Ranking the ‘Balance’ of State Long-Term Care Systems: A Comparative Exposition of the SMARTER and CaRBS Techniques

Beynon, Malcolm James; Kitchener, Martin

doi:10.1007/s10729-005-0398-2

Cited by 8 publications

(3 citation statements)

References 32 publications

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“…This is because decision makers can easily attribute weights and overcome the problem identified in the IDSUS, as previously mentioned. The swing method is widely used and accepted in the healthcare field, as reported by Beynon and Kitchener [ 41 ], Medeiros and Ferreira [ 42 ], and Németh et al [ 43 ].…”

Section: Methodsmentioning

confidence: 99%

A Multi-Criteria Approach to Assess the Performance of the Brazilian Unified Health System

Aires

Salgado

2022

IJERPH

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Brazil’s Unified Health System (SUS) provides universal free access to health services and is considered a model for the rest of the world. One of the tools used by the Brazilian government to assess this system is the Index of Unified Health System Performance (IDSUS). However, this method has a number of limitations, such as disregarding the opinion of healthcare decision makers. Thus, the aim of the present study was to propose a model based on the R-TOPSIS in order to assess the performance of the SUS. Methodologically, the main steps for proposing multi-criteria models were followed, and to validate the model, a real case study with a set of six cities (alternatives) of the state of São Paulo was used. The results provide a clearer picture of the differences in terms of potential and obtained access, as well as the effectiveness of health services in the cities analyzed. Likewise, the proposal of integrating multiple criteria as well as considering healthcare decision makers proved to be decisive for the results obtained, even in comparison with the other approaches. It was concluded that the proposed method provides a robust and adequate analysis of health systems performance.

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Section: Methodsmentioning

confidence: 99%

A Multi-Criteria Approach to Assess the Performance of the Brazilian Unified Health System

Aires

Salgado

2022

IJERPH

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“…The non-parametric technique utilised in this study is the CaRBS technique, introduced in Beynon (2005a;2005b), see Appendix A for a technical description of the technique. Since its introduction the CaRBS technique has been applied in the areas of: public administration (Beynon and Kitchener, 2005), medicine (Beynon et al, 2006a, Beynon et al 2006b, animal biology (Beynon and Buchanan, 2004), E-learning (Jones and Beynon, 2007) and strategy (Beynon et al, 2010). In the CaRBS technique there is the allowance for an a priori considered non-certainty of the association of motivational characteristics to the student aspiration problem considered.…”

Section: See Table 1 Herementioning

confidence: 99%

Investigating the motivation for enterprise education: a CaRBS based exposition

Beynon

Jones

Packham

et al. 2014

International Journal of Entrepreneurial Behavior &Amp; Research

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Investigating the Motivation for Enterprise Education: A CaRBS based Exposition Purpose This study investigates student motivations for undertaking an EU funded entrepreneurship education programme in the Objective One areas of Wales and the relationships between motivation characteristics and their ultimate employment and self-employment aspirations. For both statistical and explanatory reasons a novel data mining technique (CaRBS) is used to undertake the equivalent of classification analysis. The study considers what relationships certain motivation characteristics have to students' aspirations, specifically in terms of their intention to be self-employed or employed. Design/methodology/approach The study examined enrolment data of 720 students on an entrepreneurial education programme called E-College Wales, and have known aspirations to either employment or self-employment. The Classification and Ranking Belief Simplex (CaRBS) technique is employed in the classification analyses undertaken, which offers an uncertain reasoning based visual approach to the exposition of findings, and which has particular relevance when the data is non-parametric and the considered potential relationships are non-linear. Findings The classification findings demonstrate the level of "contribution" of the different motivation characteristics to the discernment of students between self-employed and employed aspirations. The most strongly contributing characteristics were, motivations to undertake a business start-up, interest in the subject matter and intent to achieve the qualification. For these characteristics, further understanding is provided with respect to the student demographics of gender and student age (in terms of the association with aspirations towards being self-employed or employed). For example, with respect to start-up, the older the student, the increasing association with employment rather than self-employment career aspirations. Research limitations/implications The study identifies candidate motivation characteristics and the demographic profile for student's undertaking an entrepreneurial education programme. Knowing applicant aspirations should inform course design, pedagogy and its inherent flexibility, and recognise the specific needs of certain student types. Originality/value The study contributes to the literature examining the motivations for undertaking entrepreneurship education and categorising motivating factors. These findings will be of value to both education providers and researchers.

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“…Three studies present techniques used to study these issues. In the first, Beynon and Kitchener (2005) assert that the use of attribute sets to rank units of health provision (e.g., states, organizations) against policy goals is an essential task within decision-making and analysis. The classification technique employed, N state Classification and Ranking Belief Simplex (NCaRBS) system, classifies states into strategic groupings.…”

Section: Organization and Policymentioning

confidence: 99%

Change and Inertia in the New York State Medicaid Personal Care Services Program: An Institutional Case Study

Adelman

Kitchener

et al. 2012

Journal of Aging & Social Policy

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This study analyzes how competing logics (belief systems) of stakeholders have influenced patterns of change and inertia in the development of the New York Medicaid Personal Care Services (PCS) program. A case-study methodology was used to collect documents, statistics, and interview data from four key stakeholder groups: state and city officials, PCS agencies, a labor union, and consumer advocates covering the period 1999 to 2005. The New York PCS program is one of the oldest, largest, and most stable programs in the United States. Its early unionization of workers resulted in relatively generous wages and benefits and made New York number one nationally in PCS spending per capita. In spite of wide support from stakeholder groups, the overall number of participants has gradually declined since 1999. A consumer-directed model of personal care developed in 1995 challenged the status quo and has grown steadily. Resistance by public officials, agency providers, and union representatives to the consumer-directed model has resulted in a small program that is often targeted toward individuals labeled "difficult to serve." Dominant stakeholders in New York have ensured a stable personal care program that has resisted change and led to program inertia.

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Ranking the ‘Balance’ of State Long-Term Care Systems: A Comparative Exposition of the SMARTER and CaRBS Techniques

Cited by 8 publications

References 32 publications

A Multi-Criteria Approach to Assess the Performance of the Brazilian Unified Health System

A Multi-Criteria Approach to Assess the Performance of the Brazilian Unified Health System

Investigating the motivation for enterprise education: a CaRBS based exposition

Change and Inertia in the New York State Medicaid Personal Care Services Program: An Institutional Case Study

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