Multicriteria Decision Making in Health Care Using the Analytic Hierarchy Process and Microsoft Excel

Garrido, Nuria Padilla; Correa, Francisco Aguado; Cortijo-Gallego, Virginia; López-Camacho, Francisca

doi:10.1177/0272989x14534533

Cited by 11 publications

(7 citation statements)

References 8 publications

(13 reference statements)

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“…Innovative approaches for the assessment and management of MTs use a combination of HTA and operations research methods, specifically multiple-criteria decision analysis (MCDA) (Diaby, Campbell, & Goeree, 2013;Endrei, Molics, & Agoston, 2014; Padilla-Garrido, Aguado-Correa, Cortijo-Gallego, & López-Camacho, 2014;Reddy, Kelly, Thokala, Walters, & Duenas, 2014).…”

Section: Introductionmentioning

confidence: 99%

Multi-criteria decision analysis for supporting the selection of medical devices under uncertainty

Ivlev

Vacek

Kneppo

2015

European Journal of Operational Research

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Section: Introductionmentioning

confidence: 99%

Multi-criteria decision analysis for supporting the selection of medical devices under uncertainty

Ivlev

Vacek

Kneppo

2015

European Journal of Operational Research

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“…In the last stage, potential benefits, side effects, and risks were compared in pairwise comparisons. Individual ratings from each panelist were used to compute the comparison matrices in Excel spreadsheets [54]. Relative weight scores as well as their consistency ratios were calculated using the mathematical formulas originally developed by Saaty [55].…”

Section: Methodsmentioning

confidence: 99%

Combining and Using the Utrecht Method and the Analytic Hierarchy Process to Facilitate Professional and Ethical Deliberation and Decision Making in Complementary and Alternative Medicine: A Case Study among a Panel of Stakeholders

Shawahna

2018

Evidence-Based Complementary and Alternative Medicine

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Background In daily practice, healthcare practitioners face many challenges in ethical and professional decision making. Currently, little is known on the ethical and professional deliberations and weighing benefits against risks in daily complementary and alternative medicine (CAM) practice. The aim of this study was to combine the Utrecht method and the Analytic Hierarchy Process (AHP) in deliberations, weighing benefits against risks of using ginger for a pregnant woman suffering nausea and vomiting of pregnancy (NVP) along with other comorbidities. Methods A hypothetical case was constructed using the twelve tips for constructing dilemma case-based assessment. Three CAM practitioners, two physicians, three pharmacists, and two patients were recruited, and the Utrecht and the AHP methods were combined and used to deliberate and weigh benefits against risks of using ginger for the presented case. Results Responses from the ten panelists were obtained. Priority ratings showed significantly higher scores (p-value < 0.001) for alleviating symptoms of NVP (30.7% ± 16.6%) compared to other potential benefits. Increasing the risk of bleeding was given significantly higher (p-value < 0.0001) weight scores (24.7% ± 13.5%) than other potential side effects. Potential risk of spontaneous abortion and risk of impairment of fetal development were given higher (p-value < 0.001) weight scores than risk of fetal hypoglycemia. When benefits were compared against side effects and risks to the fetus and pregnancy, potential benefits were given higher (p-value < 0.001) weight scores (72.3% ± 5.2%). Conclusions Considering the anticipated benefits and risks, a shared decision was made to use ginger in the case presented. The woman should also be informed of the potential side effects and risks of using ginger. The use of this combined method might promote openness and transparency in making shared decisions for healthcare providers and patients.

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“…The AHP model was built using a generic Microsoft Excel spreadsheet template for constructing AHP models provided by Padilla-Garrido and colleagues. 36 This can be downloaded free from journal Medical Decision Making Web page. 37 …”

Section: Methodsmentioning

confidence: 99%

Shared Decision-Making Tool for Self-Management of Home Therapies for Patients With Cystic Fibrosis

Eckman

Kopras

Montag-Leifling

et al. 2017

MDM Policy & Practice

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Objective: Patients with cystic fibrosis (CF) undertake time-consuming programs of home therapies. Our objective was to develop a tool to help CF patients prioritize personal goals for some of these treatments. We describe the development and results of initial evaluation of this shared decision-making tool. Methods: Multicriteria decision-making method to develop a shared decision-making tool that integrates patient’s values and perceptions of treatment impact on functionality/sense of well-being. Treatment efficacy data obtained through comprehensive review of English language literature and Cochrane reviews. Field study of 21 patients was performed to assess acceptability of the approach, understandability of the tool, and to determine whether there was sufficient patient-to-patient variability in treatment goals and patient preferences to make use of a personalized tool worthwhile. Results: Patients found the tool easy to understand and felt engaged as active participants in their care. The tool was responsive to variations in patient preferences. Priority scores were calculated (0–1.0 ± SD). Patients’ most important treatment goals for improving lung health included improving breathing function (0.27 ± 0.11), improving functionality/sense of well-being (0.24 ± 0.13), preventing lung infection (0.21 ± 0.08), minimizing time to complete treatments (0.16 ± 0.12), and minimizing cost (0.11 ± 0.09). Conclusions: A shared decision-making tool that integrates patients’ values and best evidence is feasible and could result in improved patient engagement in their own care.

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Multicriteria Decision Making in Health Care Using the Analytic Hierarchy Process and Microsoft Excel

Cited by 11 publications

References 8 publications

Multi-criteria decision analysis for supporting the selection of medical devices under uncertainty

Multi-criteria decision analysis for supporting the selection of medical devices under uncertainty

Combining and Using the Utrecht Method and the Analytic Hierarchy Process to Facilitate Professional and Ethical Deliberation and Decision Making in Complementary and Alternative Medicine: A Case Study among a Panel of Stakeholders

Shared Decision-Making Tool for Self-Management of Home Therapies for Patients With Cystic Fibrosis

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