Adunlin Georges, Diaby Vakaramoko, Xiao Hong
Division of Economic, Social and Administrative Pharmacy, College of Pharmacy and Pharmaceutical Sciences, Florida A&M University, Tallahassee, FL, USA.
Health Expect. 2015 Dec;18(6):1894-905. doi: 10.1111/hex.12287. Epub 2014 Oct 18.
The use of Multi-Criteria Decision Analysis (MCDA) in health care has become common. However, the literature lacks systematic review trend analysis on the application of MCDA in health care.
To systematically identify applications of MCDA to the areas of health care, and to report on publication trends.
English language studies published from January 1, 1980 until October 1, 2013 were included. Electronic databases searches were supplemented by searching conference proceedings and relevant journals. Studies considered for inclusion were those using MCDA techniques within the areas of health care, and involving the participation of decision makers. A bibliometric analysis was undertaken to present the publication trends.
A total of 66 citations met the inclusion criteria. An increase in publication trend occurred in the years 1990, 1997, 1999, 2005, 2008, and 2012. For the remaining years, the publication trend was either steady or declining. The trend shows that the number of publications reached its highest peak in 2012 (n = 9). Medical Decision Making was the dominant with the highest number published papers (n = 7). The majority of the studies were conducted in the US (n = 29). Medical Decision Making journal published the highest number of articles (n = 7). Analytic Hierarchy Process (n = 33) was the most used MCDA technique. Cancer was the most researched disease topic (n = 12). The most covered area of application was diagnosis and treatment (n = 26).
The review shows that MCDA has been applied to a broad range of areas in the health care, with the use of a variety of methodological approaches. Further research is needed to develop practice guidelines for the appropriate application and reporting of MCDA methods.
多标准决策分析（MCDA）在医疗保健领域的应用已变得普遍。然而，文献中缺乏对MCDA在医疗保健领域应用的系统综述趋势分析。
系统识别MCDA在医疗保健领域的应用，并报告其发表趋势。
纳入1980年1月1日至2013年10月1日发表的英文研究。通过检索会议论文集和相关期刊对电子数据库搜索进行补充。纳入考虑的研究是那些在医疗保健领域使用MCDA技术且涉及决策者参与的研究。进行文献计量分析以呈现发表趋势。
共有66篇文献符合纳入标准。在1990年、1997年、1999年、2005年、2008年和2012年出现发表趋势增加。在其余年份，发表趋势要么稳定要么下降。该趋势表明2012年发表数量达到最高峰（n = 9）。《医学决策》是主导期刊，发表论文数量最多（n = 7）。大多数研究在美国进行（n = 29）。《医学决策》期刊发表文章数量最多（n = 7）。层次分析法（n = 33）是最常用的MCDA技术。癌症是研究最多的疾病主题（n = 12）。应用最广泛的领域是诊断和治疗（n = 26）。
该综述表明MCDA已应用于医疗保健的广泛领域，采用了多种方法学途径。需要进一步研究以制定MCDA方法适当应用和报告的实践指南。
