DETERMINING CRITERIA AND WEIGHTS FOR PRIORITISING HEALTH TECHNOLOGIES BASED ON THE PREFERENCES OF THE GENERAL POPULATION- A NEW ZEALAND PILOT STUDY

Author(s)

Sullivan T, Hansen P
University of Otago, Dunedin, New Zealand

OBJECTIVES: The use of Multi-Criteria Decision Analysis for health technology prioritisation depends on decision-making criteria and also weights representing their relative importance. We report on a methodology for determining criteria and weights developed and piloted in New Zealand that enables extensive participation by members of the general population. METHODS: Stimulated by a preliminary ranking exercise that involved prioritising 14 diverse technologies, six focus groups discussed what matters to people when thinking about technologies that should be funded. These discussions informed the specification of criteria related to technologies’ benefits for use in a discrete choice survey to generate weights for each individual participant as well as mean weights. A random sample of 3218 adults was invited to participate. To check test-retest reliability, a sub-sample completed the survey twice. Cluster analysis was performed to identify participants with similar patterns of weights. RESULTS: Six benefits-related criteria were distilled from the focus-group discussions and included in the discrete choice survey, which was completed by 322 adults (10% response rate). Most participants (85%) found the survey easy to understand, and the survey exhibited test-retest reliability. The cluster analysis revealed that participant’s weights are related more to their idiosyncratic personal preferences than demographic and background characteristics. CONCLUSIONS: The methodology enables extensive participation by members of the general population, for whom it is both acceptable and reliable. Generating weights for each participant allows the heterogeneity of individual preferences, and the extent to which they are related to demographic and background characteristics, to be tested.

Conference/Value in Health Info

2016-09, ISPOR Asia Pacific 2016, Singapore

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PHP110

Topic

Health Technology Assessment

Topic Subcategory

Decision & Deliberative Processes

Disease

Multiple Diseases

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