Guidance toward the implementation of multicriteria decision analysis framework in developing countries

Inotai, András; Huong, Nguyen Thanh; Hidayat, Budi; Nurgozhin, Talgat; Kiệt, Phạm Huy Tuấn; Campbell, Jonathan D.; Németh, Bertalan; Maniadakis, Nikos; Brixner, Diana I.; Wijaya, Kalman; Kaló, Zoltán

doi:10.1080/14737167.2018.1508345

Cited by 29 publications

(45 citation statements)

References 19 publications

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“…With the use of these methods, the feasibility of constructing a transparent, consistent and rigorous decisionmaking framework can be ensured. This idea has been supported by the real-life example of the results of three separate MCDA workshops, which have been conducted to focus on the area of OPPs in low-and middleincome countries, where SMART method combined with swing weighting was used, based on considerations of feasibility [56].…”

Section: Discussionmentioning

confidence: 99%

Comparison of weighting methods used in multicriteria decision analysis frameworks in healthcare with focus on low- and middle-income countries

Németh¹,

Molnár²,

Bozóki

et al. 2019

J. Comp. Eff. Res.

Self Cite

114

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Criteria weighting is a key element of multicriteria decision analysis that is becoming extensively used in healthcare decision-making. In our narrative review we describe the advantages and disadvantages of various weighting methods. Methods: An assessment of the eight identified primary criteria weighting methods was compiled on domains including their resource requirements, and potential for bias. Results: In general, we found more complex methods to have less potential for bias; however, resource intensity and general participant burden is greater for these methods. Conclusion: The selection of the most appropriate method depends on the decision-making context. The simple multiattribute rating technique (SMART) method combined with swing-weighting technique and the analytic hierarchy process methods may be the most feasible approaches for low-and middle-income countries.

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Section: Discussionmentioning

confidence: 99%

Comparison of weighting methods used in multicriteria decision analysis frameworks in healthcare with focus on low- and middle-income countries

Németh¹,

Molnár²,

Bozóki

et al. 2019

J. Comp. Eff. Res.

Self Cite

114

View full text Add to dashboard Cite

show abstract

“…While the selection of criteria, the ranking, and the weighting require adaptation to the specific decision problem and policy framework, the process itself can be generalized and transferred to other countries or organizations. The foundation for the course of work steps in preparation of the workshop, conduct of the workshop, and follow-up has been formed through the experience from three countries, Indonesia, Kazakhstan, and Vietnam [13,14]. In each of these countries, different types of purchasing or tender decision problems (national purchasing, public tender) had been addressed.…”

Section: Discussionmentioning

confidence: 99%

Weighing Price and Performance for Decisions for Multisource Pharmaceutical Bidding in Public Hospitals in Thailand

Assawamakin¹,

Holtorf²,

Maniadakis³

2020

Evaluation of Health Services

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Following a national law introduced in 2017 in Thailand, the selection of winning bidders for multisourced pharmaceuticals and medical supplies in public hospitals must reflect "price-performance" aligned with the principles of worthiness, transparency, efficiency, effectiveness and accountability. We describe how a practical tool using Multiple Criteria Decision Analysis (MCDA) for evidence-based decision making in hospital bidding (tender) was developed through a multistakeholder workshop format. The local leader of the initiative together with 2 international advisors guided the 37 workshop participants through five interactive steps for local adaptation of the previously developed and validated global MCDAtool: (1) Criteria selection, (2) Scoring definition, (3) Weighting of price criterion, (4) Definition of cutoff point for price criterion, (5) Ranking and weighting of remaining criteria. All consensus judgments were imported to the decision tool which can later be used in the real-world situation in the hospitals to support the selection and document the underlying rationale. The final list of criteria differs from the previously suggested international template and now reflects the Thai decision priorities and current decision processes. In the book chapter, the resulting model will be presented and a pathway for implementation will be discussed.

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“…MCDA has specifically been suggested as an evidence-based health technology assessment (HTA) tool for evaluating off-patent pharmaceuticals in developing countries [30]. Examples for using MCDA in decision-making for off-patent medicines in developing countries are emerging in several countries such as China, Thailand, Indonesia, or Egypt [31][32][33][34].…”

Section: A Format To Facilitate Policy Decisionsmentioning

confidence: 99%

Value-Based Evaluation of Chinese Provincial Health Insurance Policy Schemes

Hu¹,

Holtorf²,

Wijaya³

et al. 2020

Evaluation of Health Services

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Since 2011, an international group of health policy experts has been working on a value-framework to be used for pharmaceutical policy decisions based on multicriteria decision analysis (MCDA). This tool can be easily adapted to a local decision-making context through a facilitated workshop format. Several workshops have been conducted in emerging markets to test the acceptance and feasibility of using MCDA in local decision-making. In China, national policy goals for expanding health-care coverage pressure the provincial governments to implement more comprehensive coverage schemes. This chapter demonstrates the adaptation of a global value-framework to the local policy environment. In September 2018, nine leaders from provincial health insurance bureaus responsible for the urban employee basic medical insurance (UEBMI) participated in a 1-day workshop to build a consensus on the most important objectives for the health-care reform and to translate these into measurable criteria. The participants ranked the criteria by importance and MCDA methodology was used for weighing the importance of each criterion in the final decision. The model driving this process will be presented and discussed by comparing two policy options for health-care reform.

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Guidance toward the implementation of multicriteria decision analysis framework in developing countries

Cited by 29 publications

References 19 publications

Comparison of weighting methods used in multicriteria decision analysis frameworks in healthcare with focus on low- and middle-income countries

Comparison of weighting methods used in multicriteria decision analysis frameworks in healthcare with focus on low- and middle-income countries

Weighing Price and Performance for Decisions for Multisource Pharmaceutical Bidding in Public Hospitals in Thailand

Value-Based Evaluation of Chinese Provincial Health Insurance Policy Schemes

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