{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T21:54:28Z","timestamp":1766181268543,"version":"3.40.5"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T00:00:00Z","timestamp":1560211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Navigating treatment pathways remains a challenge for populations with complex needs due to bottlenecks, service gaps and access barriers. The application of novel methods may be required to identify and remedy such problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To demonstrate a novel approach to identifying persistent service gaps, generating potential solutions and prioritizing action.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Co\u2010creation and multi\u2010criteria decision analysis in the context of a larger, mixed methods study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and participants<\/jats:title><jats:p>Community\u2010dwelling sample of older women living alone (OWLA), residing in Melbourne, Australia (n\u00a0=\u00a013\u201037). Convenience sample of (n\u00a0=\u00a011) representatives from providers and patient organizations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Novel interventions co\u2010created to support health, well\u2010being and independence for OWLA and bridge missing links in pathways to care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Performance criteria, criterion weights , performance ratings, summary scores and ranks reflecting the relative value of interventions to OWLA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The co\u2010creation process generated a list of ten interventions. Both OWLA and stakeholders considered a broad range of criteria when evaluating the relative merits of these ten interventions and a \u201cDo Nothing\u201d alternative. Combining criterion weights with performance ratings yielded a consistent set of high priority interventions, with \u201cHandy Help,\u201d \u201cVolunteer Drivers\u201d and \u201cExercise Buddies\u201d most highly ranked by both OWLA and stakeholder samples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and conclusions<\/jats:title><jats:p>The present study described and demonstrated the use of multi\u2010criteria decision analysis to prioritize a set of novel interventions generated via a co\u2010creation process. Application of this approach can add community voice to the policy debate and begin to bridge the gap in service provision for underserved populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.12923","type":"journal-article","created":{"date-parts":[[2019,6,12]],"date-time":"2019-06-12T04:26:06Z","timestamp":1560313566000},"page":"1058-1068","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Using co\u2010creation and multi\u2010criteria decision analysis to close service gaps for underserved populations"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7211-6454","authenticated-orcid":false,"given":"Duncan","family":"Mortimer","sequence":"first","affiliation":[{"name":"Centre for Health Economics, Monash Business School Monash University Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo","family":"Iezzi","sequence":"additional","affiliation":[{"name":"Centre for Health Economics, Monash Business School Monash University Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marissa","family":"Dickins","sequence":"additional","affiliation":[{"name":"Bolton Clarke Research Institute Bolton Clarke Brisbane Queensland Australia"},{"name":"Southern Synergy, Department of Psychiatry at Monash Health, Southern Clinical School Monash University Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgina","family":"Johnstone","sequence":"additional","affiliation":[{"name":"Bolton Clarke Research Institute Bolton Clarke Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy","family":"Lowthian","sequence":"additional","affiliation":[{"name":"Bolton Clarke Research Institute Bolton Clarke Brisbane Queensland Australia"},{"name":"School of Public Health and Preventive Medicine Monash University Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Enticott","sequence":"additional","affiliation":[{"name":"Southern Synergy, Department of Psychiatry at Monash Health, Southern Clinical School Monash University Clayton Victoria Australia"},{"name":"Department of General Practice, School of Primary and Allied Health Care Monash University Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajna","family":"Ogrin","sequence":"additional","affiliation":[{"name":"Bolton Clarke Research Institute Bolton Clarke Brisbane Queensland Australia"},{"name":"Austin Health Clinical School University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1300\/J074v14n01_03"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2011.03.003"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1742395307081504"},{"key":"e_1_2_11_5_1","unstructured":"DHS.Improving care for older people: A policy for Health Services.Melbourne Victoria Australia:Continuing Care Section Programs Branch Metropolitan Health and Aged Care Services Division Victorian Government Department of Human Services (DHS);2003."},{"key":"e_1_2_11_6_1","unstructured":"DHS.Health independence programs guidelines.Melbourne Victoria Australia:Victorian Government Department of Human Services (DHS);2008."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.1048"},{"volume-title":"Stonnington aged services, client service information handbook","year":"2017","author":"City of Stonnington","key":"e_1_2_11_8_1"},{"volume-title":"'Caring for the Elderly' \u2013 An overview of aged care support and services in Australia","year":"2003","author":"McIntosh G","key":"e_1_2_11_9_1"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.10.1788"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv037"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.151142"},{"volume-title":"Time of our lives? 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