Recent years have witnessed an increased interest in the use of multicriteria decision analysis (MCDA) to support health technology assessment (HTA) agencies for setting healthcare priorities. ...However, its implementation to date has been criticized for being “entirely mechanistic,” ignoring opportunity costs, and not following best practice guidelines. This article provides guidance on the use of MCDA in this context.
The present study was based on a systematic review and consensus development. We developed a typology of MCDA studies and good implementation practice. We reviewed 36 studies over the period 1990 to 2018 on their compliance with good practice and developed recommendations. We reached consensus among authors over the course of several review rounds.
We identified 3 MCDA study types: qualitative MCDA, quantitative MCDA, and MCDA with decision rules. The types perform differently in terms of quality, consistency, and transparency of recommendations on healthcare priorities. We advise HTA agencies to always include a deliberative component. Agencies should, at a minimum, undertake qualitative MCDA. The use of quantitative MCDA has additional benefits but also poses design challenges. MCDA with decision rules, used by HTA agencies in The Netherlands and the United Kingdom and typically referred to as structured deliberation, has the potential to further improve the formulation of recommendations but has not yet been subjected to broad experimentation and evaluation.
MCDA holds large potential to support HTA agencies in setting healthcare priorities, but its implementation needs to be improved.
•Multicriteria decision analysis (MCDA) is used to support health technology assessment (HTA) agencies, but its implementation is criticized.•This article, authored by 23 MCDA and HTA experts, provides guidance on the use of MCDA in this context.•We developed a typology of MCDA studies including qualitative MCDA, quantitative MCDA, and MCDA with decision rules. We reviewed studies over the period 1990 to 2018 and their compliance with good practice.•The study types perform differently in terms of quality, consistency, and transparency of recommendations on healthcare priorities. We provide recommendations on the use of each study type.
Financial toxicity in lung cancer Boulanger, Mary; Mitchell, Carley; Zhong, Jeffrey ...
Frontiers in oncology,
10/2022, Letnik:
12
Journal Article
Recenzirano
Odprti dostop
In the United States, lung cancer is the third most common cancer and the overall leading cause of cancer death. Due to advances in immunotherapy and targeted therapy, 5-year survival is increasing. ...The growing population of patients with lung cancer and cancer survivors highlights the importance of comprehensive cancer care, including recognizing and addressing financial toxicity. Financial toxicity is a term used to contextualize the negative effects of the costs of cancer treatment in terms of patient quality of life. The American Society of Clinical Oncology (ASCO) Value Framework places emphasis on high-value care as it evaluates cancer treatments “based on clinical benefit, side effects, and improvements in patient symptoms or quality of life in the context of cost”. Prior studies have shown that risk factors for financial toxicity in patients with lung cancer include lower household income or savings, inability to afford basic necessities, higher than anticipated out of pocket expenses, and taking sick leave. Among lung cancer survivors, patients experience increased unemployment and lower wages compared to the general population underscoring the lasting effects of financial toxicity. Financial toxicity is associated with increased psychosocial distress and decreased quality of life, and bankruptcy is an independent predictor of mortality in patients with cancer. Despite the negative implications of financial toxicity on patients, standardized screening practices and evidence-based interventions are lacking. The “COmphrensive Score for financial Toxicity (COST)” tool has been validated for assessing financial toxicity with correlation with health-related quality of life. Further research is needed to understand the utility of incorporating routine screening for financial toxicity into clinical practice and the efficacy of interventions. Understanding the relationship between financial toxicity and quality of life and survival is critical to providing high-value cancer care and survivorship care.
Research question: Sports economic theory and management models have frequently been criticised for not sufficiently explaining phenomena in sport management. This article addresses this gap by ...proposing a conceptual framework that can be used to understand sport management problems and derive appropriate strategies. Research methods: The framework proposed in this conceptual article has been developed through a critical review of existing literature on sport management and theoretical considerations based on the service-dominant logic. Results and findings: The sport value framework (SVF) provides 10 foundational premises on value co-creation in sport management and suggests three levels for its analysis. The main contribution is a new and better theoretical basis for explaining phenomena in sport management compared with traditional sport economic thinking. Moreover, the SVF provides guidance in structuring research in sport management. Implications: The framework encourages researchers and practitioners to rethink their strategies by applying a different logic that captures the complexity of sport management.
