Rohrer James E
Program in Public Health, Department of Health Sciences, Walden University, Minneapolis, MN, USA.
Health Serv Res Manag Epidemiol. 2017 Dec 15;4:2333392817745773. doi: 10.1177/2333392817745773. eCollection 2017 Jan-Dec.
The purpose of this commentary is to propose a flexible practice innovations decision model (PIDM) for use in health services planning and management.
This is an example of fuzzy decision analysis. The elements of the model are explained by applying it to the decision of whether to open a primary care clinic in retail space. The model contains 10 criteria, each of which scored as 1 (met) or 0 (not met). The scores are summed to guide the decision.
In this example, success was defined a priori as meeting 8 or more criteria. Sensitivity analysis and simulation can be used in practice to test the model.
The PIDM appears to be applicable to a variety of decisions, and the fuzzy scoring combined with simulation and sensitivity analysis generates plausible results. The model should be modified as necessary for each situation in which it is applied.
本评论的目的是提出一种灵活的实践创新决策模型（PIDM），用于卫生服务规划和管理。
这是模糊决策分析的一个示例。通过将该模型应用于是否在零售空间开设初级保健诊所的决策来解释模型的要素。该模型包含10个标准，每个标准的得分是1（满足）或0（未满足）。将分数相加以指导决策。
在这个例子中，成功被预先定义为满足8个或更多标准。敏感性分析和模拟可在实践中用于测试该模型。
PIDM似乎适用于各种决策，并且模糊评分与模拟和敏感性分析相结合产生了合理的结果。该模型应根据其应用的每种情况进行必要的修改。
