Department of Primary and Community Care, Radboud University Nijmegen Medical Center, 6500HB Nijmegen, The Netherlands.
Health Policy. 2010 Aug;96(3):262-4. doi: 10.1016/j.healthpol.2010.01.009. Epub 2010 Mar 4.
This paper capitalizes on a first set of experiences on the application of multi-criteria decision analysis (MCDA) in seven low- and middle-income settings. It thereby reacts to a recent paper by Peacock et al., highlighting the potential of MCDA to guide policy makers in highly specific decision-making contexts. We argue that MCDA also has a broader application in setting priorities in health, i.e. to indicate general perceptions on priorities without defining the allocation of resources in a precise fashion. This use of MCDA can have far-reaching and constructive influences on policy formulation.
本文利用了在七个中低收入国家/地区应用多准则决策分析 (MCDA) 的第一组经验。这是对 Peacock 等人最近一篇论文的回应,该论文强调了 MCDA 在高度具体的决策背景下为政策制定者提供指导的潜力。我们认为,MCDA 在确定卫生保健重点方面也具有更广泛的应用,即指明对重点的普遍看法,而不是以精确的方式定义资源分配。这种 MCDA 的使用可以对政策制定产生深远而建设性的影响。