The Effect of Anticipated Regret on Flu Vaccination Campaigns

The anticipation of regret is known to be a primary motivator of receiving a vaccination. Aim of this study is to evaluate whether the use of messages that leverage the anticipated emotion of regret can increase the intention to get the flu vaccination. The participants (N = 110) randomly received a leaflet containing a standard prevention message (control condition) or message modified to induce the anticipation of regret over not being vaccinated (experimental condition), along with a questionnaire. The experimental condition's participants reported significantly higher levels of regret and higher intention to vaccinate than the participants in the control condition. Anticipated regret resulted to be a significant mediator of the intention to get vaccinated. Manipulating the salience of regret appears to be a simple and inexpensive way of effectively promoting preventive behaviour. The implications of this result for reducing COVID-19 vaccine hesitation are discussed. [ FROM AUTHOR] Copyright of Europe's Journal of Psychology is the property of Leibniz Institute for Psychology (ZPID) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Regret, Delete, (Do Not) Repeat: An Analysis of Self-Cleaning Practices on Twitter After the Outbreak of the COVID-19 Pandemic

During the outbreak of the COVID-19 pandemic, many people shared their symptoms across Online Social Networks (OSNs) like Twitter, hoping for others' advice or moral support. Prior studies have shown that those who disclose health-related information across OSNs often tend to regret it and delete their publications afterwards. Hence, deleted posts containing sensitive data can be seen as manifestations of online regrets. In this work, we present an analysis of deleted content on Twitter during the outbreak of the COVID-19 pandemic. For this, we collected more than 3.67 million tweets describing COVID-19 symptoms (e.g., fever, cough, and fatigue) posted between January and April 2020. We observed that around 24% of the tweets containing personal pronouns were deleted either by their authors or by the platform after one year. As a practical application of the resulting dataset, we explored its suitability for the automatic classification of regrettable content on Twitter. © 2023 Owner/Author.

How counterfactual thinking affects willingness to consume green restaurant products: Mediating role of regret and moderating role of COVID-19 risk perception

Given the severe impact of the COVID-19 pandemic, one may wonder how this situation might have differed if green consumption had been prioritized. Counterfactual thinking is a psychological concept wherein people ponder alternative outcomes of events that have already happened. This paper presents two experiments to explore (a) the effect of counterfactual thinking on individuals' willingness to consume green restaurant products and (b) the roles that regret and risk perception play in the main effect. Study 1 revealed that consumers who think counterfactually express stronger willingness to consume green restaurant products than those who do not think counterfactually. A partial mediating effect of regret was also confirmed in this process. Study 2 showed that risk perception moderates the impact of counterfactual thinking on one's willingness to consume green restaurant products. Theoretical contributions of these findings to counterfactual thinking theories are discussed, and managerial implications for tourism marketing are provided.

Work-family conflict, entrepreneurial regret, and entrepreneurial outcomes during the COVID-19 pandemic

This study aims to propose a clarification on how female entrepreneurs cognitively process their work-family conflict (WFC) experiences during the novel coronavirus disease (COVID-19) pandemic, with implications related to their attitudes toward their current entrepreneurial activities. It does so by using social cognitive theory as an overarching theoretical perspective. Our hypothesis sheds light on regretful thinking (also known as entrepreneurial regret) as a cognitive mechanism that elucidates how WFC may affect female entrepreneurs' outcomes, such as exit intention and work satisfaction. We further proposed family support as a boundary condition that may help female entrepreneurs to better respond to WFC. We develop and administer a questionnaire survey and analyze data from 346 female entrepreneurs in Japan. The results of our analysis, which is performed using the bootstrapping method to clarify the significance of the moderated mediation mechanism, support our hypotheses. Our results demonstrate that WFC leads to higher exit intention and lower work satisfaction through entrepreneurial regret. Notably, these experiences become stronger when WFC is coupled with low family support. Finally, we discuss the important implications of our findings for researchers and practitioners and highlight opportunities for future research.

The Impact of a Public Health Emergency on the Demand for Life Insurance – An Empirical Analysis Based on Severe Acute Respiratory Syndrome

We examined changes in personal life insurance purchase decisions after a public health event by incorporating perceived health risk and regret into the expected utility function. The model predicts that the epidemic will create incremental insurance demand. Based on the 2003 severe acute respiratory syndrome outbreak in China, we used a panel dataset of 30 provinces from 2000 to 2007 and applied the difference-in-differences method to confirm the prediction empirically. The results showed that the epidemic did not significantly impact the demand for life insurance in the short term but played a role in the long term. People increased their health-care expenditure and premiums for new policies after the severe acute respiratory syndrome event, suggesting that the epidemic changed people's perceived risk and triggered anticipated regret, which increased life insurance demand. Some robustness checks also supported our findings. © 2023 Institute of World Economics and Politics, Chinese Academy of Social Sciences.

