Published In

Journal of the American Medical Directors Association

Document Type

Post-Print

Publication Date

1-24-2026

Subjects

Residents of long-term care facilities, Person-centered care, Long-term care, Nursing homes, Assisted living -- adult foster homes

Abstract

This study combines the CRITIC and DEMATEL methods and introduces a new hybrid scenario analysis approach that identifies cross-scenario strategies. We use Taiwan's wind energy industry as a case study to validate the process. Although scenario analysis has been applied across various fields and organization types—including strategic planning, education, training, and recent environmental issues—scholars have highlighted problems such as the subjectivity of qualitative analysis and the lack of quantitative evidence. To address this, this study integrates scenario analysis with quantitative multi-criteria decision analysis to support decision makers in conducting scenario evaluations. We achieve this by applying a multi-criteria approach to analyze the weights of uncertainty axes and causal relationships, leading to management prioritization that yields near-optimal decision analysis and enhances decision quality. Our methodology is validated with a case study in Taiwan's wind energy sector. In the best-case scenario, Taiwan's green energy substitution rate surpasses 20 %, simultaneously fostering new industrial chains in green manufacturing, energy storage, and carbon management. Conversely, under a pessimistic scenario, challenges such as land acquisition issues, tense international relations, grid delays, or regulatory uncertainties could limit renewable energy penetration to below 20 %.

Rights

2026 Published by Elsevier Inc. on behalf of Post-Acute and Long-Term Care Medical Association. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

Description

This is the author’s version of a work that was accepted for publication.  Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published as: What Matters to Residential Long-Term Care Residents: Contextualizing Perceptions of Person-Centered Care. Journal of the American Medical Directors Association. (2026)

Locate the Document

 https://doi.org/10.1016/j.jamda.2025.106104

DOI

10.1016/j.jamda.2025.106104

Persistent Identifier

https://archives.pdx.edu/ds/psu/44452

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