Soares, Marta O orcid.org/0000-0003-1579-8513, Colson, Abigail, Bojke, Laura orcid.org/0000-0001-7921-9109 et al. (8 more authors) (2024) Recommendations on the Use of Structured Expert Elicitation Protocols for Healthcare Decision Making:A Good Practices Report of an ISPOR Task Force. Value in Health. pp. 1469-1478. ISSN 1524-4733
Abstract
Healthcare decision making, including regulatory and reimbursement decisions, is based on uncertain assessments of clinical and economic value. This arises from the evidence supporting those assessments being uncertain, incomplete, or even absent. Qualitative, structured expert elicitation (SEE) is a valuable tool for extracting expert knowledge about an uncertain quantity and formulating that knowledge as a probability distribution. This creates a useful input to decision modeling and support, particularly in areas with limited evidence, such as advanced therapy products, precision medicine, rare diagnoses, and other areas with high uncertainty. Structured SEE protocols are used to improve the transparency, accuracy, and consistency of quantitative judgments from experts, limiting the effect of heuristics and biases. This task force report introduces 5 commonly used protocols for SEE (Sheffield elicitation framework; modified Delphi method; Cooke's classical method; investigate, discuss, estimate, aggregate protocol; and the Medical Research Council reference protocol). It describes the common elements of SEE, discusses how these protocols differ in their implementation of those elements and illustrates the use of the protocols. The report then reviews the relevant constraints on implementing SEE within the context of healthcare decision making and considers the strengths and weaknesses of these protocols in light of those considerations. Because this is an introductory report on an emerging topic, specific recommendations on practice are not made. However, there are broad recommendations based on the suitability of the different protocols in various decision contexts. The report concludes with recommendations for further research to better guide future practice.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2024, International Society for Pharmacoeconomics and Outcomes Research, Inc. |
Keywords: | Humans,Advisory Committees,Delphi Technique,Decision Making,Uncertainty,Decision Support Techniques,Delivery of Health Care/standards,Expert Testimony |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) |
Depositing User: | Pure (York) |
Date Deposited: | 04 Dec 2024 12:40 |
Last Modified: | 03 Jan 2025 15:30 |
Published Version: | https://doi.org/10.1016/j.jval.2024.07.027 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.jval.2024.07.027 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:220470 |
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Description: Recommendations on the Use of Structured Expert Elicitation Protocols for Healthcare Decision Making: A Good Practices Report of an ISPOR Task Force
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