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

Anke Aarninkhof-Kamphuis (Department of Civil Engineering and Management, Faculty of Engineering Technology, University of Twente, Enschede, The Netherlands)
Hans Voordijk (Department of Civil Engineering and Management, Faculty of Engineering Technology, University of Twente, Enschede, The Netherlands)
Geert Dewulf (Department of Civil Engineering and Management, Faculty of Engineering Technology, University of Twente, Enschede, The Netherlands)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 27 June 2024

Issue publication date: 16 July 2024

120

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.

Keywords

Acknowledgements

The authors thank all study participants for their valuable input and advice, and Van Aarle De Laat B.V. for supporting this study.

Citation

Aarninkhof-Kamphuis, A., Voordijk, H. and Dewulf, G. (2024), "Dynamic adaptive decision support for strategic decision-making in healthcare organizations", Journal of Health Organization and Management, Vol. 38 No. 5, pp. 638-661. https://doi.org/10.1108/JHOM-07-2023-0229

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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