scholarly journals Combining and Using the Utrecht Method and the Analytic Hierarchy Process to Facilitate Professional and Ethical Deliberation and Decision Making in Complementary and Alternative Medicine: A Case Study among a Panel of Stakeholders

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Ramzi Shawahna
Keyword(s):  
Decision Making ◽  
Side Effects ◽  
Analytic Hierarchy Process ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Analytic Hierarchy ◽  
Potential Benefits ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process ◽  
Complementary And Alternative

Background. In daily practice, healthcare practitioners face many challenges in ethical and professional decision making. Currently, little is known on the ethical and professional deliberations and weighing benefits against risks in daily complementary and alternative medicine (CAM) practice. The aim of this study was to combine the Utrecht method and the Analytic Hierarchy Process (AHP) in deliberations, weighing benefits against risks of using ginger for a pregnant woman suffering nausea and vomiting of pregnancy (NVP) along with other comorbidities. Methods. A hypothetical case was constructed using the twelve tips for constructing dilemma case-based assessment. Three CAM practitioners, two physicians, three pharmacists, and two patients were recruited, and the Utrecht and the AHP methods were combined and used to deliberate and weigh benefits against risks of using ginger for the presented case. Results. Responses from the ten panelists were obtained. Priority ratings showed significantly higher scores (p-value < 0.001) for alleviating symptoms of NVP (30.7%  ± 16.6%) compared to other potential benefits. Increasing the risk of bleeding was given significantly higher (p-value < 0.0001) weight scores (24.7%  ± 13.5%) than other potential side effects. Potential risk of spontaneous abortion and risk of impairment of fetal development were given higher (p-value < 0.001) weight scores than risk of fetal hypoglycemia. When benefits were compared against side effects and risks to the fetus and pregnancy, potential benefits were given higher (p-value < 0.001) weight scores (72.3%  ± 5.2%). Conclusions. Considering the anticipated benefits and risks, a shared decision was made to use ginger in the case presented. The woman should also be informed of the potential side effects and risks of using ginger. The use of this combined method might promote openness and transparency in making shared decisions for healthcare providers and patients.

scholarly journals Using the analytic hierarchy process to prioritize alternative medicine: selecting the most suitable medicine for patients with diabetes

2016 ◽  
Vol 5 (1) ◽  
pp. 67 ◽  
Author(s):  
Mohammed A. Balubaid ◽  
Mohammed A. Basheikh
Keyword(s):  
Type 2 Diabetes ◽  
Decision Making ◽  
Side Effects ◽  
Analytic Hierarchy Process ◽  
Newly Diagnosed ◽  
Analytic Hierarchy ◽  
Patients With Diabetes ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

<p>Diabetes mellitus (DM) is emerging as a major public health problem in Saudi Arabia and this disease affects the Middle East in general. The analytic hierarchy process (AHP) was performed to select the most appropriate oral hypoglycemic agent for use as a monotherapy among newly diagnosed patients with type 2 diabetes. Eight important criteria resulted from the hierarchy structure: side effects, chronic disease, background scientific evidence, age, weight, cost, education level, and gender. The involvement of these different factors reveals that treating diabetes is a multi-criteria decision making (MCDM) problem. Thus, AHP was used because it is one of the most common MCDM tools. This project developed a mathematical decision-making model that prioritizes the available medications for patients with diabetes in terms of the aforementioned criteria. Oral type 2 diabetes medications (metformin, pioglitazone, sitagliptin, and glimepiride) were ranked 1st, 2nd, 3rd and 4th, respectively; their weights were 48.42%, 24.47%, 13.61% and 13.50%, respectively. Thus, metformin is recommended because it has the highest weight. Side effects were the most important factor affecting drug selection. The AHP provides an overall ranking to aid with final decisions. Unquestionably, the results of this project, or at least the proposed methodology, facilitate the decision-making process, which is important because it assists the decision maker in determining which oral drug to choose for newly diagnosed patients with diabetes.</p>

JUDGMENT NUMBER REDUCTION: AN ISSUE IN THE ANALYTIC HIERARCHY PROCESS

2010 ◽  
Vol 09 (01) ◽  
pp. 175-189 ◽  
Author(s):  
LONG-TING WU ◽  
XIA CUI ◽  
RU-WEI DAI
Keyword(s):  
Decision Making ◽  
Analytic Hierarchy Process ◽  
Pairwise Comparison ◽  
Random Variable ◽  
Analytic Hierarchy ◽  
Priority Vector ◽  
Judgment Error ◽  
Scale Error ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

