期刊名称:European Journal of Business and Social Sciences
印刷版ISSN:2235-767X
出版年度:2013
卷号:2
期号:4
页码:09-24
出版社:European Society of Business and Social Sciences
摘要:The United States is in the midst of grave fiscal conditions. In addition to overall economic instability—i.e., The “Fiscal Cliff, the cost of health care in the U.S. has exploded over the past halfcentury. There is a particular concern, given the aging baby boomer population, in that escalating end-of-life health care costs will soon overwhelm the health care delivery system [HCDS]. In 2012 in the May/June issue of Nursing Economic$, Kovner, Lusk, and Selander posited the general mission and basic strategic considerations for addressing the impending cost crisis called the KLS-Action Plan the focus of which is to lower end-of-life health care costs through the tandem coordinated use of Hospice and Palliative care. In 2013, Lusk, Selander and Halperin discussed the economic and political imperatives in play as they are likely to impact the sustainability of the KLS-Action Plan. In this related paper, using pilot test information we will illustrate a Decision Support System [DSS] programmed in Excel using openaccess VBA-code that can be used by health planners to test out that sustainability. In addition, we have used Knightian Uncertainty to develop the final introspective output of the DSS.The KLS-Action Plan DSS is available at no cost from the corresponding author and we waive all intellectual property rights to its use.
关键词:What-If Analysis; Likely Worst and Likely Most Optimistic;Case Recalibrations; DSS; Sustainability