► IT can contribute to sustainability beyond reducing energy consumption of IT systems. ► IT resources can contribute to all three aspects of the triple bottom line (TBL). ► Human, supply chain, and ...IT resources combined enable firms address the TBL. ► The TBL can be addressed by combining resources. ► Different types of IT resources contribute differently to sustainability capabilities.
Sustainability has increasingly become important to business research and practice over the past decades as a result of rapid depletion of natural resources and concerns over wealth disparity and corporate social responsibility. Within this realm, the so-called triple bottom line seeks to evaluate business performance on its impacts on the environment and interested stakeholders besides profitability concerns. So far, Management Information Systems research on sustainability has been somewhat constrained in the realm of green IT, which focuses mostly on the reduction of energy consumption of corporate IT systems. Using the resource-based view as the theoretical foundation, the manuscript develops an integrated sustainability framework, illustrating the integration of human, supply chain, and IT resources to enable firms develop sustainability capabilities, which help firms deliver sustainable values to relevant stakeholders and gain sustained competitive advantage. Particularly, the role of automate, informate, transform, and infrastructure IT resources are examined in the development of sustainability capabilities. The work calls for a bold new role of IT in sustainability beyond energy consumption reduction. Implications for future research and management practice on IT and sustainability are also discussed.
This study explored methodological challenges related to eliciting and assessing teachers’ beliefs about teaching cancer education. We aimed to develop reliable belief scales, a methodological ...innovation in the context of the theory of planned behaviour (TPB), as single belief items are typically used as predictors for direct measures. The expectancy-value product proved useful for identifying categories of teachers’ beliefs about cancer education. Six reliable belief scales emerged, for example, control beliefs about external emotional and non-emotional inhibitors and internal facilitators. We also discuss methodological issues related to eliciting beliefs and forming reliable belief scales.
•Scales were successfully developed for behavioural, normative, and control beliefs.•The standard procedure for eliciting beliefs and building an instrument was adapted.•Open-ended questionnaires and interviews proved helpful in eliciting beliefs.•Salient and non-salient beliefs were distinguished by rating belief importance.•Methodological challenges when using the theory of planned behaviour were discussed.
Summary
This study advances the literature by elaborating on how disparate tradeoffs between cost and value perceptions targeted at FSB lead to distinct feedback‐seeking strategies. Specifically, the ...cost–value framework is employed to explain the emergence of two forms of feedback‐seeking behavior (FSB), namely, inquiry and monitoring. An interplay between the two FSB strategies is also proposed to predict employee creativity. Data collected from 194 individuals across 76 work teams reveal that high cost–low value perceptions are negatively related and low cost–high value perceptions are positively related to inquiry strategy. Such incongruence between cost and value perceptions shows no significant effect on monitoring strategy. Instead, employees adopt a monitoring strategy when they perceive congruence or ambiguous tradeoffs related to FSB (high cost–high value, low cost–low value). Analysis indicates the interplay between the two FSB strategies in which the highest level of creativity is observed when employees use both inquiry and monitoring strategies at high levels. This study complements and enriches the feedback literature by theorizing and empirically validating comparative effects of cost and value perceptions toward FSB as well as the interplay between the two FSB strategies in predicting employee creativity.
The cultural component of the project team is recognized as one of the most critical factors in the implementation of agile project management (APM), especially in nonsoftware industries, where the ...diffusion of APM still involves several challenges. Particularly, the successful implementation of scrum-the most diffused APM methodology-seems related to the project teams' subculture, which may differ from the overall organizational culture of the company. This article contributes to the APM literature in nonsoftware contexts by studying the cultural values that develop inside agile teams and the scrum principles and practices that are particularly relevant for fostering these values. Using interview data collected from seven manufacturing and service organizations, we use the competing value framework as the theoretical model to understand the cultural profiles of their organizations, how they deploy into the project teams' subculture, and what, if any, connections exist with the adoption of scrum principles and practices. We find that clan and market values are the dominant subcultures in agile teams. These cultural values are fostered at a strategic level by a subset of scrum values (i.e., courage, openness, and respect) and pillars (i.e., transparency and adaptation). At an operational level, retrospective meetings and the definition of particular artifacts also contribute to develop these dominant cultural values.