Male and female sterilisation

Male and female sterilisation are important forms of contraception worldwide despite declining popularity in developed countries and limited access during the Covid-19 global pandemic. Vasectomy is the only highly reliable form of male contraception. Appropriate counselling about permanent methods of contraception in both sexes is vital and should include information about irreversibility, failure rates and complications. The alternatives to sterilisation, particularly long-acting reversible contraception (LARC), should be discussed in detail as they are at least as effective and have the advantage of reversibility. Hysteroscopic techniques for female sterilisation are no longer available. In males the no-scalpel technique vasectomy requires minimal operating time and results in less post-operative discomfort than the incisional method. Regret after sterilisation and requests for reversal are more common in patients under 30 years and in men with no children.Copyright © 2023

Harms, Wrongs, and Medical Moral Injury

In this article I explore the contribution of ethical analysis and theological reflection to understanding and responding to moral injury of healthcare workers in light of the COVID pandemic. I begin by critically appraising the relevance of moral injury for healthcare contexts, and suggest that the term ‘medical moral injury' should be used to differentiate it from ‘military moral injury'. I briefly relate medical moral injury to other relevant phenomena, such as moral dilemmas, moral distress, and moral residue, arguing that moral injury in healthcare contexts might take chronic as well as acute forms. I suggest that agent regret might play an important role in understanding medical moral injury. The associated distinction between harms and wrongs, and so regret and remorse, help us identify different kinds of moral injury, and the distinct role that apology plays in each instance. Theological reflection on penitence, forgiveness, and lament also contributes to understanding and responding to potentially morally injurious events. I conclude that while psychological intervention plays an important role in medical moral injury, moral and theological perspectives provide both crucial lenses through which to understand these potentially injurious moral landscapes, and resources to assist healthcare workers in navigating them more safely. © The Author(s) 2023.

Random Regret Minimization Model of Carpool Travel Choice for Urban Residents Considering Perceived Heterogeneity and Psychological Distance.

Carpooling is a sustainable, economical, and environmentally friendly solution to reduce air pollution and ease traffic congestion in urban areas. However, existing regret theories lack consideration of the heterogeneity of attribute perception in different ways and the psychological factors that affect regret, so they cannot accurately portray urban residents' carpool travel decisions and cannot provide a correct explanation of the actual carpool choice behavior. In this paper, based on the analysis of classical random regret minimization models and random regret minimization models considering heterogeneity, the concept of psychological distance is introduced to address shortcomings of the existing models and construct an improved random regret minimization model considering heterogeneity and psychological distance. The results show that the fit and explanatory effect of the improved model proposed in this paper is better than that of the other two models. The psychological distance of travel residents during the Corona Virus Disease 2019 (COVID-19) affects the anticipated regret value and the willingness to carpool. The model can better describe the carpool travel choice mechanism of travelers and effectively explain the carpool travel choice behavior of travelers.

Social egg freezing: Motivations, treatment experiences and the impact of Covid-19 - a single-center experience.

INTRODUCTION: This study aims to assess the motivations and treatment experiences of women undergoing social egg freezing and to understand the impact of the Covid-19 pandemic. MATERIAL AND METHODS: Between January 2011 to December 2021, 191 social egg freezing patients were recruited from the Lister Fertility Clinic, London UK. Participants completed a validated questionnaire investigating patients' perspectives of social egg freezing. A response rate of 46.6% was achieved. RESULTS: In all, 93.9% of women expressed concern regarding age-related fertility decline which influenced their decision to undergo social egg freezing. The majority (89.5%) of women were not in a relationship at the time of social egg freezing and considered this a motivating factor. Also, 39.0% of participants had side effects related to treatment which affected work and social life. Participants were significantly more likely to experience side effects if they underwent multiple egg freezing cycles (χ2 , p < 0.01) or if they cryopreserved oocytes during the COVID-19 pandemic (χ2 , p < 0.05). Of the women, 64.0% wished to have cryopreserved oocytes at a younger age, a view significantly more likely if older than 37 years at first social egg freezing cycle (χ2 , p < 0.001). Also, 82.3% of women reported their decision to undergo social egg freezing was not delayed due to concerns regarding COVID-19 exposure during treatment; 44.1% considered the pandemic made them more willing to undergo social egg freezing. CONCLUSIONS: Most participants did not regret their decision to undergo social egg freezing but the majority wished they had cryopreserved oocytes at a younger age. This highlights the importance of early education to optimize outcomes and patient choice. The egg freezing process can be stressful, women may have concerns around social egg freezing and unprecedented situations such as the COVID-19 pandemic may alter treatment experience.

