Baltussen, R., Marsh, K., Thokala, P. orcid.org/0000-0003-4122-2366 et al. (20 more authors) (2019) Multicriteria decision analysis to support HTA agencies : benefits, limitations, and the way forward. Value in Health, 22 (11). pp. 1283-1288. ISSN 1098-3015
Abstract
Objective
Recent years have witnessed an increased interest in the use of multicriteria decision analysis (MCDA) to support health technology assessment (HTA) agencies for setting healthcare priorities. However, its implementation to date has been criticized for being “entirely mechanistic,” ignoring opportunity costs, and not following best practice guidelines. This article provides guidance on the use of MCDA in this context.
Methods
The present study was based on a systematic review and consensus development. We developed a typology of MCDA studies and good implementation practice. We reviewed 37 studies over the period 1990 to 2018 on their compliance with good practice and developed recommendations. We reached consensus among authors over the course of several review rounds.
Results
We identified 3 MCDA study types: qualitative MCDA, quantitative MCDA, and MCDA with decision rules. The types perform differently in terms of quality, consistency, and transparency of recommendations on healthcare priorities. We advise HTA agencies to always include a deliberative component. Agencies should, at a minimum, undertake qualitative MCDA. The use of quantitative MCDA has additional benefits but also poses design challenges. MCDA with decision rules, used by HTA agencies in The Netherlands and the United Kingdom and typically referred to as structured deliberation, has the potential to further improve the formulation of recommendations but has not yet been subjected to broad experimentation and evaluation.
Conclusion
MCDA holds large potential to support HTA agencies in setting healthcare priorities, but its implementation needs to be improved.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 The Authors. The Professional Society for Health Economics and Outcomes Research. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | HTA agencies; multicriteria decision analysis; priority setting; value framework |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 04 Nov 2019 10:51 |
Last Modified: | 17 Dec 2021 10:56 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jval.2019.06.014 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:152929 |