Objectives
Hardly any value frameworks exist that are focused on provider-facing digital health technologies (DHTs) for managing chronic disease with diverse stakeholder participation in their ...creation. Our study aimed to 1) understanding different stakeholder opinions on where value lies in provider-facing technologies and 2) create a comprehensive value assessment framework for DHT assessment.
Methods
Mixed-methods comprising both primary and secondary evidence were used. A scoping review enabled a greater understanding of the evidence base and generated the initial indicators. Thirty-four indicators were proposed within 6 value domains: health inequalities (3), data rights and governance (6), technical and security characteristics (6), clinical characteristics (7), economic characteristics (9), and user preferences (3). Subsequently, a 3-round Web-Delphi was conducted to rate the indicators’ importance in the context of technology assessment and determine whether there was consensus.
Results
The framework was adapted to 45 indicators based on participant contributions in round 1 and delivered 16 stable indicators with consensus after rounds 2 and 3. Twenty-nine indicators showed instability and/or dissensus, particularly the data rights domain, in which all 5 indicators were unstable, showcasing the novelty of the concept of data rights. Significant instability between important and very important ratings was present within stakeholder groups, particularly clinicians and policy experts, indicating they were unsure how different aspects should be valued.
Conclusions
Our study provides a comprehensive value assessment framework for assessing provider-facing DHTs incorporating diverse stakeholder perspectives. Instability for specific indicators was expected due to the novelty of data and analytics integration in health technologies and their assessment. Further work is needed to ensure that, across all types of stakeholders, there is a clear understanding of the potential impacts of provider-facing DHTs.
Highlights
Current health technology assessment (HTA) methods may not be well suited for evaluating digital health technologies (DHTs) because of their complexity and wide-ranging impact on the health system.
This article adds to the literature by exploring a wide range of stakeholder opinions on the value of provider-facing DHTs, creating a holistic value framework for these technologies, and highlighting areas in which further discussions are needed to align stakeholders on DHTs’ value attributes.
A Web-based Delphi co-creation approach was used involving key stakeholders from throughout the digital health space to generate a widely applicable value framework for assessing provider-facing DHTs. The stakeholders include patients, health care professionals, supply-side actors, decision makers, and academia from the United States, United Kingdom, and Germany.
High levels of instability among stakeholders and value domains are demonstrated, indicating the novelty of assessing provider-facing DHTs and their impact on the health system.
Graphical Abstract
This is a visual representation of the abstract.
This study examines the relationship between the unexpected changes in earnings and the shipping market movements. The econometric method of variance decomposition proposed by Campbell (1991) is ...employed to empirically analyze the Panamax and Capesize markets. We find that a large proportion of unexpected earnings growth is related to news about returns that indicate subsequent price changes. The results provide important insights to practice for sustaining shipping businesses, which helps shipping companies make better investment and risk-management decisions. The contribution of this research is to deepen the understanding of the interaction between shocks to earnings growth, returns, and price–charter ratios in the present-value context.
The few publications discussing sport sponsorship from a network approach lack sufficient explanations for resource integration. Building on the sport value framework, sponsorship, and engagement ...literature, our objective is to conceptualise sport sponsorship as an engagement platform on which the sponsee grants access and both sponsees and sponsors integrate resources. As such, we differentiate between contractual resource integration and sponsorship engagement. Furthermore, we aim to investigate empirically what types of resources are integrated within multiple sponsor-sponsee networks for a better theoretical foundation of our conceptualisation.
We apply a three-stage qualitative Delphi method with 61 experts from sport sponsorship practice in Germany, Austria, and Switzerland.
The results indicate that multiple sponsors, as well as the sponsee, integrate resources beyond the sponsorship contract. These resources include management competencies, technical competencies, networking skills, innovative ideas, and products and services.
This study conceptualises sport sponsorship as an engagement platform. This understanding contributes to theorising about sport sponsorship. Sponsorship serves as more than a pure promotional and sales tool. The results show that voluntary resource integration can lead to strategic partnerships with access to knowledge and expertise. These findings enable us to refine our conceptualisation of sport sponsorship as an engagement platform. Consequently, sponsors can co-create business networks, leading to technology transfer and benefits from economic specialisation. Sponsees gain a better understanding of their role as facilitators of sponsors' resource integration. That is, they take over the operator role, thus increasing their monetary and non-monetary value.
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