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Topic selection for health technology assessment: An approach combining multiple attribute decision making and
Mohammadreza Mobinizadeh1, Efat Mohamadi2, Hosein Arman3
1National Institute for Health Research, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Medical Journal of the Islamic Republic of Iran
|July 2, 2021
Summary
This study prioritized health technologies using multiple attribute decision making (MADM) methods and decision rules. The findings inform which health technologies require full, rapid, or no assessment based on cost-effectiveness uncertainty.
Area of Science:
- Health Technology Assessment
- Decision Science
- Public Health Policy
Background:
- Multiple Attribute Decision Making (MADM) techniques are utilized for health technology assessment (HTA).
- Prioritizing health technologies is crucial for resource allocation and policy development.
Purpose of the Study:
- To prioritize health technologies using a combination of MADM techniques and decision rules.
- To establish a framework for determining the type of HTA report needed based on specific criteria.
Main Methods:
- Applied research employing MADM methods including TOPSIS, SAW, and VIKOR.
- Attribute extraction from literature and expert opinions (decision-making and HTA experts).
- Results from MADM techniques were combined using Copeland's technique; decision rules were defined to determine HTA report types.
Main Results:
- Eight health technologies were assessed based on six attributes: population health benefits, vulnerable population size, alternative technologies, budget impact, financial protection, and evidence quality.
- Safety and uncertainty about cost-effectiveness were incorporated as veto and decision rules, respectively.
- Copeland's technique ranked technologies, with one technology for varicose issues highest and a palliative cancer care method lowest; decision rules guided report recommendations.
Conclusions:
- Decision rules based on cost-effectiveness uncertainty inform the necessity of full, rapid, or no HTA reports.
- Recommendations include full HTA for three technologies, rapid HTA for four, and no HTA for one.
- This approach provides a structured method for health technology prioritization and assessment planning.
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