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Multicriteria decision making

Maria Agapova, Brian B Bresnahan, Mitchell Higashi, Larry Kessler, Louis P Garrison, Beth Devine
The American College of Radiology develops evidence-based practice guidelines to aid appropriate utilization of radiological procedures. Panel members use expert opinion to weight trade-offs and consensus methods to rate appropriateness of imaging tests. These ratings include an equivocal range, assigned when there is disagreement about a technology's appropriateness and the evidence base is weak or for special circumstances. It is not clear how expert consensus merges with the evidence base to arrive at an equivocal rating...
October 19, 2016: Journal of Evaluation in Clinical Practice
Matthew C Brondum, Zachary A Collier, Christopher S Luke, Buddy L Goatcher, Igor Linkov
Wild pigs are a widespread invasive species that pose significant environmental and social risks. A number of wild pig eradication and control measures exist, but many eradication campaigns are ultimately unsuccessful. Decision making regarding how to design and execute an eradication plan is difficult because of multiple costs and benefits spanning various decision criteria that are associated with different eradication and control countermeasures. Moreover, multiple stakeholders are often involved with differing and sometimes competing objectives, and wild pigs are adaptive adversaries, meaning that the ideal countermeasure may change over time...
October 12, 2016: Science of the Total Environment
Louis P Garrison
Given recent developments in the United States, where professional clinical societies have attempted to define "value" and consider it in their deliberations about appropriate care, this thematic article describes those recent specialty society efforts in the United States in cardiology and oncology and the multispecialty efforts in the United Kingdom for over 10 years. Despite our high levels of health spending, and our field's long and consistent approach to the basic tools of cost-effectiveness analysis (CEA), US private and public payers are not routinely or explicitly using CEAs in their reimbursement decisions...
July 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Michèle A Barocchi, Steve Black, Rino Rappuoli
Vaccines have the potential to transform the health of all individuals and to reduce the health inequality between rich and poor countries. However, to achieve these goals, it is no longer sufficient to prioritize vaccine development using cost-effectiveness as the sole indicator. During a symposium entitled "Mission Grand Convergence-The Role of Vaccines," held in Siena, Italy, in July 2015, key stakeholders agreed that the prioritization of vaccine development and deployment must use multicriteria decision-making based on the following core concepts: (i) mortality and severity of the disease, (ii) vaccine safety considerations, and (iii) economic evaluation that captures the full benefits of vaccination...
June 29, 2016: Science Translational Medicine
X Liu, P V Gorsevski, M M Yacobucci, C M Onasch
Planning of shale gas infrastructure and drilling sites for hydraulic fracturing has important spatial implications. The evaluation of conflicting and competing objectives requires an explicit consideration of multiple criteria as they have important environmental and economic implications. This study presents a web-based multicriteria spatial decision support system (SDSS) prototype with a flexible and user-friendly interface that could provide educational or decision-making capabilities with respect to hydraulic fracturing site selection in eastern Ohio...
June 2016: Environmental Monitoring and Assessment
Alejandro Ruiz-Padillo, Thiago B F de Oliveira, Matheus Alves, Ana L C Bazzan, Diego P Ruiz
Traffic noise is gaining importance in planning and operation of roads in developing countries, and particularly in Europe and Latin America. Many variables with different degrees of importance influence the perception of noise from roads. Thus, the problem of prioritizing road stretches for action against such noise is an important issue in environmental noise management. For example, it can be addressed using multicriteria methods. However, these methodologies require criteria or suitable variables to be ranked according to their relative importance...
August 1, 2016: Journal of Environmental Management
María Carmen Carnero, Andrés Gómez
BACKGROUND: Healthcare organizations have far greater maintenance needs for their medical equipment than other organization, as many are used directly with patients. However, the literature on asset management in healthcare organizations is very limited. The aim of this research is to provide more rational application of maintenance policies, leading to an increase in quality of care. METHODS: This article describes a multicriteria decision-making approach which integrates Markov chains with the multicriteria Measuring Attractiveness by a Categorical Based Evaluation Technique (MACBETH), to facilitate the best choice of combination of maintenance policies by using the judgements of a multi-disciplinary decision group...
