Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient respo...Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient responsibility. Aim: To evaluate mental healthcare team members’ perceptions of their own role in encouraging elderly persons to participate in shared decision-making after implementation of the CCM. The CCM is not an explanatory theory, but an evidence-based guideline and synthesis of best available evidence. Methods: Data were collected from two teams that took part in a focus group interview, and the transcript was analysed by means of qualitative thematic analysis. Results: One overall theme emerged—Preventing the violation of human dignity based on three themes, namely, Changing understanding and attitudes, Increasing depressed elderly persons’ autonomy and Clarifying the mental healthcare team coordinator’s role and responsibility. The results of this study reveal that until recently, paternalism has been the dominant decision-making model within healthcare, without any apparent consideration of the patient perspective. Community mental healthcare can be improved by shared decision-making in which team members initiate a dialogue focusing on patient participation to prevent the violation of human dignity. However, in order to determine how best to empower the patient, team members need expert knowledge and intuition.展开更多
The main purpose of this paper is to build a new approach for solving a fuzzy linear multi-criterion problem by defining a function called “error function”. For this end, the concept of level set is used to co...The main purpose of this paper is to build a new approach for solving a fuzzy linear multi-criterion problem by defining a function called “error function”. For this end, the concept of level set is used to construct the error function. In addition, we introduce the concept of deviation variable in the definition of the error function. The algorithm of the new approach is summarized in three main steps: first, we transform the original fuzzy problem into a deterministic one by choosing a specific level . second, we solve separately each uni-criteria problem and we compute the error function for each criteria. Finally, we minimize the sum of error functions in order to obtain the desired compromise solution. A numerical example is done for a comparative study with some existing approaches to show the effectiveness of the new approach.展开更多
文摘Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient responsibility. Aim: To evaluate mental healthcare team members’ perceptions of their own role in encouraging elderly persons to participate in shared decision-making after implementation of the CCM. The CCM is not an explanatory theory, but an evidence-based guideline and synthesis of best available evidence. Methods: Data were collected from two teams that took part in a focus group interview, and the transcript was analysed by means of qualitative thematic analysis. Results: One overall theme emerged—Preventing the violation of human dignity based on three themes, namely, Changing understanding and attitudes, Increasing depressed elderly persons’ autonomy and Clarifying the mental healthcare team coordinator’s role and responsibility. The results of this study reveal that until recently, paternalism has been the dominant decision-making model within healthcare, without any apparent consideration of the patient perspective. Community mental healthcare can be improved by shared decision-making in which team members initiate a dialogue focusing on patient participation to prevent the violation of human dignity. However, in order to determine how best to empower the patient, team members need expert knowledge and intuition.
文摘The main purpose of this paper is to build a new approach for solving a fuzzy linear multi-criterion problem by defining a function called “error function”. For this end, the concept of level set is used to construct the error function. In addition, we introduce the concept of deviation variable in the definition of the error function. The algorithm of the new approach is summarized in three main steps: first, we transform the original fuzzy problem into a deterministic one by choosing a specific level . second, we solve separately each uni-criteria problem and we compute the error function for each criteria. Finally, we minimize the sum of error functions in order to obtain the desired compromise solution. A numerical example is done for a comparative study with some existing approaches to show the effectiveness of the new approach.
