Health technology assessment (HTA) of optoelectronic biosensors for oncology by analytic hierarchy process (AHP) and Likert scale

BackgroundThe multicriteria decision method (MCDM) aims to find conflicts among alternatives by comparing and evaluating them according to various criteria to reach the best compromise solution. The evaluation of a new health technology is extremely important in the health sciences field. The aim of this work is to evaluate a new health technology to assay thyroglobulin in patients with differentiated thyroid cancer to improve its service from an organizational point of view, by planning new and appropriate training activities, ensuring proper use of resources and satisfying the needs of different users.MethodsThe evaluation was performed using two methodologies: the analytic hierarchy process (AHP) and the Likert scale. The AHP is a multicriteria decision approach that assigns a weight to each evaluation criterion according to the decision maker’s pairwise comparisons of the criteria. The Likert scale is a psychometric scale employed to study the degree of user satisfaction by measuring opinions.ResultsResults show the need of particularly improving clinical efficiency, effectiveness, and return on sales (ROS) related to the technology; technological safety, human resources and other parameters do not need to be improved because of the high satisfaction results of the users.ConclusionsThe application of both methods provided the necessary information to improve the quality of the service, allowing the decision maker to identify the most valuable service features and to improve these to ensure user satisfaction and to identify possible service improvements.

[1]  Sushil Kumar,et al.  Analytic hierarchy process: An overview of applications , 2006, Eur. J. Oper. Res..

[2]  Teresa Murino,et al.  A System Dynamics Model for Bed Management Strategy in Health Care Units , 2015, SoMeT.

[3]  Self-Assessment of Training Impact at Work: Validation of a Measurement Scale , 2004 .

[4]  Carlos A. Bana e Costa,et al.  Readings in Multiple Criteria Decision Aid , 2011 .

[5]  Mattijs S. Lambooij,et al.  Differentiating innovation priorities among stakeholder in hospital care , 2013, BMC Medical Informatics and Decision Making.

[6]  Rainu Kaushal,et al.  Bmc Medical Informatics and Decision Making Assessing the Level of Healthcare Information Technology Adoption in the United States: a Snapshot , 2005 .

[7]  Joaquín Izquierdo,et al.  Achieving matrix consistency in AHP through linearization , 2011 .

[8]  ZhongXiang Zhang,et al.  Development tendency analysis and evaluation of the water ecological carrying capacity in the Siping area of Jilin Province in China based on system dynamics and analytic hierarchy process , 2014 .

[9]  Y. van Eijk-Hustings,et al.  Evaluating newly acquired authority of nurse practitioners and physician assistants for reserved medical procedures in the Netherlands: a study protocol , 2014, Journal of advanced nursing.

[10]  Liberatina Carmela Santillo,et al.  Use of the AHP methodology in system dynamics: Modelling and simulation for health technology assessments to determine the correct prosthesis choice for hernia diseases. , 2018, Mathematical biosciences.

[11]  Thomas L. Saaty,et al.  Time dependent decision-making; dynamic priorities in the AHP/ANP: Generalizing from points to functions and from real to complex variables , 2007, Math. Comput. Model..

[12]  Thomas L. Saaty,et al.  Multicriteria Decision Making: The Analytic Hierarchy Process: Planning, Priority Setting, Resource Allocation , 1990 .

[13]  Petr Fiala.  An ANP/DNP analysis of economic elements in today’s world network economy , 2006 .

[14]  R. J. Gladstone,et al.  Mathematical models in health-planning research , 1972 .

[15]  Ching-Lai Hwang,et al.  Methods for Multiple Attribute Decision Making , 1981 .

[16]  Americo Cicchetti,et al.  Health technology assessment in Italy , 2009, International Journal of Technology Assessment in Health Care.

[17]  Joaquín Izquierdo,et al.  An approach to AHP decision in a dynamic context , 2012, Decis. Support Syst..

[18]  T. Stewart.  A CRITICAL SURVEY ON THE STATUS OF MULTIPLE CRITERIA DECISION MAKING THEORY AND PRACTICE , 1992 .