2016: BMC Medical Informatics and Decision Making
Charles Phelps, Guruprasad Madhavan, Rino Rappuoli, Scott Levin, Edward Shortliffe, Rita Colwell
POLICY POINTS: Scarce resources, especially in population health and public health practice, underlie the importance of strategic planning. Public health agencies' current planning and priority setting efforts are often narrow, at times opaque, and focused on single metrics such as cost-effectiveness. As demonstrated by SMART Vaccines, a decision support software system developed by the Institute of Medicine and the National Academy of Engineering, new approaches to strategic planning allow the formal incorporation of multiple stakeholder views and multicriteria decision making that surpass even those sophisticated cost-effectiveness analyses widely recommended and used for public health planning...
March 2016: Milbank Quarterly
G Scott Dotson, Naomi L Hudson, Andrew Maier
Emergency Management and Operations (EMO) personnel are in need of resources and tools to assist in understanding the health risks associated with dermal exposures during chemical incidents. This article reviews available resources and presents a conceptual framework for a decision support system (DSS) that assists in characterizing and managing risk during chemical emergencies involving dermal exposures. The framework merges principles of three decision-making techniques: 1) scenario planning, 2) risk analysis, and 3) multicriteria decision analysis (MCDA)...
2015: American Journal of Disaster Medicine
Monika Wagner, Hanane Khoury, Jacob Willet, Donna Rindress, Mireille Goetghebeur
BACKGROUND: The multiplicity of issues, including uncertainty and ethical dilemmas, and policies involved in appraising interventions for rare diseases suggests that multicriteria decision analysis (MCDA) based on a holistic definition of value is uniquely suited for this purpose. The objective of this study was to analyze and further develop a comprehensive MCDA framework (EVIDEM) to address rare disease issues and policies, while maintaining its applicability across disease areas. METHODS: Specific issues and policies for rare diseases were identified through literature review...
March 2016: PharmacoEconomics
Rasim M Alguliyev, Ramiz M Aliguliyev, Rasmiyya S Mahmudova
Personnel evaluation is an important process in human resource management. The multicriteria nature and the presence of both qualitative and quantitative factors make it considerably more complex. In this study, a fuzzy hybrid multicriteria decision-making (MCDM) model is proposed to personnel evaluation. This model solves personnel evaluation problem in a fuzzy environment where both criteria and weights could be fuzzy sets. The triangular fuzzy numbers are used to evaluate the suitability of personnel and the approximate reasoning of linguistic values...
2015: TheScientificWorldJournal
Sarfraz Hashim, Xie Yuebo, Muhammad Saifullah, Ramila Nabi Jan, Adila Muhetaer
Today's ecology is erected with miscellaneous framework. However, numerous sources deteriorate it, such as urban rivers that directly cause the environmental pollution. For chemical pollution abatement from urban water bodies, many techniques were introduced to rehabilitate the water quality of these water bodies. In this research, Bacterial Technology (BT) was applied to urban rivers escalating the necessity to control the water pollution in different places (Xuxi River (XXU); Gankeng River (GKS); Xia Zhang River (XZY); Fenghu and Song Yang Rivers (FSR); Jiu Haogang River (JHH)) in China...
2015: BioMed Research International
Gimon de Graaf, Douwe Postmus, Erik Buskens
Translational research is conducted to achieve a predefined set of economic or societal goals. As a result, investment decisions on where available resources have the highest potential in achieving these goals have to be made. In this paper, we first describe how multicriteria decision analysis can assist in defining the decision context and in ensuring that all relevant aspects of the decision problem are incorporated in the decision making process. We then present the results of a case study to support priority setting in a translational research consortium aimed at reducing the burden of disease of type 2 diabetes...
2015: BioMed Research International
G Scott Dotson, Naomi L Hudson, Andrew Maier
Emergency Management and Operations (EMO) personnel are in need of resources and tools to assist in understanding the health risks associated with dermal exposures during chemical incidents. This article reviews available resources and presents a conceptual framework for a decision support system (DSS) that assists in characterizing and managing risk during chemical emergencies involving dermal exposures. The framework merges principles of three decision-making techniques: 1) scenario planning, 2) risk analysis, and 3) multicriteria decision analysis (MCDA)...
