title: Multiple Criteria Decision Analysis for Health Care Decision Making--Emerging Good Practices: Report 2 of the ISPOR MCDA Emerging Good Practices Task Force.
abstract: Health care decisions are complex and involve confronting trade-offs between multiple, often conflicting objectives. Using structured, explicit approaches to decisions involving multiple criteria can improve the quality of decision making. A set of techniques, known under the collective heading, multiple criteria decision analysis (MCDA), are useful for this purpose. In 2014, ISPOR established an Emerging Good Practices Task Force. The task force's first report defined MCDA, provided examples of its use in health care, described the key steps, and provided an overview of the principal methods of MCDA. This second task force report provides emerging good-practice guidance on the implementation of MCDA to support health care decisions. The report includes: a checklist to support the design, implementation and review of an MCDA; guidance to support the implementation of the checklist; the order in which the steps should be implemented; illustrates how to incorporate budget constraints into an MCDA; provides an overview of the skills and resources, including available software, required to implement MCDA; and future research directions.
authors.affiliation: Evidera, London, UK. Electronic address: kevin.marsh@evidera.com.
authors.forename: Kevin
authors.initials: K
authors.lastname: Marsh
authors.affiliation: Department of Health Technology & Services Research, University of Twente, Enschede, The Netherlands.
authors.forename: Maarten
authors.initials: M
authors.lastname: IJzerman
authors.affiliation: University of Sheffield, Sheffield, UK.
authors.forename: Praveen
authors.initials: P
authors.lastname: Thokala
authors.affiliation: Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
authors.forename: Rob
authors.initials: R
authors.lastname: Baltussen
authors.affiliation: National Institute for Health and Care Excellence, Manchester, UK.
authors.forename: Meindert
authors.initials: M
authors.lastname: Boysen
authors.affiliation: Department of Health Policy and Health Economics, Eötvös Loránd University (ELTE), Budapest, Hungary; Syreon Research Institute, Budapest, Hungary.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Kaló
authors.affiliation: NDA Group AB, UK and Sweden.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lönngren
authors.affiliation: Janssen Pharmaceutical Companies of Johnson & Johnson, Antwerp, Belgium.
authors.forename: Filip
authors.initials: F
authors.lastname: Mussen
authors.affiliation: Canadian Centre for Applied Research in Cancer Control, British Columbia Cancer Agency, Vancouver, BC, Canada; Leslie Diamond Chair in Cancer Survivorship, Simon Fraser University, Vancouver, Canada.
authors.forename: Stuart
authors.initials: S
authors.lastname: Peacock
authors.affiliation: Premera Blue Cross, Bothell, WA, USA; University of Washington, Seattle, WA, USA.
authors.forename: John
authors.initials: J
authors.lastname: Watkins
authors.affiliation: Office of Health Economics, London, UK.
authors.forename: Nancy
authors.initials: N
authors.lastname: Devlin
mesh_terms: D026683:Advisory Committees; D002017:Budgets; D057189:Checklist; D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D003661:Decision Support Techniques; D017048:Health Care Costs / Q000592:standards; D015276:Health Care Rationing / Q000191:economics* / Q000592:standards; D006801:Humans; D007349:Insurance, Health, Reimbursement; D033183:Interdisciplinary Communication; D018803:Models, Economic; D015233:Models, Statistical; D019057:Quality-Adjusted Life Years; D013673:Technology Assessment, Biomedical / Q000191:economics* / Q000592:standards
keywords: MCDA; decision making; healthcare; multiple criteria decision analysis