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A principled approach to the design of healthcare systems: Autonomy vs. governance

Author

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  • Taleb-Bendiab, A.
  • England, David
  • Randles, Martin
  • Miseldine, Philip
  • Murphy, Karen

Abstract

In this paper, we look at decision support for post-operative breast cancer care. Our main concerns are to support autonomy of decision making whilst maintaining the governance and reliability of the decision-making process. We describe the context of our work in the wider medical setting. We then present a set of decision support tools based on the situation calculus as a means of maintaining the integrity of rule bases underlying the decision-making system. The decision support system, Neptune, allows for the authoring, maintenance and delivery of decisions in a self-governing framework. Finally we discuss the implications of our work.

Suggested Citation

  • Taleb-Bendiab, A. & England, David & Randles, Martin & Miseldine, Philip & Murphy, Karen, 2006. "A principled approach to the design of healthcare systems: Autonomy vs. governance," Reliability Engineering and System Safety, Elsevier, vol. 91(12), pages 1576-1585.
    • Handle: RePEc:eee:reensy:v:91:y:2006:i:12:p:1576-1585
    DOI: 10.1016/j.ress.2006.01.011
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    Cited by:

    1. Zixian, Liu & Xin, Ni & Yiliu, Liu & Qinglu, Song & Yukun, Wang, 2011. "Gastric esophageal surgery risk analysis with a fault tree and Markov integrated model," Reliability Engineering and System Safety, Elsevier, vol. 96(12), pages 1591-1600.
    2. Patriarca, Riccardo & Falegnami, Andrea & Costantino, Francesco & Bilotta, Federico, 2018. "Resilience engineering for socio-technical risk analysis: Application in neuro-surgery," Reliability Engineering and System Safety, Elsevier, vol. 180(C), pages 321-335.
    3. Hernandez-Perdomo, Elvis & Guney, Yilmaz & Rocco, Claudio M., 2019. "A reliability model for assessing corporate governance using machine learning techniques," Reliability Engineering and System Safety, Elsevier, vol. 185(C), pages 220-231.

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