CASES AND MEANING OF MULTIPLE CRITERIA DECISION ANALYSES IN THE REAL WORLD- OVERVIEW REAL CASES AND SPECULATIONS FOR KOREAN SETTINGS
Author(s)
Kim HJ1, Kim Y1, Liew D2, Rhee YJ3
1Pfizer Pharmaceuticals Korea Ltd., Seoul, South Korea, 2Monash University, Melbourne, Australia, 3Dongduk Women's University, Seoul, South Korea
OBJECTIVES: Multiple-criteria decision analysis (MCDA), which explicitly considers a range of criteria in outcomes analyses, remains relatively novel in health technology assessments (HTA). This study sought to review the use of MCDA in real world health policy decision making. METHODS: We searched the literature which reported use of MCDA in HTA within hospital or payer settings. RESULTS: A total of 55 citations published from 2005 to 2015 were found. The most widely used MCDA model was analytical hierarchy process (AHP) using pair-wise comparison method for weighting. The criterion that was most often included in the weighting was the intervention outcome which includes efficacy/effectiveness and safety. Studies that actually included patients in the final weighting (or ranking) process were 13 out of total 55 studies. Out of 40 studies which provided specific evaluation of using MCDA, 33 studies (80%) were optimistic about MCDA application in their decision-making process and stated it was useful. CONCLUSIONS: MCDA has been used for practical reasons in different countries for diverse reasons but it has not been fully developed as a unanimous tool to make decisions for some reasons. Via extensive literature review, not only did we observe current trends in MCDA applications in HTA but also analyzed current unmet-needs in applying the MCDA in the real-world healthcare decision-making process. However, with the need for an explicit, transparent methodology in HTA process, we consider there is still full good potential to try MCDA in Korea for the future as a decision tool.
Conference/Value in Health Info
2016-05, ISPOR 2016, Washington DC, USA
Value in Health, Vol. 19, No. 3 (May 2016)
Code
PHP175
Topic
Health Technology Assessment
Topic Subcategory
Decision & Deliberative Processes
Disease
Multiple Diseases