Multicriteria decision analysis (MCDA) in health care: a systematic review of the main characteristics and methodological steps.

Multicriteria decision analysis (MCDA) in health care: a systematic review of the main characteristics and methodological steps.
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DOI:
10.1186/s12911-018-0663-1
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发表时间:
2018-11-01
影响因子:
3.5
通讯作者:
Souza RP
Souza RP
中科院分区:
医学3区
文献类型:
--
作者:
Frazão TDC;Camilo DGG;Cabral ELS;Souza RP

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卫生领域是一个最受影响的系统的角度进行决策与多目标,从而成为在最终的解决方案中容易出现错误,然而,多准则决策分析(MDCA)出现作为一个辅助工具,这一过程的决策。因此,本研究的目的是分析和综合文献中发现的文章,涉及医疗保健中的MCDA,评估一般问题和方法学方面,并将其结构化为一项工作。在文献数据库SCOPUS和PUBMED中调查了1852篇关于该主题的文献,但经过仔细核实,选择了66篇文献进行全面分析。将从纳入文献中提取的数据组织到电子表格中,以准备分析,使用的技术是描述性统计。在卫生领域应用军事和民防资源的增长趋势是可能的,但在出版物的作者和出版期刊方面没有发现优势,但有些国家在发表的研究报告数量方面脱颖而出,如:加拿大和土耳其。在定义决策问题和定义标准时,“文献”对那些希望构建决策问题的人提出了最大的需求。最后,通过对问题的分析,验证了MCDA在解决排序问题中的广泛应用,并且在运用AHP和Fuzzy逻辑方法中有较大的发生率。有了这一点,它是可以观察到的,通过本次审查的数据,比多标准的方法,多标准决策模型已被突出,也在健康领域。此外,该研究可以指导MCDA在医疗保健中的新应用和技术。
The health area is one of the most affected systems on the perspective of decision-making with multiobjectives, thus becoming prone to errors in the final solution, however, multicriteria decision analysis (MDCA) appears as an aid tool for this process decision-making. Therefore,the present study aims to analyze and synthesize articles found in the literature, involing MCDA in health care, evaluating general issues and methodological aspects, structuring them in a single work. Surveys in the bibliographic databases SCOPUS and PUBMED indicated 1852 documents on the subject, however after a careful verificatios, 66 studies were selected to be analyzed completely. The data extracted from the included articles were organized into a spreadsheet for the preparation of analysis, and the technique used was descriptive statistics. It was possible to identify a growth trend in the application of the MCDA in the health area, but no dominance was identified in relation to the authors of the publication and the periodicals where they are published, but some countries stood out in terms of the number of published researches, such as: Canada and Turkey. In defining the decision problem, and in defining criteria, the “literature” presented the greatest demand for those who wish to structure their decision problem. Finally, it was verified by the analysis of the problem, that the MCDA to solve the problems of ranking has comprehensive application and that there is a greater incidence in the use of the AHP and Logic methods Fuzzy. With this, it is possible to observe, through the data of this review, that more than the multicriteria methods, the multicriteria decision model has been highlighted, also in the health area. In addition, the study can guide new applications and techniques using MCDA in the health care.
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发表时间: 2016-04-23
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