How fear affects employees' performance: A process model

The effect of emotions on employees' attitudes, motivation, and workplace behaviors is an important and central topic in organizational behavior research. Therefore, the main purpose of this study is to develop and empirically test a model that explains how fear affects employees' performance. The model was tested on a sample of 177 nurses working in different Jordanian hospitals. A questionnaire was developed to measure the main constructs of this study. The data was analyzed in SPSS using simple regression to test the main direct hypotheses. The model hypothesizes that fear has a positive effect on two psychological states: emotional exhaustion and perceived stress. Moreover, it hypothesizes that these two states will affect employees' career choice regret, which, in turn, negatively affects employees' performance. The results provided statistical support for all the proposed hypotheses. We concluded that excessive fear provokes emotional exhaustion and stress in frontline employees and that these two psychological states contribute to the development of career choice regret, which eventually affects employees' performance. The findings of this study may enable managers to gain deeper insight into and a better understanding of the process by which fear influences employee performance. Finally, limitations and directions for future research are discussed. © 2023 Conscientia Beam. All Rights Reserved.

"I'm luckier than everybody else!": Optimistic bias, COVID-19 conspiracy beliefs, vaccination status, and the link with the time spent online, anticipated regret, and the perceived threat.

The catastrophic wave in the fall of 2021 drove Romania to the top of the list of dangerous COVID-19 infections, with the highest mortality rate in Europe. At the same time, Romania had one of the lowest vaccination rates. In this context, the present research aimed to explore the link between vaccination intention/status, optimistic bias, COVID-19 conspiracy beliefs, the time spent online, and vaccination (anticipated) regret. Our convenience sample was formed by 408 adults aged 18-63 years (M = 22.11, SD = 6.18, 69.9 % females), who were distributed into four groups: (1) non-vaccinated who definitely refused COVID-19 vaccination, (2) non-vaccinated who considered COVID-19 vaccination, (3) non-vaccinated who reported their absolute willingness to COVID-19 vaccination, and (4) people who were COVID-19 vaccinated. We conducted our analyses separately, depending on these groups (i.e., vaccination intentions/status). Data were collected using an online questionnaire between November 10, 2021, and January 03, 2022. In our cross-sectional approach, following correlation and ANOVA analyses, among the observed patterns were (1) the significant negative relation between optimism bias and the perceived COVID-19 threat; (2) the positive link between anticipated regret, post-vaccination regret, age, and conspiracy beliefs. We discuss our findings considering their contribution to health policies and practices.

Mindfulness–based positive transformative leadership development for health organisations

Purpose>Positive transformative leadership development practices in health care are perhaps the most important pathway that, collectively, can be pursued while heading towards a post-corona virus disease 2019 world, and race towards 2030. As a practitioner paper, based on front line and leadership experience, this study aims to argue that we need transformational leaders who will go beyond knowing to practice and implementation. While the findings from research is presented from different organisations and companies, they all have something in common – people. Hence, important lessons can be extrapolated to health-related organisations in the future.Design/methodology/approach>The approach is based on practical research findings based on the literature. The approach uses real practical examples from companies and organisations to demonstrate the need for a new, radical way forward.Findings>The findings from the literature clearly indicate that mindfulness-based transformative leadership development program is a worthwhile investment for decision-makers and organisations. A new transformative leader for the future of health care needs to be developed with care with investment in that development.Research limitations/implications>Implications of this paper show that health-care organisations need to begin this journey. There is a paucity in the literature to demonstrate the implementation of mindfulness-based transformative leadership development programs.Practical implications>Organisations of the future face even greater challenges brought about by intelligent technology, new pandemics and even tighter government regulation. The time to prepare for such eventualities is now. This is not a choice but an imperative for organisations to know what to do rather than react with regret.Originality/value>There is a paucity in the health-care literature that tracks, measures, and reports on the long-term results of a mindfulness-based transformative leadership development program. This needs to be addressed, and health care should be a leader in the field of mindfulness and transformative leadership of the future.

