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Not only is the proposed DEA model linear, robust, and flexible in aggregating experts' opinion in a group decision making process, but it also is successful in discrimination power improvement – a major shortcoming associated with classic DEA model.
First, it was noted that many units were not employing a team-based decision making process, but rather decisions were being made by the attending psychiatrist and ward manager outside of team meetings.
They would be part of the decision making process, but not the making it happen process.
Other participant practitioners were more reflexive of their desire to work towards "real shared decision making" and equality in the decision making process, but recognised they had limited skills or resources to do so (cf. Table 3 1).
We do not claim to have worked out that decision making process, but we do argue that new concerns about epigenetic harm and transgenerational inheritance should reframe that process.
I don't expect that the crux of the decision should depend on what I say, although it would be nice to be involved in the decision making process but we have this barrier between primary and secondary care so I don't expect that I will be involved in it" (GP 4).
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Instead, they prefer to be involved in the decision-making process but do not want to be responsible for making the final decision as to whether or not surgery is obtained.
When I wrote about this previously, I was still in the middle of the decision-making process, but things have moved on.
The advice highlighted the importance of including patients and their relatives in the decision-making process, but seems to have led to a reluctance to deem anybody unsuitable for the trauma of a full resuscitation attempt, the majority of which lead to nothing more than broken ribs and failure.
The Republicans have been largely shut out of the budget-making process, but that is reasonable; if they don't like it they should win more seats (ironically, Democrats now enjoy a two-thirds supermajority in both chambers).
Survivors and adolescent patients emphasized that parents could be of assistance in reaching a decision and thereby affect the decision-making process, but that they themselves should be the ones to make the final decision.
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