Modeling Multistrategy Learning as a Deliberative Process of Planning

2000 ◽  
Author(s):  
Ashwin Ram
Keyword(s):  
Multistrategy Learning ◽  
Deliberative Process

scholarly journals Meaningful, but effective? A critical evaluation of Ireland’s citizens’ dialogues on the future of Europe

Politics ◽  
2021 ◽  
pp. 026339572199148
Author(s):  
Anthony Costello
Keyword(s):  
European Union ◽  
Public Relations ◽  
Public Discourse ◽  
Critical Evaluation ◽  
Participatory Approach ◽  
Decision Makers ◽  
Deliberative Process ◽  
Political Will ◽  
The Future

On the 25 March 2017, leaders of the EU27 and European Union (EU) institutions ratified the Rome Declaration. They committed to invite citizens to discuss Europe’s future and to provide recommendations that would facilitate their decision-makers in shaping their national positions on Europe. In response, citizens’ dialogues on the future of Europe were instituted across the Union to facilitate public participation in shaping Europe. This paper explores Ireland’s set of dialogues which took place during 2018. Although event organisers in Ireland applied a relatively atypical and more systematic and participatory approach to their dialogues, evidence suggests that Irelands’ dialogues were reminiscent of a public relations exercise which showcased the country’s commitment to incorporating citizens into the debate on Europe while avoiding a deliberative design which could have strengthened the quality of public discourse and the quality of public recommendations. Due to an absence of elite political will for a deliberative process, as well as structural weaknesses in design, participants’ recommendations lacked any clear and prescriptive direction which could shape Ireland’s national position on the future of Europe in any constructive or meaningful way.

Children’s assent within clinical care: A concept analysis

2020 ◽  
pp. 136749352097630
Author(s):  
Marjorie Montreuil ◽  
Justine Fortin ◽  
Eric Racine
Keyword(s):  
Clinical Care ◽  
Concept Analysis ◽  
Process Of Care ◽  
Deliberative Process ◽  
Ethical Implications ◽  
Rights Of The Child ◽  
Healthcare Decision Making ◽  
Psychological Harm ◽  
Practical Implications ◽  
Made In

Seeking children’s assent has been put forward as a way to foster children’s involvement in the healthcare decision-making process. However, the functions of the concept of assent within clinical care are manifold, and methods used to recognize children’s capacities and promote their involvement in their care remain debated. We performed an instrumentalist concept analysis of assent, with 58 included articles. Final themes were jointly identified through a deliberative process. Two distinct perspectives of assent were predominant: as an affirmative agreement for a specific decision and as part of a continuous, interactive process of care. Differing standards were provided as to how and when to apply the concept of assent. The concept of dissent was largely omitted from conceptions of assent, especially in situations for which children’s refusal would lead to severe health consequences. Ethical implications included fostering autonomy, reducing physical/psychological harm to the child, respecting the child as a human being, and fulfilling the universal rights of the child. There remain important gaps in the theory of assent and its desirable and possible practical implications. Practical standards are largely missing, and evidence supporting the claims made in the literature requires further investigation.

Ireland’s Deliberative Mini-Publics

2021 ◽  
pp. 626-644
Author(s):  
David M. Farrell ◽  
Jane Suiter ◽  
Clodagh Harris ◽  
Kevin Cunningham
Keyword(s):  
Political Science ◽  
Real World ◽  
Important Case ◽  
Democratic Legitimacy ◽  
Deliberative Process ◽  
Recruitment Process

Democratic crisis is a hot topic in political science at present, and for understandable reasons. But what is often missed in much of the commentary about democracies in peril is the fact that democracies can and do innovate. This chapter deals with one important case of such democratic innovation—the Irish deliberative mini-publics. We start with a discussion of the origins and design of the Irish cases. We then employ the Suiter and Reuchamps (2016) framework to analyse their democratic legitimacy in terms of input (the recruitment process), throughput, (the quality of the deliberative process), and output (the mini-public’s impact in terms of the uptake of its recommendations and acceptance of the process). The Irish processes are powerful real-world examples of the potential systemization of deliberation, showing how deliberative mini-publics can successfully supplement representative and direct forms of democracy.

scholarly journals AMIA Board White Paper: AMIA 2017 core competencies for applied health informatics education at the master’s degree level

