ArticleCost effectiveness and resource allocation : C/E2006
Priority setting of health interventions: the need for multi-criteria decision analysis.
Article in Cost effectiveness and resource allocation : C/E, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 223 papers, 14 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
223 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- A scalable outpatient framework for BI-RADS 2-4B breast nodule management: an iodine-DMSO transdermal protocol.Frontiers in health services · 2026Pooled it
- Pooled it
- Incorporating Equity Concerns in Cost-Effectiveness Analyses: A Systematic Literature Review.PharmacoEconomics · 2022Pooled it
- Proposal for capturing patient experience through extended value frameworks of health technologies.Journal of managed care & specialty pharmacy · 2021Pooled it
- Potential Criteria for Frameworks to Support the Evaluation of Innovative Medicines in Upper Middle-Income Countries-A Systematic Literature Review on Value Frameworks and Multi-Criteria Decision Analyses.Frontiers in pharmacology · 2020Pooled it
- Real-Time Remote-Health Monitoring Systems: a Review on Patients Prioritisation for Multiple-Chronic Diseases, Taxonomy Analysis, Concerns and Solution Procedure.Journal of medical systems · 2019Pooled it
- Multicriteria decision analysis (MCDA) in health care: a systematic review of the main characteristics and methodological steps.BMC medical informatics and decision making · 2018Pooled it
- Systematic Review of an Automated Multiclass Detection and Classification System for Acute Leukaemia in Terms of Evaluation and Benchmarking, Open Challenges, Issues and Methodological Aspects.Journal of medical systems · 2018Pooled it
- Integrating social justice concerns into economic evaluation for healthcare and public health: A systematic review.Social science & medicine (1982) · 2018Pooled it
- Methods for medical device and equipment procurement and prioritization within low- and middle-income countries: findings of a systematic literature review.Globalization and health · 2017Pooled it
- Performance-based financing for improving HIV/AIDS service delivery: a systematic review.BMC health services research · 2017Pooled it
- Application of multicriteria decision analysis in health care: a systematic review and bibliometric analysis.Health expectations : an international journal of public participation in health care and health policy · 2015Pooled it
- Balancing costs and benefits at different stages of medical innovation: a systematic review of Multi-criteria decision analysis (MCDA).BMC health services research · 2015Pooled it
- 'Real-world' health care priority setting using explicit decision criteria: a systematic review of the literature.BMC health services research · 2015Pooled it
- Trial
- Progression from external pilot to definitive randomised controlled trial: a methodological review of progression criteria reporting.BMJ open · 2021Trial
- Trial
- Priority assessment of antimicrobial-resistant pathogens in the Republic of Korea: a multicriteria decision analysis.The Lancet regional health. Western Pacific · 2026Article
- Engaging tuberculosis-affected people in investment decisions: applying a people-centered design approach in Viet Nam.BMC public health · 2026Article
- Global surveillance quality gaps in antimicrobial resistance monitoring: a composite-index and inequality analysis of 85 countries.JAC-antimicrobial resistance · 2026Article
163 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Priority setting of health interventions is often ad-hoc and resources are not used to an optimal extent. Underlying problem is that multiple criteria play a role and decisions are complex. Interventions may be chosen to maximize general population health, to reduce health inequalities of disadvantaged or vulnerable groups, ad/or to respond to life-threatening situations, all with respect to practical and budgetary constraints. This is the type of problem that policy makers are typically bad at solving rationally, unaided. They tend to use heuristic or intuitive approaches to simplify complexity, and in the process, important information is ignored. Next, policy makers may select interventions for only political motives. This indicates the need for rational and transparent approaches to priority setting. Over the past decades, a number of approaches have been developed, including evidence-based medicine, burden of disease analyses, cost-effectiveness analyses, and equity analyses. However, these approaches concentrate on single criteria only, whereas in reality, policy makers need to make choices taking into account multiple criteria simultaneously. Moreover, they do not cover all criteria that are relevant to policy makers. Therefore, the development of a multi-criteria approach to priority setting is necessary, and this has indeed recently been identified as one of the most important issues in health system research. In other scientific disciplines, multi-criteria decision analysis is well developed, has gained widespread acceptance and is routinely used. This paper presents the main principles of multi-criteria decision analysis. There are only a very few applications to guide resource allocation decisions in health. We call for a shift away from present priority setting tools in health--that tend to focus on single criteria--towards transparent and systematic approaches that take into account all relevant criteria simultaneously.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.