[19]  Hamidreza Eskandari,et al.  Supporting simulation-based decision making with the use of AHP analysis , 2005, Proceedings of the Winter Simulation Conference, 2005..

[20]  Sonal Singh,et al.  Optimal management of adults with pharyngitis – a multi-criteria decision analysis , 2006, BMC Medical Informatics Decis. Mak..

[21]  Risto Lahdelma,et al.  Elevator planning with stochastic multicriteria acceptability analysis , 2008 .

[22]  Denis Bouyssou,et al.  Building Criteria: A Prerequisite for MCDA , 1990 .

[23]  Giovanni Improta.  L'HTA (HEALTH TECHNOLOGY ASSESSMENT) PER IL MANAGEMENT DELLE APPARECCHIATURE BIOMEDICALI DI UN'AZIENDA OSPEDALIERA: RIALLOCAZIONE, DONAZIONE AI PAESI IN VIA DI SVILUPPO, IDEAZIONE E PROGETTAZIONE DI UNA COMUNITÀ VIRTUALE , 2010 .

[24]  G. Baker,et al.  Organizational interventions in response to duty hour reforms , 2014, BMC medical education.

[25]  Haiyan Xu,et al.  Combining strength and uncertainty for preferences in the graph model for conflict resolution with multiple decision makers , 2010 .

[26]  Adolfo Crespo,et al.  Dynamic Analytic Hierarchy Process: AHP method adapted to a changing environment , 2012 .

[27]  Eva Ocelíková,et al.  Multi-criteria decision making methods , 2005 .

[28]  Hannu Kivijärvi,et al.  INTEGRATING AHP AND DYNAMIC SIMULATION: EXPERIENCES, CONCEPTUALIZATIONS AND BUSINESS EXPERIMENTS , 1999 .

[29]  Stefan Schulz,et al.  Detection of sentence boundaries and abbreviations in clinical narratives , 2015, BMC Medical Informatics and Decision Making.

[30]  D. Andrulis,et al.  Assessing medical technologies. , 1978, Bulletin of the New York Academy of Medicine.

[31]  Carlos A. Bana e Costa,et al.  Prioritization of bridges and tunnels in earthquake risk mitigation using multicriteria decision analysis: Application to Lisbon , 2008 .

[32]  Antonio Fratini,et al.  Health Technology Assessment: An Essential Approach to Guide Clinical Governance Choices on Risk Management , 2012 .

[33]  Mingju Zhang,et al.  The Application of Dynamic Priority of AHP on Operation Risk Assessment of Metro , 2011, Modeling Risk Management in Sustainable Construction.

[34]  Jennifer L. Martin,et al.  User needs elicitation via analytic hierarchy process (AHP). A case study on a Computed Tomography (CT) scanner , 2013, BMC Medical Informatics and Decision Making.

[35]  Simon French,et al.  Multi-Objective Decision Analysis with Engineering and Business Applications , 1983 .

[36]  Jie Liu,et al.  A Posteriori Error Estimates with Computable Upper Bound for the Nonconforming Rotated Q 1 Finite Element Approximation of the Eigenvalue Problems , 2014 .

[37]  Hilde van der Togt,et al.  Publisher's Note , 2003, J. Netw. Comput. Appl..

[38]  H. Meltzer,et al.  Efficacy vs. effectiveness in psychiatric research. , 1998, Psychiatric services.

[39]  Thomas L. Saaty,et al.  DECISION MAKING WITH THE ANALYTIC HIERARCHY PROCESS , 2008 .

[40]  Oguz Dicle,et al.  Sequential decision tree using the analytic hierarchy process for decision support in rectal cancer , 2012, Artif. Intell. Medicine.

[41]  Aslı Suner,et al.  Evaluation of infectious diseases and clinical microbiology specialists’ preferences for hand hygiene: analysis using the multi-attribute utility theory and the analytic hierarchy process methods , 2017, BMC Medical Informatics and Decision Making.

