Figure 2 Examples from healthcare to illustrate the meta-decision
framework application. These examples suggest variants of the
meta-decision processes.
Notes: In possibility 1, all of the mentioned steps progress in
sequence, including a design development option.
Possibility 2 is similar, but instead of designing custom-made ideas, a
ready-made idea is used.
In possibility 3, no search takes place and ready-made ideas are sought
directly.
In possibility 4, the decision maker skips the formulation of aims and
the search; based on the identification, he/she moves directly to the
evaluation phase.
In possibility 5, the decision maker moves from identification to
selection where the development phase is omitted.
In possibility 6, all steps from the identification to the decision are
skipped.
The evaluation step could be different in all of these case studies with
regard to the population studied and their economic status, educational
level, and age. Research using data collected locally is crucial for
making informed decisions for all special populations in all settings as
well as for validation of decisions.
Table 1 Relevance of meta-decision approach in decision making in
healthcare. Practice and policy perspectives.