Gaievskyi Stanislav, Delfrate Nicholas, Ragazzoni Luca, Bahattab Awsan
Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, Novara, Italy.
Department for Sustainable Development and Ecological Transition, Università del Piemonte Orientale, Vercelli, Italy.
Front Public Health. 2025 May 9;13:1584026. doi: 10.3389/fpubh.2025.1584026. eCollection 2025.
The mismatch between the health needs of populations affected by emergencies and resources devoted to response is projected to further increase. Making the response more effective is one of the solutions to meet the growing needs. Multi-criteria decision analysis (MCDA) has been successfully used to increase effectiveness in various fields by supporting decision-making. However, no review of its application to all-hazard health emergencies has been done to date.
A review of peer-reviewed English-language articles published since 2004 was conducted in May 2024 using Scopus, PubMed and Web of Science databases. The review focused on the empirical application of MCDA to support decision-making during health emergencies. The review was guided by the Joanna Briggs Institute methodology for scoping reviews and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Quantitative data were analyzed using summary statistics and qualitative data were analyzed using content analysis.
Seventy-one articles were included after screening. The articles described the MCDA application to support a variety of decision problems related to health emergency management. However, the technique was mostly applied to infectious hazards management and only seldom to other hazards. The review also found a lack of standardized methodology for identifying alternatives and criteria, weighting, computation of model output, methods of dealing with uncertainty, and stakeholder engagement.
The review provides an overview of the current use of the MCDA approach to support decision-making in health emergency management and informs areas of future development. The review emphasizes that while MCDA is already used for infectious hazards, it is underutilized for other types of health emergencies. Developing tailored MCDA approaches for health emergencies, including defining evaluation criteria and stakeholder engagement, may improve uptake of the technique and benefit the efforts to meet the growing health needs of the population affected by emergencies, https://osf.io/6kd5s/.
受紧急情况影响人群的健康需求与用于应对的资源之间的不匹配预计将进一步加剧。提高应对效率是满足不断增长的需求的解决方案之一。多标准决策分析（MCDA）已通过支持决策制定在各个领域成功用于提高效率。然而，迄今为止尚未对其在全灾种卫生紧急情况中的应用进行综述。
2024年5月，使用Scopus、PubMed和Web of Science数据库对2004年以来发表的同行评审英文文章进行了综述。该综述侧重于MCDA在卫生紧急情况期间支持决策制定的实证应用。该综述以乔安娜·布里格斯研究所的范围综述方法为指导，并遵循系统评价和元分析扩展的首选报告项目范围综述。定量数据使用汇总统计进行分析，定性数据使用内容分析进行分析。
筛选后纳入71篇文章。这些文章描述了MCDA在支持与卫生应急管理相关的各种决策问题中的应用。然而，该技术大多应用于传染病危害管理，很少应用于其他危害。综述还发现，在识别备选方案和标准、加权、模型输出计算、处理不确定性的方法以及利益相关者参与方面缺乏标准化方法。
该综述概述了MCDA方法目前在卫生应急管理中支持决策制定的应用情况，并为未来发展领域提供了信息。该综述强调，虽然MCDA已用于传染病危害，但在其他类型的卫生紧急情况中未得到充分利用。为卫生紧急情况开发量身定制的MCDA方法，包括定义评估标准和利益相关者参与，可能会提高该技术的采用率，并有助于满足受紧急情况影响人群不断增长的健康需求的努力，https://osf.io/6kd5s/ 。
