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Article
Publication date: 17 May 2013

Multi‐criteria development and incorporation into decision tools for health technology adoption

Paule Poulin, Lea Austen, Catherine M. Scott, Cameron D. Waddell, Elijah Dixon, Michelle Poulin and René Lafrenière

When introducing new health technologies, decision makers must integrate research evidence with local operational management information to guide decisions about whether…

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Abstract

Purpose

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.

Design/methodology/approach

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.

Findings

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.

Practical implications

This framework can be used by others to develop decision‐making criteria and tools to enhance similar technology adoption programs.

Originality/value

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.

Details

Journal of Health Organization and Management, vol. 27 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/14777261311321806
ISSN: 1477-7266

Keywords

  • Decision support systems
  • Health technology assessment
  • Criteria
  • Evidence‐based medicine
  • Delphi method
  • Decision making
  • Canada

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Article
Publication date: 11 September 2017

Employee revenge against uncivil customers

Akanksha Bedi and Aaron C.H. Schat

This study aims to examine the relations between service employee blame attributions in response to customer incivility and revenge desires and revenge behavior toward…

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Abstract

Purpose

This study aims to examine the relations between service employee blame attributions in response to customer incivility and revenge desires and revenge behavior toward customers, and whether employee empathy moderated these relations.

Design/methodology/approach

The authors used survey data based on the critical incident method provided by a sample of 431 customer service employees.

Findings

The results suggested that blaming a customer was positively associated with desire for revenge and revenge behaviors against the uncivil customer. In addition, the authors found that blame was less strongly associated with desire for revenge when employees empathized with customers. Finally, the results show that an employee who desired revenge against the uncivil customer and who empathized with the customer was more – not less – likely to engage in revenge.

Practical implications

The authors found that when employees experience mistreatment from customers, it increases the likelihood that they will blame the offending customer and behave in ways that are contrary to their organization’s interests. The results suggest several points of intervention for organizations to more effectively respond to customer mistreatment.

Originality/value

In this study, the authors make one of the first attempts to investigate the relationships between service employee attributions of blame when they experience customer incivility, desire for revenge and customer-directed revenge behaviors. The authors also examined whether empathy moderates the relations between blame attribution, desires for revenge and revenge behavior.

Details

Journal of Services Marketing, vol. 31 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/JSM-01-2016-0003
ISSN: 0887-6045

Keywords

  • Empathy
  • Blame attribution
  • Desire for revenge
  • Revenge
  • Uncivil customers

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