Decisions and Decisional Needs of Canadians From all Provinces and Territories During the COVID-19 Pandemic: Population-Based Cross-sectional Surveys.

BACKGROUND: Never before COVID-19 had Canadians faced making health-related decisions in a context of significant uncertainty. However, little is known about which type of decisions and the types of difficulties that they faced. OBJECTIVE: We sought to identify the health-related decisions and decisional needs of Canadians. METHODS: Our study was codesigned by researchers and knowledge users (eg, patients, clinicians). Informed by the CHERRIES (the Checklist for Reporting Results of Internet E-Surveys) reporting guideline, we conducted 2 online surveys of random samples drawn from the Leger consumer panel of 400,000 Canadians. Eligible participants were adults (≥18 years) who received or were receiving any health services in the past 12 months for themselves (adults) or for their child (parent) or senior with cognitive impairment (caregiver). We assessed decisions and decisional needs using questions informed by the Ottawa Decision Support Framework, including decisional conflict and decision regret using the Decision Conflict Scale (DCS) and the Decision Regret Scale (DRS), respectively. Descriptive statistics were conducted for adults who had decided for themselves or on behalf of someone else. Significant decisional conflict (SDC) was defined as a total DCS score of >37.5 out of 100, and significant decision regret was defined as a total DRS score of >25 out of 100. RESULTS: From May 18 to June 4, 2021, 14,459 adults and 6542 parents/caregivers were invited to participate. The invitation view rate was 15.5% (2236/14,459) and 28.3% (1850/6542); participation rate, 69.3% (1549/2236) and 28.7% (531/1850); and completion rate, 97.3% (1507/1549) and 95.1% (505/531), respectively. The survey was completed by 1454 (97.3%) adults and 438 (95.1%) parents/caregivers in English (1598/1892, 84.5%) or French (294/1892, 15.5%). Respondents from all 10 Canadian provinces and the northern territories represented a range of ages, education levels, civil statuses, ethnicities, and annual household income. Of 1892 respondents, 541 (28.6%) self-identified as members of marginalized groups. The most frequent decisions were (adults vs parents/caregivers) as follows: COVID-19 vaccination (490/1454, 33.7%, vs 87/438, 19.9%), managing a health condition (253/1454, 17.4%, vs 47/438, 10.7%), other COVID-19 decisions (158/1454, 10.9%, vs 85/438, 19.4%), mental health care (128/1454, 8.8%, vs 27/438, 6.2%), and medication treatments (115/1454, 7.9%, vs 23/438, 5.3%). Caregivers also reported decisions about moving family members to/from nursing or retirement homes (48/438, 11.0%). Adults (323/1454, 22.2%) and parents/caregivers (95/438, 21.7%) had SDC. Factors making decisions difficult were worrying about choosing the wrong option (557/1454, 38.3%, vs 184/438, 42.0%), worrying about getting COVID-19 (506/1454, 34.8%, vs 173/438, 39.5%), public health restrictions (427/1454, 29.4%, vs 158/438, 36.1%), information overload (300/1454, 20.6%, vs 77/438, 17.6%), difficulty separating misinformation from scientific evidence (297/1454, 20.4%, vs 77/438, 17.6%), and difficulty discussing decisions with clinicians (224/1454, 15.4%, vs 51/438, 11.6%). For 1318 (90.6%) adults and 366 (83.6%) parents/caregivers who had decided, 353 (26.8%) and 125 (34.2%) had significant decision regret, respectively. In addition, 1028 (50%) respondents made their decision alone without considering the opinions of clinicians. CONCLUSIONS: During COVID-19, Canadians who responded to the survey faced several new health-related decisions. Many reported unmet decision-making needs, resulting in SDC and decision regret. Interventions can be designed to address their decisional needs and support patients facing new health-related decisions.

Social media narratives can influence vaccine intentions: The impact of depicting regret and character death

Anticipated regret, the feeling that we might regret a decision in the future, has been identified as a strong predictor of vaccination behavior, and the proliferation of anticipated regret appeals underscores the need for the empirical study of messages that target regret. The current study evaluated the persuasiveness of narrative depictions of regret and character death on COVID-19 booster vaccine intention. Data were collected from 944 adults in a 2 (no depicted regret, depicted regret) × 2 (character survives, dies) between-participants online message experiment. Results demonstrated that depicting regret had a positive effect on booster vaccine intention, especially among Republicans. Moderated serial mediation analysis supported a model where depicted regret had a positive effect on booster vaccine intention via audience replotting of story events and anticipated regret. While this persuasive process occurred for both Republicans and Democrats, the pathway was stronger for Republicans. Additionally, messages depicting character death produced greater anticipated regret. We discuss the theoretical and practical implications of these results. © 2022 Elsevier Ltd

Does the COVID-19 Pandemic have Implications for Machine Ethics?

