Article Analysis Essay on Decision Making With the Analytic Hierarchy Process

Introduction

This article aims at translating the current conceptual descriptions in a realistic model involving three steps to guide how to attain the documented principles of Shared Decision Making (SDM) in routine clinical practice. In achieving these roles, the project proposes a structural design of shared decision making based on decision talk, option, and choice. The design comprises three steps, including the introduction of choice, options description, and assisting patients in discovering preferences an come up with decisions (Elwyn Frosch Thomson Joseph Lloyd Kinnersley & Edwards, 2012).

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The article emphasizes on guiding ethical principles to develop and exhibit shared decision-making skills. The article also encourages clinicians to help patients attain self-determination goals to adjust with the principles of SDM. The project recognizes the need to uphold autonomy by creating a good relationship, observing both interdependences on others and individual competence. The article uses three models; choice talk which involves clarifying that patients are aware of available achievable options, options talk which involves issuing more detailed data about alternatives and decision talk that involves upholding the work of considering the alternatives and determining the best (Elwyn et al., 2012).

The article can be useful to other projects in integrating excellent communication skills, using patient decision support models. It can also assist other projects to use SDM models, allowing individuals to explore alternatives and make practical decisions (Elwyn et al., 2012).

Substituted Interests and Best Judgments: An Integrated Model of Surrogate Decision Making

This article is about proposing a preferred approach that will substitute the hierarchical approach of separate standards. It claims that this model does not often consider the clinical reality of families and patients. It upholds that decision-making basing on substituted interests approach will be patient-centered and individualized, combining common principles with experiential evidence concerning what people value and how they come up with decisions (Sulmasy & Snyder, 2010).

The project uses substituted interests approach to incorporate the presently separate standards into an informed process, critical to every patient, yet diverse in its ethic. The project also insists for the application of real values and authentic interests, involving patient's known alternatives. It uses an integrated method to present how decisions should be made by determining the real interests of patients (Sulmasy & Snyder, 2010).

The article can be used in further projects in guiding the surrogates in deciding to base on personal interests toward their clients and respecting how they make decisions, insisting on client's fundamental values rather than the possible unknown alternatives. It can also help in upholding the rights of clients and considering each patient opinion toward realizing the best decision (Sulmasy & Snyder, 2010).

Decision Making With the Analytic Hierarchy Process

This article is discussing the Analytic Hierarchy Process (AHP) as an efficient way of making decisions and gathering relevant information. The article explains why organizations must decide by identifying all the critical factors and discussing their values, beliefs, and understanding. The article also analyses various areas where the process applies, including public administration, establishing the best repositioning location for the earthquake amongst others (Saaty, 2008).

A company used the process in successfully determining the best kind of platform for placing the oil drill in the North Atlantic in 1987. British Airways also used the process in deciding the entertainment system supplier for all its fleet of airplanes. The project uses a comparative scale method to present comparisons that are made using a measure of definite judgment that denote the extent to which one element controls the other depending on a given attribute (Saaty, 2008).

The process can be used for further projects in predicting their future outcome by using a comparative scale method in benchmarking. The process can also be used in client admission, promotion, and hiring effective decisions by observing different options of client achievement records (Saaty, 2008).

References

Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., ... & Edwards, A. (2012). Shared decision making: a model for clinical practice. Journal of general internal medicine, 27(10), 1361-1367. Retrieved from https://link.springer.com/article/10.1007/s11606-012-2077-6

Saaty, T. L. (2008). Decision making with the analytic hierarchy process. International journal of services sciences, 1(1), 83-98. Retrieved from http://www.academia.edu/download/35403867/saaty_2008.pdf

Sulmasy, D. P., & Snyder, L. (2010). Substituted interests and best judgments: an integrated model of surrogate decision making. JAMA, 304(17), 1946-1947. Retrieved from https://jamanetwork.com/journals/jama/article-abstract/186813