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Over the past few centuries, the process of decision-making has become more complicated in different respects. Since the initial phase of Multiple Criteria Decision Making (MCDM) around fifty years ago, Multiple Attribute Decision Making (MADM) has continued developing over the years as a sub-concept of MCDM. Noticeably, the importance of the decision-making process is increasingly expanding to such an extent that it necessarily blends into the undeniable processes of MADM actual models. Novel methods with different perspectives have been introduced considering the dynamic MADM concepts of time and future in classical frameworks; however, they do not overcome challenges in practice. Recently, Prospective MADM (PMADM) as a specific approach has presented future-oriented models using already known approaches of MCDM, and it has innovative items which show barriers of classic model of MADM. However, PMADM practically needs more conceptual bases to illustrate and plan the future of real decision-making problems. The Multi-Aspect Criterion is a new concept in mapping the future of the PMADM outline. In this regard, two examples of sustainability will be analyzed, and different requirements and aspects associated with PMADM will be discussed in this study. This new approach can support the PMADM outline in more detail and deal with a decision-making structure that can be considered as novel to industry experts.

As indicated by a worldwide common perspective about health and sustainable health systems, the health structure as a part of public health is a key theme of many societies. The future is shaped by probable future scenarios, for which dealing practically has many complications. This study is focused on the future scenarios for a comprehensive sustainable health financing model to support a superior structure for a decision and policy-making pilot for the society. This aim is followed based on multiple attribute decision making (MADM)-based scenarios using two MADM methods, step-wise weight assessment ratio analysis (SWARA) and weighted aggregated sum product assessment (WASPAS), as a hybrid model which is the first real case study of the approach. Four main probable future scenarios are identified and selected based on experts’ viewpoints about sustainable health financing models. These scenarios include membership in the World Trade Organization (WTO), dynamic basic insurance, international cooperation, and effective resources management. The process of evaluating based on the approach works as a wider picture, including all criteria and alternatives together. Sustainable medical services, empowering the private sector in both production and technology, and employing international managers took place as the top priority for considering the most applicable alternatives in the future. This structure is designed and developed in Iran’s context, and the Institute for Futures Studies in Health is the pilot of the research.

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