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[:pb]It is known that decision-making processes on the incorporation of healthcare technologies involve several actors and variables, which makes them extremely complex. The methodology of Healthcare Technology Assessments (HTA) has been used in several countries, including Brazil, where it is mandatory for technologies to be incorporated by the Unified Health System (SUS).
Health economics studies and analyzes based on real-world evidence, which are part of the so-called HEOR (Health Economics & Outcomes Research) play the role of evaluating the costs against the results provided by the technologies. However, the incorporation of new technologies also encompasses factors other than costs and clinical outcomes. There are also social, organizational, ethical and legal dimensions that must be considered. For this task, there are the Multicriteria Decision Analysis (MCDA – Multiple criteria decision analysis).
What is Multi-Criteria Decision Analysis?
Multi-criteria decision analysis consists of a set of methods to jointly assess two or more criteria. This methodology does not replace systematic reviews, economic evaluations or other types of analysis used in decision making, but adds to this entire process, as it is able to gather available evidence and perceptions of different actors.
It is suitable for issues involving interdependent decisions or the participation of professionals from different areas, and is especially important when there is more than one point of view about a decision. The MCDA allows you to build a “performance matrix”, capable of supporting discussions in the process of analyzing technologies that involve different groups.
Among the criteria that can be evaluated according to this methodology are unsatisfied medical needs, the social burden of the disease and issues specific to family members and health professionals.
Advantages of the MCDA Model
Multi-criteria decision analysis seeks to consider all priorities in a balanced way, in addition to enabling the participation of different stakeholders, from patients and family members to physicians and health managers. Objectively, this methodological approach allows the criteria to be defined in order of relevance and determines how best to use this information to assess the alternatives in question. This makes the model have advantages such as:
How and when can it be used?
Multi-criteria decision analysis is not exclusive to healthcare, but is also used in decision-making in sectors such as sustainable energy, transport and energy planning, among others. To support the health area, the method has been applied in some situations, namely:
Steps of Multi-Criteria Decision Analysis
There are a few different methods for performing an MCDA, so the steps in the process may vary slightly. However, in general, it must follow some fundamental phases:
To learn more about our solutions for incorporating healthcare technologies, download the MAPES e-book:MAPES: Cases &Soluções.[:]
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