[42]  Salah R. Agha,et al.  Evaluating and Benchmarking Non-Governmental Training Programs: An Analytic Hierarchy Approach , 2008 .

[43]  Liberatina Carmela Santillo,et al.  A Simulation Approach for Agile Production Logic Implementation in a Hospital Emergency Unit , 2015, SoMeT.

[44]  Adolfo Crespo Márquez,et al.  Dynamic analytic hierarchy process: AHP method adapted to a changing environment , 2014 .

[45]  T. Saaty.  Fundamentals of Decision Making and Priority Theory With the Analytic Hierarchy Process , 2000 .

[46]  Kathrin Damm,et al.  Applying the Analytic Hierarchy Process in healthcare research: A systematic literature review and evaluation of reporting , 2015, BMC Medical Informatics and Decision Making.

[47]  Eric F. Wood,et al.  Multiobjective Decision Analysis With Engineering and Business Applications , 1983 .

[48]  J. Kersnik.  An evaluation of patient satisfaction with family practice care in Slovenia. , 2000, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[49]  Min Xie,et al.  On modeling dynamic priorities in the analytic hierarchy process using compositional data analysis , 2009, Eur. J. Oper. Res..

[50]  Alessio Ishizaka,et al.  Review of the main developments in the analytic hierarchy process , 2011, Expert Syst. Appl..

[51]  Lamia Berrah,et al.  Monitoring the improvement of an overall industrial performance based on a Choquet integral aggregation , 2008 .

[52]  Paul K. J. Han,et al.  Presenting quantitative information about decision outcomes: a risk communication primer for patient decision aid developers , 2013, BMC Medical Informatics and Decision Making.

[53]  M.B. Aller,et al.  A comprehensive analysis of patients' perceptions of continuity of care and their associated factors. , 2013, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[54]  Ching-Lai Hwang,et al.  Mathematical programming with multiple objectives: A tutorial , 1980, Comput. Oper. Res..

[55]  Thomas L. Saaty,et al.  Decision making for leaders , 1985, IEEE Transactions on Systems, Man, and Cybernetics.

[56]  Hsiang-Hsi Liu,et al.  Correlated Analytic Hierarchy Process , 2014 .

[57]  Matthias Ehrgott,et al.  Multiple criteria decision analysis: state of the art surveys , 2005 .

[58]  Carlos Francisco Simões Gomes,et al.  Multicriteria decision making applied to waste recycling in Brazil , 2008 .

[59]  A Suner,et al.  corRECTreatment: A web-based decision support tool for rectal cancer treatment that uses the analytic hierarchy process and decision tree , 2015, Applied Clinical Informatics.

[60]  Influences and Connections Between System Dynamics and Decision Analysis , 2003 .

[61]  Giuseppe Converso.  An Optimization Model in Health Care Processes by Lean Energy Approach , 2014 .

[62]  Roberto Revetria,et al.  An Innovative Contribution to Health Technology Assessment , 2012, Modern Advances in Intelligent Systems and Tools.

[63]  R N Battista,et al.  The evolving paradigm of health technology assessment: reflections for the millennium. , 1999, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[64]  Maarten J. IJzerman,et al.  Integrating patients' views into health technology assessment: Analytic hierarchy process (AHP) as a method to elicit patient preferences , 2011, International Journal of Technology Assessment in Health Care.

[65]  A CASE STUDY OF RISKS OPTIMIZATION USING AHP METHOD , 2013 .

[66]  Jou-Wei Lin,et al.  Constructing core competency indicators for clinical teachers in Taiwan: a qualitative analysis and an analytic hierarchy process , 2014, BMC medical education.

[67]  M. Bracale,et al.  HTA (Health Technology Assessment): A Means to Reach Governance Goals and to Guide Health Politics on the Topic of Clinical Risk Management , 2009 .

[68]  A. Scherpbier,et al.  Does community health care require different competencies from physicians and nurses? , 2014, BMC medical education.

[69]  Liu Bao,et al.  The New Dynamic Priorities Model and an Analysis of China’s Energy Strategy for the Future , 1987 .