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Khanal, Saval 
ORCID: https://orcid.org/0000-0001-5201-0612, Nghiem, Son, Miller, Mel, Scuffham, Paul and Byrnes, Joshua
(2024)
Development of a prioritisation framework to aid healthcare funding decision-making in health technology assessment (HTA) in Australia: Application of multi-criteria decision analysis.
Value in Health, 27 (11).
pp. 1585-1593.
ISSN 1098-3015
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Abstract
Objectives: This study develops a prioritization framework to aid healthcare funding decision making in health technology assessment (HTA) in Australia using a multiple criteria decision analysis (MCDA) approach. Methods: MCDA frameworks for HTAs were reviewed through literature survey to identify the initial criteria and levels within each criterion. Key stakeholders and experts were consulted to confirm these criteria and levels. A conjoint analysis using 1000Minds was undertaken with policy makers from the Department of Health to establish ranking criteria and weighting scores. Monte Carlo simulations were used to examine the sensitivity of findings to factors affecting the ranking and weighting scores. The MCDA was then applied to 6 examples of chronic care models or technologies projects to demonstrate the performance of this approach. Results: Five criteria (clinical efficacy/effectiveness, safety and tolerability, severity of the condition, quality/uncertainty, and direct impact on healthcare costs) were consistently ranked highest by healthcare decision makers. Among the criteria, patient-level health outcomes were considered the most important, followed by social and ethical values. The analyses were robust to inform the uncertainty in the parameter. Conclusions: This study has developed an MCDA tool that effectively integrates key priorities for HTA reviews, reflecting the values and preferences of healthcare stakeholders in Australia. Although this tool aims to align the assessment process more closely with health benefits, it also highlights the importance of considering other criteria.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: This work was supported by the then Department of Health and Human Services, State Government of Victoria, Australia. |
| Uncontrolled Keywords: | australia,health technology assessment,multicriteria decision analysis,prioritization,stakeholder preference,health policy,public health, environmental and occupational health ,/dk/atira/pure/subjectarea/asjc/2700/2719 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 05 Aug 2024 16:30 |
| Last Modified: | 06 Nov 2024 10:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/96155 |
| DOI: | 10.1016/j.jval.2024.07.003 |
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