Daniels Norman
Harvard University, Boston, MA USA.
Cost Eff Resour Alloc. 2018 Nov 9;16(Suppl 1):51. doi: 10.1186/s12962-018-0124-9. eCollection 2018.
Multiple criteria decision analysis (MCDA) has been proposed as a method for determining the criteria to be used in health technology assessment. A standard criticism of MCDA is that it lacks attention to securing legitimacy for its decisions. The relevance condition of A4R has been criticized for its vagueness because it lacks a focus on criteria selection. Combining the two methods addresses the central criticisms of each and provides a way of addressing the problem of priority setting for health.
多标准决策分析(MCDA)已被提议作为一种确定卫生技术评估中使用标准的方法。对MCDA的一个标准批评是,它缺乏对确保其决策合法性的关注。A4R的相关性条件因其模糊性而受到批评,因为它缺乏对标准选择的关注。将这两种方法结合起来解决了对每种方法的主要批评,并提供了一种解决卫生领域优先级设定问题的方法。