The Analytic Hierarchy Process (AHP) uses pairwise comparison to evaluate alternatives' advantages to a certain criterion. For decision-making problem with many different criteria and alternatives, pairwise comparison causes a prolonged decision-making period and rises fatigue in decision-makers' mentality. A question of practical value is if there exists a way to reduce judgment number and what influence the reduction will have on the overall evaluation of alternative ratings. To answer this question, we introduce scale error and judgment error into AHP judgment matrix. By expanding the scales defined in the AHP, scale error is eliminated. Taking judgment error as random variable, a new estimator to calculate priority vector is presented. In the end, an example is proved to show lowering judgment number will increase the probability of larger errors appearing in priority vector computation.

scholarly journals USING THE ANALYTIC HIERARCHY PROCESS FOR DECISION MAKING IN SMART TRAFFIC LIGHT FOR HIGH PRIORITY VEHICLE

2019 ◽  
Vol 4 (2) ◽  
pp. 146-153
Author(s):  
Muhammad Izzuddin Mahali ◽  
Eko Marpanaji ◽  
Muhammad Adi Febri Setiawan
Keyword(s):  
Decision Making ◽  
Analytic Hierarchy Process ◽  
Traffic Light ◽  
Analytic Hierarchy ◽  
The Analytic Hierarchy Process ◽  
Waterfall Model ◽  
Smart Traffic ◽  
Hierarchy Process

Kemacetan sering terjadi di banyak persimpangan jalan kota-kota besar di Indonesia. Sesuatu yang penting seperti kendaraan prioritas sering pula berada pada kemaccetan tersebut. Untuk mengatasi permasalahan tersebut terdapat inovasi baru yaitu Intelligent Traffic Light yang dibekali dengan Aplikasi “Bang Jopin”. Namun terdapat permasalahan baru ketika ada kendaraan prioritas melakukan request emergency secara bersamaan pada traffic light yang sama. Penentuan prioritas tidak dapat dilakukan dengan pengurutan saja karena ketika memprioritaskan kendaraan pada traffic light harus mempertimbangkan karakteristik traffic light dan kebiasaan pengendara.    Oleh kerena itu, Metode Analitical Hierarchy Process (AHP) merupakan solusi yang tepat dalam menentukan kendaraan prioritas yang didahulukan ketika ada lebih dari satu request pada satu waktu. Penelitian ini bertujuan untuk menentukan bobot masing-masing kriteria, menguji fungsi program, dan menerapkannya pada perangkat. Metode Penelitian yang digunakan adalah waterfall model.

scholarly journals There is still time to submit papers to ISAHP 2018!

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Elena Rokou
Keyword(s):  
Decision Making ◽  
Analytic Hierarchy Process ◽  
International Symposium ◽  
Analytic Hierarchy ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

The International Symposium on the Analytic Hierarchy Process (ISAHP) for Decision Making brings together researchers, academics, students and other users of AHP/ANP to share their research and experiences in decision making. In this article the highlights of the upcoming conference are presented.

Some Conflicting Results in the Analytic Hierarchy Process

2019 ◽  
Vol 18 (02) ◽  
pp. 465-486 ◽  
Author(s):  
Ardalan Bafahm ◽  
Minghe Sun
Keyword(s):  
Decision Making ◽  
Analytic Hierarchy Process ◽  
Decision Makers ◽  
Unexpected Result ◽  
Multi Criteria Decision Making ◽  
Analytic Hierarchy ◽  
Preference Relations ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

The analytic hierarchy process (AHP) has been believed to be one of the most pragmatic and widely accepted methods for multi-criteria decision making. However, there have been various criticisms of this method within the last four decades. In this study, the results of AHP contradicting common expectations are examined for both the distributive and ideal modes. Specifically, conflicting priorities, conflicting decisions, and conflicting preference relations are investigated. A decision-making scenario is used throughout the paper and an illustrative example constructed from the decision-making scenario is provided to demonstrate each of the conflicting results recommended by AHP. With a parametric formulation of each unexpected result, the possibility of unexpected results of AHP is generalized irrespective of applying the distributive or ideal mode. The logic and causes of these contradictions are also analyzed. This study shows that AHP is not always reliable, and could lead the decision makers towards incorrect decisions.

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