Objective: To identify studies using Multi Criteria Decision Analysis (MCDA) software tools to support health prioritisation processes and to describe the technical capabilities of the MCDA software tools identified.Methods: First, a systematic literature review was conducted in Medline, Embase, Web of Science, Econlit and Cochrane databases in July 2019, to identify studies that have used MCDA software for priority setting in health-related problems. Second, the MCDA software tools found in the review were downloaded (full versions, where freely available, and trial versions otherwise) and tested to extract their key technical characteristics.
Results: Nine studies were included, from which seven different software: 1000minds, M-MACBETH, Socio Technical Allocation of Resources (STAR), Strategic Multi-Attribute Ranking Tool (SMART), Visual PROMETHEE, EVIDEM and Prioritisation Framework were identified. These software tools differed in terms of the operating systems (including web interface), MCDA technique(s) available for use, visualization features and the capability to perform Value for Money (VfM) and sensitivity analyses.
Conclusions:The use of MCDA software in prioritization processes has a number of advantages such as inclusion of several types of stakeholders, ability to analyse a greater number of alternatives and criteria and perform real time sensitivity analyses. Proprietary software (i.e. software with licensing fees) seemed to have more features compared to freely available software. However, this field is still developing, with only a few studies where MCDA software was used to support health priority setting and opportunity costs not explicitly captured in many software.