Comparison of weighting methods used in multicriteria decision analysis frameworks in healthcare with focus on low- and middle-income countries

J Comp Eff Res. 2019 Mar;8(4):195-204. doi: 10.2217/cer-2018-0102. Epub 2019 Feb 15.

Abstract

Aim: Criteria weighting is a key element of multicriteria decision analysis that is becoming extensively used in healthcare decision-making. In our narrative review we describe the advantages and disadvantages of various weighting methods.

Methods: An assessment of the eight identified primary criteria weighting methods was compiled on domains including their resource requirements, and potential for bias.

Results: In general, we found more complex methods to have less potential for bias; however, resource intensity and general participant burden is greater for these methods.

Conclusion: The selection of the most appropriate method depends on the decision-making context. The simple multiattribute rating technique (SMART) method combined with swing-weighting technique and the analytic hierarchy process methods may be the most feasible approaches for low- and middle-income countries.

Keywords: MCDA; criteria weighting methods; low- and middle-income countries.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Clinical Decision-Making / methods*
  • Decision Support Techniques*
  • Developing Countries*
  • Humans
  • Poverty