 160 of the world's leading experts the Encyclopedia of Decision Making and Decision Support Technologies presents a critical mass of research on the most up-to-date research on human and computer support of managerial decision making, including discussion on support of operational, tactical, and strategic decisions, human vs. computer system support structure, individual and group decision making, and multi-criteria decision making.




Multicriteria Methodology for Decision Aiding


Book Description

axiomatic results should be at the heart of such a science. Through them, we should be able to enlighten and scientifically assist decision-making processes especially by: - making that wh ich is objective stand out more c1early from that which is less objective; - separating robust from fragile conc1usions; - dissipating certain forms of misunderstanding in communication; - avoiding the pitfall of illusory reasoning; - emphasizing, once they are understood, incontrovertible results. The difficulties I encountered at the begining of my career as an operations researcher, and later as a consultant, made me realize that there were some limitations on objectivity in decision-aiding. In my opinion, five major aspects must be taken into consideration: 1) The borderline (or frontier) between what is and what is not feasible is often fuzzy. Moreover, this borderline is frequently modified in light of what is found from the study itself. 2) In many real-world problems, the "decision maker D" does not really exist as a person truly able to make adecision. Usually, several people (actors or stakeholders) take part in the decision process, and it is important not to confuse the one who ratifies adecision with the so-called decision maker in the decision ai ding process. This decision maker is in fact the person or the set of persons for whom or in the name of whom decision aiding effort is provided.




Improving the Quality of Health Care for Mental and Substance-Use Conditions


Book Description

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.