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When introducing new health technologies, decision makers must integrate research evidence with local operational management information to guide decisions about whether…
When introducing new health technologies, decision makers must integrate research evidence with local operational management information to guide decisions about whether and under what conditions the technology will be used. Multi‐criteria decision analysis can support the adoption or prioritization of health interventions by using criteria to explicitly articulate the health organization's needs, limitations, and values in addition to evaluating evidence for safety and effectiveness. This paper seeks to describe the development of a framework to create agreed‐upon criteria and decision tools to enhance a pre‐existing local health technology assessment (HTA) decision support program.
The authors compiled a list of published criteria from the literature, consulted with experts to refine the criteria list, and used a modified Delphi process with a group of key stakeholders to review, modify, and validate each criterion. In a workshop setting, the criteria were used to create decision tools.
A set of user‐validated criteria for new health technology evaluation and adoption was developed and integrated into the local HTA decision support program. Technology evaluation and decision guideline tools were created using these criteria to ensure that the decision process is systematic, consistent, and transparent.
This framework can be used by others to develop decision‐making criteria and tools to enhance similar technology adoption programs.
The development of clear, user‐validated criteria for evaluating new technologies adds a critical element to improve decision‐making on technology adoption, and the decision tools ensure consistency, transparency, and real‐world relevance.
Research on relational maintenance of long-distance or cross-residential romantic relationships is limited. Moreover, relatively little is known about relational…
Research on relational maintenance of long-distance or cross-residential romantic relationships is limited. Moreover, relatively little is known about relational maintenance among non-marital intimate partners in later life, many of whom prefer to live-apart-together (LAT) rather than cohabit. This research paper examines how older adults from the United States maintain their romantic relationships across residences. The authors conducted a grounded theory study drawing on interviews collected from 22 older adults in LAT relationships. The data revealed that older LAT partners engage in a process of safeguarding autonomy to maintain their partnerships and relationship satisfaction. Two broad strategies were identified: upholding separateness and reshaping expectations. While safeguarding autonomy was paramount, participants also emphasized the importance of having a flexible mindset about the physical copresence of their relationships. The findings have implications for practice, suggesting that creating an interdependent couple-identity may undermine, or at least have little bearing on, the relationship stability of older LAT couples. Future research is needed to determine how LAT experiences among racially/ethnically or socioeconomically diverse samples might differ.
TECHNICAL Education, after looming before the British public for half a century, is now with us a recognised factor in our national life. The passing of the Technical Instruction Acts of and 1891, and the Local Taxation (Customs and Excise) Act of gave an impetus to the movement, and has produced results of a most gratifying character. Technical schools, or institutions bearing other names in which technical instruction is given, are now considerably more numerous than Public Libraries. According to a return of the National Society for promotion of Technical Education in England (excluding London), 319 technical schools, under municipal and public bodies, have been erected at a cost of £3,186,102—an average of £10,000 per school in round numbers—and of this sum, one quarter of a million has been involved since 1901. In order to obtain an adequate idea of the extent to which technical instruction is given, it is necessary to take into account the higher grade schools and other institutions which are used for this purpose. But if technical schools be numerically stronger than Public Libraries, the former institution is incomplete without the latter. In such isolation, its relative position to the student, is like a conservatory without a garden to the botanist. A Public Library, with carefully selected books of reference, bearing on the subjects taught in the technical school as well as on all the industries carried on in the neighbourhood, is an indispensable condition to the success of the technical school, and I hope County Councils will, in the near future, use their influence to promote the establishment of Public Libraries in every locality where a technical school is considered essential.