Dynamic adaptive decision support for strategic decision-making in healthcare organizations.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI:10.1108/JHOM-07-2023-0229

Anke Aarninkhof-Kamphuis, Hans Voordijk, Geert Dewulf

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引用次数: 0

Abstract

Purpose: The main objective of this study was to design a dynamic adaptive decision support model for healthcare organizations facing deep uncertainties by considering promising dynamic adaptive approaches. The main argument for this is that healthcare organizations have to make strategic decisions under deep uncertainty, but lack an approach to deal with this.

Design/methodology/approach: A Dynamic Adaptive Decision Support model (DADS) is designed using the Design Science Research methodology. The evaluation of an initial model leads, through two case studies on ongoing and strategic decision-making, to the final design of this needed model for healthcare organizations.

Findings: The research reveals the relevance of the designed dynamic and adaptive tool to support strategic decision-making for healthcare organizations. The final design of DADS innovates Decision Making under Deep Uncertainty (DMDU) approaches in an organizational context for ongoing and strategic decision-making.

Originality/value: The designed model applies the Dynamic Adaptive Policy Pathways approach in an organizational context and more specifically in health care organizations. It further integrates Corporate Real Estate Management knowledge and experience to develop a most needed tool for decision-makers in healthcare. This is the first DADS designed for an organization facing deep uncertainties in a rapidly changing healthcare environment and dealing with ongoing and strategic decision-making.

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为医疗机构的战略决策提供动态自适应决策支持。

目的：本研究的主要目的是通过考虑有前途的动态自适应方法，为面临深度不确定性的医疗机构设计一个动态自适应决策支持模型。其主要论点是，医疗机构必须在深度不确定性下做出战略决策，但却缺乏应对方法：设计科学研究方法设计了一个动态自适应决策支持模型（DADS）。通过对初始模型进行评估，并对正在进行的决策和战略决策进行两个案例研究，最终设计出医疗机构所需的这一模型：研究结果：研究揭示了所设计的动态自适应工具在支持医疗机构战略决策方面的相关性。DADS 的最终设计创新了组织背景下深度不确定性下的决策制定（DMDU）方法，可用于持续和战略决策：原创性/价值：所设计的模型将动态自适应政策路径方法应用于组织环境，尤其是医疗保健组织。它进一步整合了企业房地产管理知识和经验，为医疗保健领域的决策者开发了一种最需要的工具。这是首个专为在快速变化的医疗环境中面临严重不确定性的组织设计的动态适应政策路径系统，用于处理持续的战略决策。

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来源期刊

Journal of Health Organization and Management HEALTH POLICY & SERVICES-

CiteScore

3.20

自引率

7.10%

发文量

期刊介绍： ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.