July 2015: Journal of Emergency Management: JEM
James G Dolan, Olena A Cherkasky, Nancy Chin, Peter J Veazie
BACKGROUND: Conscious and unconscious biases can influence how people interpret new information and make decisions. Current standards for creating decision aids, however, do not address this issue. METHOD: Using a 2×2 factorial design, we developed surveys that contained a decision scenario (involving a choice between aspirin or a statin drug to lower risk of heart attack) and a decision aid. Each aid presented identical information about reduction in heart attack risk and likelihood of a major side effect...
November 2015: Medical Decision Making: An International Journal of the Society for Medical Decision Making
Matteo Ritrovato, Francesco C Faggiano, Giorgia Tedesco, Pietro Derrico
OBJECTIVES: This article outlines the Decision-Oriented Health Technology Assessment: a new implementation of the European network for Health Technology Assessment Core Model, integrating the multicriteria decision-making analysis by using the analytic hierarchy process to introduce a standardized methodological approach as a valued and shared tool to support health care decision making within a hospital. METHODS: Following the Core Model as guidance (European network for Health Technology Assessment...
June 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Jinfeng Zhu, Yi Zhou, Shixin Wang, Litao Wang, Futao Wang, Wenliang Liu, Bing Guo
The Three-River Headwaters (TRH) region in the Qinghai-Tibet Plateau, China, is of key importance to the ecological security of China and Southeast Asia and contains some of the most sensitive and fragile ecosystems. Monitoring and evaluating the ecosystem service function and its changes in the TRH region could support decision-making for regional ecological protection and restoration programs. Referencing the concept of ecosystem service and the Millennium Ecosystem Assessment (MA) framework, this study built a system of indicators for monitoring and evaluating the ecosystem service function...
June 2015: Environmental Monitoring and Assessment
Carlos R B Azevedo, Fernando Von Zuben
In several applications, a solution must be selected from a set of tradeoff alternatives for operating in dynamic and noisy environments. In this paper, such multicriteria decision process is handled by anticipating flexible options predicted to improve the decision maker future freedom of action. A methodology is then proposed for predicting tradeoff sets of maximal hypervolume, where a multiobjective metaheuristic was augmented with a Kalman filter and a dynamical Dirichlet model for tracking and predicting flexible solutions...
March 2016: IEEE Transactions on Cybernetics
Hamisu M Salihu, Abraham A Salinas-Miranda, Arnut Paothong, Wei Wang, Lindsey M King
This paper outlines how to compute community priority indices in the context of multicriteria decision making in community settings. A simple R function was developed and validated with community needs assessment data. Particularly, the first part of this paper briefly overviews the existing methods for priority setting and reviews the utility of a multicriteria decision-making approach for community-based prioritization. The second part illustrates how community priority indices can be calculated using the freely available R program to handle community data by showing the computational and mathematical steps of CPI (Community Priority Index) with bootstrapped 95% confidence intervals...
2015: Computational and Mathematical Methods in Medicine
Mehdi Najafzadeh, Sebastian Schneeweiss, Niteesh Choudhry, Katsiaryna Bykov, Kristijan H Kahler, Diane P Martin, Joshua J Gagne
BACKGROUND: Patients, physicians, and other decision makers make implicit but inevitable trade-offs among risks and benefits of treatments. Many methods have been proposed to promote transparent and rigorous benefit-risk analysis (BRA). OBJECTIVE: To propose a framework for classifying BRA methods on the basis of key factors that matter most for patients by using a common mathematical notation and compare their results using a hypothetical example. METHODS: We classified the available BRA methods into three categories: 1) unweighted metrics, which use only probabilities of benefits and risks; 2) metrics that incorporate preference weights and that account for the impact and duration of benefits and risks; and 3) metrics that incorporate weights based on decision makers' opinions...
March 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
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