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Multi-criteria decision making – an approach to setting priorities in health care

✍ Scribed by Flávio Fonseca Nobre; Lilian Terezinha Ferreira Trotta; Luiz Flávio Autran Monteiro Gomes

Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
153 KB
Volume
18
Category
Article
ISSN
0277-6715

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✦ Synopsis

The objective of this paper is to present a multi-criteria decision making (MCDM) approach to support public health decision making that takes into consideration the fuzziness of the decision goals and the behavioural aspect of the decision maker. The approach is used to analyse the process of health technology procurement in a University Hospital in Rio de Janeiro, Brazil. The method, known as TODIM, relies on evaluating alternatives with a set of decision criteria assessed using an ordinal scale. Fuzziness in generating criteria scores and weights or con#icts caused by dealing with di!erent viewpoints of a group of decision makers (DMs) are solved using fuzzy set aggregation rules. The results suggested that MCDM models, incorporating fuzzy set approaches, should form a set of tools for public health decision making analysis, particularly when there are polarized opinions and con#icting objectives from the DM group.

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