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4.
Value Health ; 19(2): 125-37, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27021745

RESUMO

Health care decisions are complex and involve confronting trade-offs between multiple, often conflicting objectives. Using structured, explicit approaches to decisions involving multiple criteria can improve the quality of decision making. A set of techniques, known under the collective heading, multiple criteria decision analysis (MCDA), are useful for this purpose. In 2014, ISPOR established an Emerging Good Practices Task Force. The task force's first report defined MCDA, provided examples of its use in health care, described the key steps, and provided an overview of the principal methods of MCDA. This second task force report provides emerging good-practice guidance on the implementation of MCDA to support health care decisions. The report includes: a checklist to support the design, implementation and review of an MCDA; guidance to support the implementation of the checklist; the order in which the steps should be implemented; illustrates how to incorporate budget constraints into an MCDA; provides an overview of the skills and resources, including available software, required to implement MCDA; and future research directions.


Assuntos
Comitês Consultivos , Técnicas de Apoio para a Decisão , Custos de Cuidados de Saúde , Alocação de Recursos para a Atenção à Saúde/economia , Avaliação da Tecnologia Biomédica/economia , Orçamentos , Lista de Checagem , Comportamento Cooperativo , Análise Custo-Benefício , Guias como Assunto , Custos de Cuidados de Saúde/normas , Alocação de Recursos para a Atenção à Saúde/normas , Humanos , Reembolso de Seguro de Saúde , Comunicação Interdisciplinar , Modelos Econômicos , Modelos Estatísticos , Anos de Vida Ajustados por Qualidade de Vida , Avaliação da Tecnologia Biomédica/normas
5.
Value Health ; 19(1): 1-13, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26797229

RESUMO

Health care decisions are complex and involve confronting trade-offs between multiple, often conflicting, objectives. Using structured, explicit approaches to decisions involving multiple criteria can improve the quality of decision making and a set of techniques, known under the collective heading multiple criteria decision analysis (MCDA), are useful for this purpose. MCDA methods are widely used in other sectors, and recently there has been an increase in health care applications. In 2014, ISPOR established an MCDA Emerging Good Practices Task Force. It was charged with establishing a common definition for MCDA in health care decision making and developing good practice guidelines for conducting MCDA to aid health care decision making. This initial ISPOR MCDA task force report provides an introduction to MCDA - it defines MCDA; provides examples of its use in different kinds of decision making in health care (including benefit risk analysis, health technology assessment, resource allocation, portfolio decision analysis, shared patient clinician decision making and prioritizing patients' access to services); provides an overview of the principal methods of MCDA; and describes the key steps involved. Upon reviewing this report, readers should have a solid overview of MCDA methods and their potential for supporting health care decision making.


Assuntos
Tomada de Decisões , Técnicas de Apoio para a Decisão , Guias de Prática Clínica como Assunto , Comitês Consultivos , Alocação de Recursos para a Atenção à Saúde/métodos , Alocação de Recursos para a Atenção à Saúde/normas , Humanos , Participação do Paciente , Medição de Risco/métodos , Medição de Risco/normas , Avaliação da Tecnologia Biomédica/métodos , Avaliação da Tecnologia Biomédica/normas
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