2018 ◽  
Vol 25 (12) ◽  
pp. 1657-1668 ◽  
Author(s):  
Annette L Valenta ◽  
Eta S Berner ◽  
Suzanne A Boren ◽  
Gloria J Deckard ◽  
Christina Eldredge ◽  
...  
Keyword(s):  
Health Informatics ◽  
Task Force ◽  
Core Competencies ◽  
White Paper ◽  
Master's Level ◽  
Public Health Informatics ◽  
Translational Bioinformatics ◽  
Deliberative Process ◽  
Key Aspects ◽  
Degree Level

Abstract This White Paper presents the foundational domains with examples of key aspects of competencies (knowledge, skills, and attitudes) that are intended for curriculum development and accreditation quality assessment for graduate (master’s level) education in applied health informatics. Through a deliberative process, the AMIA Accreditation Committee refined the work of a task force of the Health Informatics Accreditation Council, establishing 10 foundational domains with accompanying example statements of knowledge, skills, and attitudes that are components of competencies by which graduates from applied health informatics programs can be assessed for competence at the time of graduation. The AMIA Accreditation Committee developed the domains for application across all the subdisciplines represented by AMIA, ranging from translational bioinformatics to clinical and public health informatics, spanning the spectrum from molecular to population levels of health and biomedicine. This document will be periodically updated, as part of the responsibility of the AMIA Accreditation Committee, through continued study, education, and surveys of market trends.

PP120 Health Technology Assessment Framework To Capture The Full Value Of Value Added Medicines

2017 ◽  
Vol 33 (S1) ◽  
pp. 128-129
Author(s):  
Mondher Toumi ◽  
Cecile Remuzat ◽  
Adam Plich
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Drug Repositioning ◽  
Value Added ◽  
Health Technology ◽  
Access To Medicines ◽  
Deliberative Process ◽  
Study Objective ◽  
Healthcare Needs ◽  
Patient Reported

INTRODUCTION:Value added medicines (VAM) are medicines based on known molecules that address healthcare needs and deliver relevant improvements for patients, healthcare professionals and/or payers through drug repositioning, drug reformulation or drug combination (1-3). Recently, the European Commission, through the Safe and Timely Access to Medicines for Patients (STAMP) program, considered the issue of VAM development and regulatory process. Current Health Technology Assessment (HTA) tools may not fully capture the benefits of VAM, which could lead to obstacles for patient access to VAM in several European countries (1). The study objective was to identify how HTA frameworks should evolve to reflect VAM value.METHODS:HTA expert interviews were performed as a preparatory step to an advisory board meeting. The following topics were addressed: (i) Eligibility for HTA and early HTA dialogues; (ii) Attributes that should be considered in HTA; (iii) HTA methodology; and (iv) Involvement of stakeholders in HTA.RESULTS:VAMs bring additional benefit to patients and society. Therefore, the possibility for VAM assessment on a voluntary basis and within the appropriate assessment patterns/tools should be, in principle, included into HTA frameworks, as well as into early HTA dialogues. HTA should be patient-centric, and attributes such as patient preference, adherence, and patient reported outcomes should be considered where relevant. Unmet patient needs and disease burden should be used in a transparent and reproducible deliberative process. All these attributes should be used as explicitly and meaningfully weighted appraisal modifiers. HTA methodology should be comprehensive and should integrate societal perspectives. Patient representatives should take part in the decision-making process.CONCLUSIONS:Current HTA frameworks should evolve to enhance VAM value recognition and encourage industry investment in medicines with high potential value for society.

scholarly journals Assessing potential cures: are there distinctive elements of value beyond health gain?

2021 ◽  
Vol 10 (4) ◽  
pp. 255-265
Author(s):  
Saskia Hendriks ◽  
Steven D Pearson
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Gain ◽  
Health Technology ◽  
Opportunity Costs ◽  
Double Counting ◽  
Deliberative Process ◽  
Potential Opportunity

Assessing the ‘value’ of potential cures can be challenging, as some have suggested that cures may offer distinctive benefits from noncurative treatments. We explore what these – previously unspecified – additional benefits may be. We suggest that three new elements of value seem distinctive to cures: liberation from the identity of being diseased, liberation from the stigma associated with the disease and liberation from the burden of ongoing therapy. However, including additional elements of value in health technology assessment may result in double counting and requires consideration of potential opportunity costs. We suggest health technology assessment should explore the relevance of these three elements of value and may have good reasons to – judiciously – integrate them through the deliberative process.

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