Multi-criteria Decision Analysis (MCDA) to Support Healthcare Decisions: Opportunities, Challenges and Unresolved Questions
Just published is a new book entitled “Multi-criteria Decision Analysis (MCDA) to Support Healthcare Decisions”. It features a chapter by OHE’s Martina Garau and Professor Nancy Devlin on opportunities and challenges of MCDA in HTA. Just published is a book…
Just published is a new book entitled “Multi-criteria Decision Analysis (MCDA) to Support Healthcare Decisions”. It features a chapter by OHE’s Martina Garau and Professor Nancy Devlin on opportunities and challenges of MCDA in HTA.
Just published is a book that brings together, for the first time, experts in different approaches to multi-criteria decision analysis (MCDA) and healthcare decision making to provide a comprehensive overview of the current state of knowledge and experience of MCDA in healthcare worldwide.
Martina and Nancy’s chapter, entitled “Using MCDA as a decision aid in Health Technology Appraisal for coverage decisions: opportunities, challenges and unresolved questions”, indicates that MCDA has the potential to address a number of limitations of current health technology assessment (HTA) systems.
A key opportunity provided by the application of MCDA is the possibility of a coherent framework to align objectives across healthcare decision makers.
However, its application in HTA requires careful consideration of a number of issues, including:
•how the decision criteria are selected and weighted;
•whose values should be used;
•how budget constraints and opportunity costs are addressed;
•and how uncertainty in evidence is handled.
A key challenge is to make MCDA acceptable to all the stakeholders involved by striking the right balance between deliberations and more structured approaches.
There needs to be a consideration of the balance between additional organisational costs of implementing an MCDA approach, and the additional benefits of improved decision making process. Garau and Devlin suggest that even where MCDA cannot follow ‘best practise’, partial implementation (for example, use of a performance matrix) may still have the potential to improve the decision making process.
The specific approaches that are considered to be best will depend on the socio-political characteristics of the healthcare system – one size does not fit all.
To access the full chapter, purchase the book here.
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