Algorithms have advanced in status from supporting human decision-making to making decisions for themselves. The fundamental issue here is the relationship between Big Data and algorithms, or how algorithms empower data with direction and purpose. In this paper, I provide a conceptual framework for analyzing and improving ethical decision-making in Human-AI interaction. On the one hand, I examine the challenges and the limitations facing the field of Machine Ethics and Explainability in its aim to provide and justify ethical decisions. On the other hand, I propose connecting counterfactual explanations with the emotion of regret, as requirements for improving ethical decision-making in novel situations and under uncertainty. To test whether this conceptual framework has empirical value, I analyze the COVID-19 epidemic in terms of "what might have been” to answer the following question: could some of the unintended consequences of this health crisis have been avoided if the available data had been used differently before the crisis happened and as it unfolded? © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Predictors of Decision Regret among Caregivers of Older Canadians Receiving Home Care: A Cross-Sectional Online Survey.

Background. In Canada, caregivers of older adults receiving home care face difficult decisions that may lead to decision regret. We assessed difficult decisions and decision regret among caregivers of older adults receiving home care services and factors associated with decision regret. Methods. From March 13 to 30, 2020, at the outbreak of the COVID-19 pandemic, we conducted an online survey with caregivers of older adults receiving home care in the 10 Canadian provinces. We distributed a self-administered questionnaire through Canada's largest and most representative private online panel. We identified types of difficult health-related decisions faced in the past year and their frequency and evaluated decision regret using the Decision Regret Scale (DRS), scored from 0 to 100. We performed descriptive statistics as well as bivariable and multivariable linear regression to identify factors predicting decision regret. Results. Among 932 participants, the mean age was 42.2 y (SD = 15.6 y), and 58.4% were male. The most frequently reported difficult decisions were regarding housing and safety (75.1%). The mean DRS score was 28.8/100 (SD = 8.6). Factors associated with less decision regret included higher caregiver age, involvement of other family members in the decision-making process, wanting to receive information about the options, and considering organizations interested in the decision topic and health care professionals as trustworthy sources of information (all P < 0.001). Factors associated with more decision regret included mismatch between the caregiver's preferred option and the decision made, the involvement of spouses in the decision-making process, higher decisional conflict, and higher burden of care (all P < 0.001). Discussion. Decisions about housing and safety were the difficult decisions most frequently encountered by caregivers of older adults in this survey. Our results will inform future decision support interventions. Highlights: This is one of the first studies to assess decision regret among caregivers of older adults receiving home and community care services and to identify their most frequent difficult decisions.Difficult decisions were most frequently about housing and safety. Most caregivers of older adults in all 10 provinces of Canada experienced decision regret.Factors associated with less decision regret included higher caregiver age, the involvement of other family members in the decision-making process, wanting to receive information about the options, considering organizations interested in the decision topic, and health care professionals as trustworthy sources of information. Factors associated with more decision regret included mismatch between the caregiver's preferred option and the decision made, the involvement of spouses in the decision-making process, higher decisional conflict, and higher burden of care.

When life gives you lemons, make lemonade: post-COVID marketing strategy to motivate travel by triggering traveler's inaction regret

Considerable research on COVID-19 in tourism and hospitality literature has focused on identifying the negative effects of this crisis and exploring measures to suppress factors that demotivate people from traveling. However, factors that can fuel people's motivation to travel again remain underexplored. In response to this gap, the present research proposes unique psychology that is related to the current pandemic environment, inaction regret, as a key motivator for people to resume their travel activities. Specifically, this research hypothesizes that two constructs, namely, "anticipated loss of not traveling in the future" and "change in perceived value of travel," mediate the positive effect of inaction regret on the future intention to travel. Overall, this research extends the existing research on COVID-19 in tourism and hospitality literature by identifying unique emotions pertinent to the current pandemic. At the same time, the findings of this research contribute to deriving post-pandemic marketing strategies to reinvigorate travel demand.

Post-vaccination adverse reactions, decision regret, and willingness to pay for the booster dose of COVID-19 vaccine among healthcare workers: A mediation analysis.

