Multiple Criteria Decision Analysis for Health Care Decision Making-An Introduction: Report 1 of the ISPOR MCDA Emerging Good Practices Task Force

Multiple Criteria Decision Analysis for Health Care Decision Making-An Introduction: Report 1 of the ISPOR MCDA Emerging Good Practices Task Force
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DOI:
10.1016/j.jval.2015.12.003
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发表时间:
2016-01-01
期刊:
影响因子:
4.5
通讯作者:
Ijzerman, Maarten
Ijzerman, Maarten
中科院分区:
医学2区
文献类型:
--
作者:
Thokala, Praveen;Devlin, Nancy;Ijzerman, Maarten

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卫生保健决策是复杂的,涉及到面临多个,往往相互冲突的目标之间的权衡。使用结构化的,明确的方法,涉及多个标准的决策,可以提高决策的质量和一套技术,已知的集体标题下的多标准决策分析(MCDA),是有用的。MCDA方法广泛用于其他部门,最近在医疗保健方面的应用有所增加。2014年,ISPOR成立了MCDA新兴良好做法工作队。它负责为医疗保健决策中的军事和民防资源确定一个共同的定义,并为开展军事和民防资源制定良好做法指南,以帮助医疗保健决策。这份ISPOR MCDA工作组的初步报告介绍了MCDA-它定义了MCDA;提供了其在医疗保健领域不同决策中的应用示例(包括利益风险分析、卫生技术评估、资源分配、组合决策分析、共享患者临床医生决策和患者获得服务的优先顺序);概述了MCDA的主要方法;并描述了所涉及的关键步骤。在阅读本报告时,读者应该对MCDA方法及其支持医疗保健决策的潜力有一个坚实的概述。关键词:决策,医疗保健,MCDA,多准则决策分析。(C)2016由Elsevier Inc.出版国际药物经济学和结果研究学会(ISPOR)
Health care decisions are complex and involve confronting trade-offs between multiple, often conflicting, objectives. Using structured, explicit approaches to decisions involving multiple criteria can improve the quality of decision making and a set of techniques, known under the collective heading multiple criteria decision analysis (MCDA), are useful for this purpose. MCDA methods are widely used in other sectors, and recently there has been an increase in health care applications. In 2014, ISPOR established an MCDA Emerging Good Practices Task Force. It was charged with establishing a common definition for MCDA in health care decision making and developing good practice guidelines for conducting MCDA to aid health care decision making. This initial ISPOR MCDA task force report provides an introduction to MCDA - it defines MCDA; provides examples of its use in different kinds of decision making in health care (including benefit risk analysis, health technology assessment, resource allocation, portfolio decision analysis, shared patient clinician decision making and prioritizing patients' access to services); provides an overview of the principal methods of MCDA; and describes the key steps involved. Upon reviewing this report, readers should have a solid overview of MCDA methods and their potential for supporting health care decision making. Keywords: decision making, health care, MCDA, multiple criteria decision analysis. (C) 2016 Published by Elsevier Inc. on behalf of International Society for Pharmacoeconomics and Outcomes Research (ISPOR).