School of Health Sciences, Jiangsu Food & Pharmaceutical Science College, Huai'an, Jiangsu, China.
Department of Rehabilitation, Huai'an Second People's Hospital, The Affiliated Huai'an Hospital of Xuzhou Medical University, Huai'an, Jiangsu, China.
BMC Med Inform Decis Mak. 2022 May 6;22(1):124. doi: 10.1186/s12911-022-01867-w.
An emergency response to a medical situation is generally considered to be a risk decision-making problem. When an emergency event occurs, it makes sense to take into account more than one decision maker's opinions and psychological behaviors. The existing research tends to ignore these multidimensional aspects. To fill this literature gap, we propose a multi-attribute model.
The model is based on cumulative prospect theory (CPT), considering multiple experts' psychological factors. By not assuming full rationality, we extend existing models to allow multiple experts' risk preferences to be incorporated into the decision-making process in the case of an emergency. Then, traditional CPT is extended by allowing for multiple attributes. In addition, rather than using crisp data, interval values are adopted to tackle the usual uncertainties in reality.
The multi-attribute CPT based model proposed can deal with the selection of potential emergency alternatives. The model incorporates interval values to allow more uncertainty and the comparative studies show that the optimal solution changes under different scenarios.
Our illustrative example and comparative study show that considering multiple experts and multiple attributes is more reasonable, especially in complicated situations under an emergency. In addition, decision-makers' risk preferences highly affect the selection outcomes, highlighting their importance in the medical decision-making process. Our proposed model can be applied to similar fields with appropriate modifications.
医学情境下的紧急响应通常被视为风险决策问题。当紧急事件发生时,考虑多个决策者的意见和心理行为是有意义的。现有研究往往忽略了这些多维方面。为了填补这一文献空白,我们提出了一个多属性模型。
该模型基于累积前景理论(CPT),考虑了多个专家的心理因素。通过不假设完全理性,我们将现有的模型扩展到允许在紧急情况下将多个专家的风险偏好纳入决策过程。然后,通过允许多个属性,对传统的 CPT 进行扩展。此外,我们采用区间值而不是清晰数据来应对现实中常见的不确定性。
所提出的基于多属性 CPT 的模型可以处理潜在紧急替代方案的选择。该模型纳入了区间值,以允许更多的不确定性,比较研究表明,在不同的情景下,最优解决方案会发生变化。
我们的实例说明和比较研究表明,考虑多个专家和多个属性更为合理,特别是在紧急情况下的复杂情况下。此外,决策者的风险偏好对选择结果有很大影响,突出了它们在医疗决策过程中的重要性。我们提出的模型可以通过适当的修改应用于类似的领域。