• Title/Summary/Keyword: surrogate decision-maker

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Surrogate and Shared Medical Decision Making for Unrepresented Patients (의료행위에 대한 동의에서 환자 보호자의 법적 지위와 역할 - 대행결정권과 공동의사결정을 중심으로 -)

  • Kim, SooJeong
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.43-82
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    • 2019
  • In Korea surrogate medical decision makings happen without legal grounds. The purpose of this article is to research the issues in preparing policies for decision-making on behalf of unrepresented patients. As aspects of comparative law, there are two approaches. One of them is to regulate default surrogate list. If no agent or guardian has been appointed, some legislatures provide that members of patient's family who is reasonably available, in descending order of priority of not, may act as surrogate: (1) the spouse, unless legally separated; (2) an adult child; (3) a parent; or (4) an adult brother or sister. If none of them is eligible to act as surrogate, some legislatures allow close friends to make health-care decisions for adult individuals who lack capacity. On the other hand there are other legislatures which provide no surrogate decision maker list but oblige the responsible authority to determine with advice of family members or friends of the patient. In the end the first approach can not guarantee that the surrogate decision maker like family members or friends will determine in the best interest of the patient.

Multiattribute Decision Making with Ordinal Preferences on Attribute Weights

  • Ahn Byeong Seok
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2004.10a
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    • pp.143-146
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    • 2004
  • In a situation that rank order information on attribute weights is captured, two solution approaches are presented. An exact solution approach via interaction with a decision-maker pursues progressive reduction of a set of non-dominated alternatives by narrowing down the feasible attribute weights set. In approximate solution approach, on the other hand, three categories of approximate methods such as surrogate weights method, the dominance value-based decision rules, and three classical decision rules are presented and their efficacies in terms of choice accuracy are evaluated via simulation analysis. The simulation results indicate that a method, which combines an exact solution approach through interactions with the decision-maker and the dominance value-based approach is recommendable in a case that a decision is not made at a single step under imprecisely assessed weights information.

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Comparative Analysis of Multiattribute Decision Aids with Ordinal Preferences on Attribute Weights (속성 가중치에 대한 서수 정보가 주어질 때 다요소 의사결정 방법의 비교분석에 관한 연구)

  • Ahn Byeong Seok
    • Journal of the Korean Operations Research and Management Science Society
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    • v.30 no.1
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    • pp.161-176
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    • 2005
  • In a situation that ordinal preferences on multiattribute weights are captured, we present two solution approaches: an exact approach and an approximate method. The former, an exact solution approach via interaction with a decision-maker, pursues the progressive reduction of a set of non-dominated alternatives by narrowing down the feasible attribute weights region. Subsequent interactive questions and responses, however, sometimes may not guarantee the best alternative or a complete rank order of a set of alternatives that the decision-maker desires to have. Approximate solution approaches, on the other hand, can be divided into three categories including surrogate weights methods, dominance value-based decision rules, and three classical decision rules. Their efficacies are evaluated in terms of choice accuracy via a simulation analysis. The simulation results indicate that a proposed hybrid approach, intended to combine an exact solution approach through interaction and a dominance value-based approach, is recommendable for aiding a decision making in a case that a final choice is seldom made at single step under attribute weights that are imprecisely specified beyond ordinal descriptions.

A Study on the Level of Correctness of Decision Making using two Alternative Information Presenting Methods (회계정보의 표현양식이 의사결정자의 예측정확성에 미치는 영향에 관한 연구)

  • Park Jae-Yong;Park Seong-Kyu
    • Management & Information Systems Review
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    • v.4
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    • pp.573-593
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    • 2000
  • The purpose of this study is to investigate the level of correctness accounting information with the two alternative forms of presenting information outputs. Specifically two different methods of presenting accounting information, the table form and the graphical form were employed to test the level of correctness of the accounting information user's decision making. Using college students as a surrogate decision maker, this research have found that there is no statistically significant difference in the correctness of decision making between the two groups, one group using the table form of accounting information and another group using the graphical form of accounting information.

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