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A Review on Multi-Criteria Decision Making Approaches to Health Technology Assessment

Yıl 2020, Cilt: 8 Sayı: 1, 264 - 289, 31.01.2020

Öz

Drugs, medical treatment procedures, medical devices, surgical techniques and health systems in the healthcare field are in the scope of Health Technology Assessment (HTA). HTA is becoming a popular method to evaluate these health technologies by considering determined target and criteria. Limited resources and increasing costs in the healthcare field have prompted healthcare decision-makers to make effective, reliable and rational decisions and raised the interest on HTA. In this context, the importance of HTA has increased and its scope has expanded to include multiple criteria and stakeholders. Multiple criteria decision making (MCDM) plays an important role in selecting the best alternative from a set of available alternatives with respect to multiple criteria. Developments in the healthcare field, widespread utilization of optimization and evidence-based medicine studies are increasing the interest in utilization of MCDM methods in HTA studies day by day. In this study, HTA studies and HTA studies integrated with MCDM methods are reviewed and classified in a comprehensive manner. As a result of this review study, it is observed that utilization of MCDM methods in HTA studies has increased rapidly after 2008. In addition, AHP (Analytic Hierarchy Process), EVIDEM (Evidence and Value: Impact on DecisionMaking) and weighted product method are found to be the most commonly used MCDM techniques.

Kaynakça

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Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması

Yıl 2020, Cilt: 8 Sayı: 1, 264 - 289, 31.01.2020

Öz

Sağlık sektöründe yer alan ilaçlar, tıbbi tedavi prosedürleri, tıbbı cihazlar, cerrahi teknikler ve sağlık sistemleri Sağlık Teknolojisi Değerlendirme (STD) kapsamında değerlendirilmektedir. Bu tip sağlık teknolojilerinin çeşitli yönlerden ele alınarak belirlenen kriterler ve istenen hedef doğrultusunda değerlendirilmesinde STD gittikçe popülerleşen bir yöntemdir. Sağlık sektöründe kaynakların kısıtlı olması ve maliyetlerin son yıllarda artış göstermesi, bu sektördeki karar vericileri etkili, güvenilir ve rasyonel adımlar atmaya itmiş ve STD’ye olan ilgiyi artırmıştır. STD’ye olan ilginin artmasıyla beraber kapsamı da çok kriterli ve paydaşlı olacak şekilde genişlemiştir. Çok Kriterli Karar Verme (ÇKKV) yöntemleri birden fazla kriter altında alternatifler arasından en iyi alternatifin seçilmesinde önemli rol oynar. Sağlık sektöründe yaşanan gelişmeler, sağlıkta eniyileme ve kanıta dayalı tıp uygulamalarının yaygınlaşması STD çalışmalarında ÇKKV yöntemlerine olan ilgiyi her geçen gün artırmaktadır. Bu derleme çalışmasında, literatürde son 10 yılda yapılan STD çalışmaları ve ÇKKV yaklaşımlarıyla yapılan STD çalışmaları kapsamlı bir biçimde özetlenmiş ve sınıflandırılmıştır. Ayrıca derleme çalışmasının sonucunda, STD çalışmalarında ÇKKV yöntemlerinin kullanımının 2008 yılından sonra hızlı bir şekilde arttığı gözlemlenmiştir. En sık kullanılan ÇKKV yöntemlerinin ise AHP (Analitik Hiyerarşi Prosesi), EVIDEM (Evidence and Value: Impact on DecisionMaking) ve ağırlıklı çarpım olduğu sonucuna ulaşılmıştır.

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  • [77] K. Kolasa, K. M. Zwolinski, Z. Kalo, and T. Hermanowski, “Potential Impact Of The İmplementation Of Multiple-Criteria Decision Analysis (MCDA) On The Polish Pricing And Reimbursement Process Of Orphan Drugs,” Orphanet Journal of Rare Diseases, vol. 11, no. 1, 2016.
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  • [79] D. Brixner, N. Maniadakis, Z. Kaló, S. Hu, J. Shen, and K. Wijaya, “Considering Multicriteria Decision Analysis (MCDA) Simple Scoring as an Evidence-Based HTA Methodology for Evaluating Off-Patent Pharmaceuticals (OPPs) in Emerging Markets,” Value in Health Regional Issues, vol. 13, pp. 1–6, 2017.
  • [80] C. Schey, P. F. M. Krabbe, M. J. Postma, and M. P. Connolly, “Multi-Criteria Decision Analysis (MCDA): Testing A Proposed MCDA Framework For Orphan Drugs,” Orphanet Journal of Rare Diseases, vol. 12, no. 1, 2017.
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  • [84] J. Rosina, V. Rogalewicz, I. Ivlev, I. Jurickova, G. Donin, N. Jantosova, J. Vacek, R. Otatowa and P. Kneppo, “Health Technology Assessment fot Medical Devices,” Lekar a Technika, vol. 44, no. 3, pp. 23-36, 2014.
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Toplam 95 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Mühendislik
Bölüm Makaleler
Yazarlar

Melis Almula Karadayı 0000-0002-6959-9168

Beyza Özlem Yılmaz Bu kişi benim 0000-0001-6002-9524

Bilgehan Eren Erol Bu kişi benim 0000-0002-5936-3004

Hakan Tozan 0000-0002-0479-6937

Yayımlanma Tarihi 31 Ocak 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 8 Sayı: 1

Kaynak Göster

APA Karadayı, M. A., Yılmaz, B. Ö., Erol, B. E., Tozan, H. (2020). Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması. Duzce University Journal of Science and Technology, 8(1), 264-289.
AMA Karadayı MA, Yılmaz BÖ, Erol BE, Tozan H. Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması. DÜBİTED. Ocak 2020;8(1):264-289.
Chicago Karadayı, Melis Almula, Beyza Özlem Yılmaz, Bilgehan Eren Erol, ve Hakan Tozan. “Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması”. Duzce University Journal of Science and Technology 8, sy. 1 (Ocak 2020): 264-89.
EndNote Karadayı MA, Yılmaz BÖ, Erol BE, Tozan H (01 Ocak 2020) Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması. Duzce University Journal of Science and Technology 8 1 264–289.
IEEE M. A. Karadayı, B. Ö. Yılmaz, B. E. Erol, ve H. Tozan, “Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması”, DÜBİTED, c. 8, sy. 1, ss. 264–289, 2020.
ISNAD Karadayı, Melis Almula vd. “Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması”. Duzce University Journal of Science and Technology 8/1 (Ocak 2020), 264-289.
JAMA Karadayı MA, Yılmaz BÖ, Erol BE, Tozan H. Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması. DÜBİTED. 2020;8:264–289.
MLA Karadayı, Melis Almula vd. “Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması”. Duzce University Journal of Science and Technology, c. 8, sy. 1, 2020, ss. 264-89.
Vancouver Karadayı MA, Yılmaz BÖ, Erol BE, Tozan H. Sağlık Teknolojisi Değerlendirmede Çok Kriterli Karar Verme Yaklaşımları Üzerine Bir Derleme Çalışması. DÜBİTED. 2020;8(1):264-89.