A model for priority setting of health technology assessment: the experience of AHP-TOPSIS combination approach

Abstract

BackgroundIn recent times, the use of health technologies in the diagnosis and treatment of diseases experienced considerable and accelerated growth. The goal of the present study was to describe the designated pilot MCDM (Multiple Criteria Decision Making) model for priority setting of health technology assessment in Iran.MethodsRelevant articles were sought and retrieved from the most appropriate medical databases, including the Cochrane Library, PubMed and Scopus via three separate search strategies, using MESH and free text until March, 2015. Retrieved criteria were questioned from health technology assessment experts in two rounds and the relative weight for valid criteria was finally obtained from paired wise comparison method. After extraction of relative weights based on the aforementioned procedure, TOPSIS (The Technique for Order of Preference by Similarity to Ideal Solution) priority setting model was designed. The stated model was applied for assessing three technologies (adenosine, tissue plasminogen activator and mechanical thrombectomy) which were available for projects call of Iranian health technology assessment department in order to determine applicability of the model for practical purpose.ResultsNine criteria, including efficiency/effectiveness, safety, population size, vulnerable population size, availability of alternative technologies, cost effectiveness in other countries, budget impact, financial protection, quality of evidence, were extracted by the Iranian health technology assessment experts. The relative weights of these criteria were as follows 0.12, 0.2, 0.06, 0.08, 0.08, 0.13, 0.08, 0.09, and 0.15, respectively. Finally TOPSIS pilot model was designed by three health technologies and nine criteria relative weights. Results showed that, the applicability of the stated model was suitable and as the pilot testing, tissue plasminogen activator was the first priority, adenosine was second and mechanical thrombectomy was third for performing health technology assessment by the Iranian ministry of health and medical education.ConclusionAccording to the results of this study, this model with nine effective criteria and their relative weights and in combination with TOPSIS approach could be used with suitable applicability by health technology assessment department in deputy of curative affairs and food and drug organization for determination of research priorities in health technology assessment.

A Comparative Study of Multiple-Criteria Decision-Making Methods under Stochastic Inputs

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Multicriterial analysis for the prioritization of technological alternatives for POCT blood gas equipment procurement in a high-complexity healthcare institution

“…For this, the information is structured according to the following fields: names of the authors, title of the article, methodologies (HTA or mini-HTA or any other unspecified methodology), multi-criteria techniques and main assessment criteria (health problems and use of technology, description and technical characteristics, safety, clinical effectiveness, costs and economic evaluation, ethical analysis, organizational / institutional aspects and human resources, patient and social aspects, legal aspects, among others). In addition, 14 guidelines and methodologies proposed by international HTA agencies were reviewed, allowing the conceptualization of methodologies used internationally [11,12,16,23,24,30,31,[33][34][35][36][37][38][39][40][41][42][43][44].…”

“…Sequentially, the multi-criteria decision tool from AHP was selected, which is widely used in different areas, such as: health, political, economic, social and management sciences [20][21][22][23][24][25][26]. One of the relevant characteristics for the selection of this tool was its natural capacity to perform bi-univocal comparisons through matrix operations.…”

“…Training programs provided by the supplier to the users, who are the ones who manage the equipment in the health institution [23,[28][29][30][31].…”

Análise multicritério da ecoeficiência do transporte de cargas com veículos leves

“…Esta equaçaõ deriva a prioridade dos elementos, sendo mais adequada para certas decisões em grupo (Dong et al, 2010). Após o cálculo da media geometrica dos elementos de cada linha, o vetor obtido é normalizado para obter o vetor prioridade (Mobinizadeh et al 2016).…”