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PATIENT-CENTERED DECISION MAKING: LESSONS FROM MULTI-CRITERIA DECISION ANALYSIS FOR QUANTIFYING PATIENT PREFERENCES

Published online by Cambridge University Press:  26 December 2017

Kevin Marsh ,
J. Jaime Caro ,
Erica Zaiser ,
James Heywood  and
Alaa Hamed
Kevin Marsh
Affiliation:
[email protected]
J. Jaime Caro
Affiliation:
Evidera, Waltham, Massachusetts; McGill University
Erica Zaiser
Affiliation:
Evidera
James Heywood
Affiliation:
Patients Like Me
Alaa Hamed
Affiliation:
Sanofi Genzyme Patient Outcomes and Medical Economics, Genzyme
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Abstract

Objectives: Patient preferences should be a central consideration in healthcare decision making. However, stories of patients challenging regulatory and reimbursement decisions has led to questions on whether patient voices are being considered sufficiently during those decision making processes. This has led some to argue that it is necessary to quantify patient preferences before they can be adequately considered.

Methods: This study considers the lessons from the use of multi-criteria decision analysis (MCDA) for efforts to quantify patient preferences. It defines MCDA and summarizes the benefits it can provide to decision makers, identifies examples of MCDAs that have involved patients, and summarizes good practice guidelines as they relate to quantifying patient preferences.

Results: The guidance developed to support the use of MCDA in healthcare provide some useful considerations for the quantification of patient preferences, namely that researchers should give appropriate consideration to: the heterogeneity of patient preferences, and its relevance to decision makers; the cognitive challenges posed by different elicitation methods; and validity of the results they produce. Furthermore, it is important to consider how the relevance of these considerations varies with the decision being supported.

Conclusions: The MCDA literature holds important lessons for how patient preferences should be quantified to support healthcare decision making.

Keywords

MCDAMethodologyPatient voicePatient preferencesPatient centered care
Type
Policies
Information
International Journal of Technology Assessment in Health Care , Volume 34 , Issue 1 , 2018 , pp. 105 - 110
Copyright
Copyright © Cambridge University Press 2017 

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