CLINICAL ENGINEERING TECHNOLOGY ASSESSMENT DECISION SUPPORT: A Case Study Using the Analytic Hierarchy Process (AHP).
This article describes a case study using the Analytic Hierarchy Process (AHP) to perform a microeconomic Health Technology Assessment (HTA) on neonatal ventilators for a women’s health facility. AHP is a welldeveloped decision support tool that allows the user to design a clear hierarchical structure for decision-making and documents and weighs the trade-offs between different decision criteria and alternatives [I, 21. AHP also has documented applications for product selection . This study shows that AHP facilitates the interdepartmental interactions needed to evaluate an expensive technology in today’s healthcare environment. Also, the AHP-based process accommodates the evolving knowledge and understanding of the hospital participants. Finally, the study documents show the how AHP allows resolution of the conflicting decision criteria and that a modem hospital must consider when making capital equipment decisions that affect medical care by pairwise comparisons, of the importance of each criteria. In this study, the decision weight for the cost criteria is different than documented in many other AHP-based purchasing decisions because of the implicit life-and-death nature of the tradeoffs. Although reducing the cost of healthcare delivery is desirable, the savings can be misleading if a wrong alternative increases the risk of patient injury, or death.
|Main Author:||Sloane, E. B.|
|Other Authors:||Liberatore, M. J., Nydick, R. L., Luo, W., Chung, Q. B.|