This study aimed to explore the relationship between post-vaccination adverse reactions, decision regret, and willingness to pay (WTP) for the booster dose. An online survey was conducted in Taizhou, China. Questionnaires were completed by 1,085 healthcare workers (HCWs) and 1,054 (97.1%) have received two doses of the COVID-19 vaccine. Mediation analysis method was adopted. Our study presented that post-vaccination adverse reactions in HCWs could decrease their WTP for the booster dose. Of note, HCWs experienced adverse reactions after vaccination would more likely regret their previous vaccination decisions, which, in turn, further reduced their WTP for a booster shot. Decision regret mediated the relationship between adverse post-vaccination reactions and WTP for the booster dose. The findings implied inextricable relationships among post-vaccination adverse reactions, decision regret, and WTP of the booster dose. It suggested that these post-vaccination adverse reactions should be further incorporated into vaccine campaigns to improve vaccine intention and potentially increase willingness to pay for booster doses of COVID-19 vaccine.

Restaurant Diners' Switching Behavior During the COVID-19 Pandemic: Protection Motivation Theory.

The unsettling fear of COVID-19 infections has caused a new trend in consumer behavior in the food and beverage industry. The unprecedented COVID-19 pandemic has shifted consumers' preferences from eat-in to online delivery. This research aims to measure the impact of consumers' motivation to protect themselves from contracting COVID-19, which explains why people switch from eat-in to online food delivery. We adopted the theory of protection motivation (PMT) to explain consumer switching behavior during the COVID-19 pandemic. The present study investigated the mediating effect of switching intention on the relationship between vulnerability, altruistic fear, anticipated regret, and switching behavior. Simultaneously, we examined the role of brand awareness as a moderator of behavioral choices of consumers switching from eat-in to online delivery. We collected data from 681 eatery consumers in Kuala Terengganu, Malaysia, using scenario-based survey questionnaires (327 eat-in respondents and 354 online delivery respondents). Then, the data were analyzed using structural equation modeling (SEM). This new generation analysis was conducted using the analysis of moment structure (AMOS) (v.24.0) and the statistical package for social science (SPSS-version 25.0). The results indicated that consumer vulnerability, altruistic fear, and anticipated regret of COVID-19 increased consumers' propensity to shift from eat-in to online food delivery. Allegedly, consumer behavioral control and intention of switching toward online delivery were pointedly affected by switching behavior. The results indicated that consumer vulnerability, altruistic fear, and anticipated regret of COVID-19 increased the shifting of restaurant dine-in patterns and made the intention to switch to online delivery. Consumers' alleged behavioral control and their intention of switching toward online delivery were pointedly affected by switching behavior. We also found that brand awareness moderately affects switching behavior toward restaurant settings. The present research contributes to developing the consumer behavior model of switching from eat-in to online delivery. This study also provides eatery customers and the business community with a safer and healthier proposition of shifting to online food delivery during the pandemic.

A Hybrid Group Decision Approach Based on MARCOS and Regret Theory for Pharmaceutical Enterprises Assessment under a Single-Valued Neutrosophic Scenario

Evaluating pharmaceutical enterprises with sustainable and high-quality development ability (SHQDA) can not only provide strategies for the pharmaceutical management department in formulating enterprise development plans, but also provide suggestions and guidance for enterprises to enhance their core competitiveness. Nevertheless, the prior research possesses several deficiencies in coping with the assessment of enterprises with SHQDA under uncertain environments to predict the psychological behavior of the evaluator and the correlation among the evaluation criteria. To conquer the aforementioned defects, we propose an integrated framework for rating pharmaceutical enterprises that incorporates regret theory, measurement alternatives and ranking based on the compromise solution (MARCOS) and Heronian mean operating within a single-value neutrosophic set (SVNS) environment. First, the single-valued neutrosophic number (SVNN) is employed to portray the assessment information of experts. Then, a novel single-valued neutrosophic score function is presented to enhance the rationality of the SVNN comparison. Next, a combined criteria weight model is constructed by synthesizing the best and worst method (BWM) and criteria importance through intercriteria correlation (CRITIC) approach to attain more reasonable and credible weight information. Furthermore, the integrated assessment framework combining regret theory-MARCOS method and Heronian mean operator is put forward to assess and select the enterprises with SHQDA under a single-valued neutrosophic setting. Ultimately, an empirical concerning the pharmaceutical enterprises assessment is presented within SVNS to illustrate the usefulness and effectiveness of the presented SVNS regret theory-MARCOS method. Thereafter, the sensitivity analysis and comparison analysis are implemented to provide evidence for the rationality and superiority of the proposed method.