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Use of the AHP methodology in system dynamics: Modelling and simulation for health technology assessments to

Giovanni Improta1, Mario Alessandro Russo2, Maria Triassi2

  • 1Department of Public Health, University of Naples "Federico II", Naples, Italy; Management and Automation of Healthcare Organizations, Biomedical Engineering at the Department of Electrical Engineering and Information Technology (DIETI), University of Naples ``Federico II'', Naples, Italy.

Mathematical Biosciences
|March 9, 2018
PubMed

Health technology assessments (HTAs) are often difficult to conduct because of the decisive procedures of the HTA algorithm, which are often complex and not easy to apply. Thus, their use is not always convenient or possible for the assessment of technical requests requiring a multidisciplinary approach. This paper aims to address this issue through a multi-criteria analysis focusing on the analytic hierarchy process (AHP). This methodology allows the decision maker to analyse and evaluate different alternatives and monitor their impact on different actors during the decision-making process. However, the multi-criteria analysis is implemented through a simulation model to overcome the limitations of the AHP methodology. Simulations help decision-makers to make an appropriate decision and avoid unnecessary and costly attempts. Finally, a decision problem regarding the evaluation of two health technologies, namely, the evaluation of two biological prostheses for incisional infected hernias, will be analysed to assess the effectiveness of the model.

Keywords:
AHP methodologyDecision-makingHTAHealth technology assessmentSimulation

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