The ‘postcode lottery’ of the Italian public health bill analysed with the hierarchy Stochastic Multiobjective Acceptability Analysis

Matteis, Domenico De; Ishizaka, Alessio; Resce, Giuliano

doi:10.1016/j.seps.2017.12.001

Cited by 10 publications

(7 citation statements)

References 51 publications

(63 reference statements)

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“…The stigma and silence can impact on the availability and quality of services, contributing to a 'postcode lottery' of healthcare, which has long been criticised (De Matteis et al, 2019;Graley et al, 2011;McKenzie, 2019). Where TOPFA is legal, clear national policies, guidance about the law, its meaning and intent, as well as the expectations of those providing the service and the rights of those using the service could contribute to a fair system for all.…”

Section: Policy Implicationsmentioning

confidence: 99%

Termination of Pregnancy for Fetal Anomaly: A Systematic Review of the Healthcare Experiences and Needs of Parents

Heaney

Tomlinson

Aventin

2021

Preprint

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BackgroundImproved technology and advances in clinical testing have resulted in increased detection rates of congenital anomalies during pregnancy, resulting in more parents being confronted with the possibility of terminating a pregnancy for this reason. There is a large body of research on the psychological experience and impact of terminating a pregnancy for fetal anomaly. However, there remains a lack of evidence on the holistic healthcare experience of parents in this situation. To develop a comprehensive understanding of the healthcare experience and needs of parents, this systematic review sought to summarise and appraise the literature on parents’ experiences following a termination of pregnancy for fetal anomaly.Review Question:What are the healthcare experiences and needs of parents who undergo a termination of pregnancy following an antenatal diagnosis of a fetal anomaly?MethodsA systematic review was undertaken with searches completed across six multi-disciplinary electronic databases (Medline, Embase, PsycINFO, CINAHL, Web of Science, and Cochrane). Eligible records were qualitative, quantitative or mixed methods studies, published between January 2010 and August 2021, reporting the results of primary data on the healthcare experiences or healthcare needs in relation to termination of pregnancy for fetal anomaly for either or both parents. Findings were synthesised using Thematic Analysis.ResultsA total of 30 records were selected for inclusion in this review of which 24 were qualitative, five quantitative and one mixed-methods. Five overarching themes emerged from the synthesis of findings: (1) Context of Care, (2) Person-centred Care, (3) Compassionate Care, (4) Co-ordinated Care, and (5) Inclusive Care.ConclusionCompassionate healthcare professionals who provide non-judgemental and sensitive care can impact positively on parents’ satisfaction with the care they receive. A well organised and co-ordinated healthcare system is needed to provide an effective and high-quality service.Registration:PROSPERO registration number: CRD42020175970

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Section: Policy Implicationsmentioning

confidence: 99%

Termination of Pregnancy for Fetal Anomaly: A Systematic Review of the Healthcare Experiences and Needs of Parents

Heaney

Tomlinson

Aventin

2021

Preprint

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“…The HSMAA considers three probability distributions: f W (w), f V (v); f ( ) on W , V ; and (De Matteis et al, 2019), respectively, where: and is the space of the value that can be taken by the Eurostat indicators…”

Section: Hierarchical Stochastic Multi-objective Acceptability Analysismentioning

confidence: 99%

“…The HSMAA considers three probability distributions:

f_{W} (w)

f_{V} (v)

;

f_{χ} (ξ)

W

V

; and

χ

(De Matteis et al , 2019), respectively, where:

\begin{matrix} W = \{(w_{1}, \dots, w_{n}) \in R_{+}^{n}, w_{1} + \dots + w_{n} = 1\} \\ V = \{(v_{i 1}, \dots, v_{i s_{i}}) \in R_{+}^{s_{i}}, v_{i 1} + \dots + v_{i s_{i}} = 1, i = 1, \dots n\} \end{matrix}

…”

Section: Measuring Sdg Performancementioning

confidence: 99%

Sustainable Development in Europe: A Multicriteria Decision Analysis

Resce

Schiltz

2020

Review of Income and Wealth

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This paper proposes a novel approach to evaluate European countries on Sustainable Development Goals (SDG) by means of Hierarchical Stochastic Multicriteria Acceptability Analysis (HSMAA). HSMAA produces rankings with Monte Carlo generation of weights, overcoming the need to choose one specific set of weights. The main contribution of this paper lies in the possibility of quantifying the probability by which each country receives a given ranking. Furthermore, HSMAA allows to take into account the hierarchical nature of SDG measurement given that each of the 17 Goals also consists of several indicators. Our results show that Denmark outperforms other European countries, while lower levels of performance are observed in Romania and Bulgaria. In between bottom and top performers, we also find that many countries' rankings vary widely by the chosen set of weights, exemplifying the need to rank countries based on multiple weightings and to quantify the probabilities of each ranking.

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“…With this aim, we employ HSMAA presented in (De Matteis et al, 2019). The rationale for our choice is that the HSMAA method has features that fit quite well the setting of the BIS's score methodology: (1) criteria are organized hierarchically; (2) the value function considered is a double-weighted sum.…”

Section: Hierarchy Smaamentioning

confidence: 99%

Assessing global systemically important banks and implications for entrepreneurship: a hierarchy stochastic multicriteria acceptability analysis

Angilella

Mazzù

2020

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PurposeThe financial crisis of 2007–2008 has brought critical attention to those financial institutions whose high destabilizing effects can have an impact on the financial system. Basel Committee (BIS) has introduced a set of regulations to identify such banks, defined global systemically important banks (G-SIBs). The purpose of this paper is to investigate the robustness of the BIS's methodology.Design/methodology/approachIn this study, a multicriteria decision aid (MCDA) approach is considered, specifically HSMAA (hierarchy stochastic multiobjective acceptability analysis), which can take into account uncertainty on BIS's criteria weights as standard SMAA, but also uncertainty with respect to the subcriteria of the considered criteria. The results are analyzed to provide insights into the robustness of the BIS's methodology.FindingsThe obtained results indicate that overall the BIS's methodology does not appear robust. Within the two uncertainty scenarios considered, the results show a great variability in identifying the G-SIBs' systemic risk.Originality/valueThe paper proposes an analytical way to assess the robustness of the BIS's methodology. Moreover, the authors’ analysis reveals a great variability on the results, which highlight different issues for banks, regulators and enterprises.

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The ‘postcode lottery’ of the Italian public health bill analysed with the hierarchy Stochastic Multiobjective Acceptability Analysis

Cited by 10 publications

References 51 publications

Termination of Pregnancy for Fetal Anomaly: A Systematic Review of the Healthcare Experiences and Needs of Parents

Termination of Pregnancy for Fetal Anomaly: A Systematic Review of the Healthcare Experiences and Needs of Parents

Sustainable Development in Europe: A Multicriteria Decision Analysis

Assessing global systemically important banks and implications for entrepreneurship: a hierarchy stochastic multicriteria acceptability analysis

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