The use of MCDA in HTA: great potential, but more effort needed

Kevin Marsh, Mark John Sculpher, J. Jaime Caro, Tommi Tervonen

Research output: Contribution to journalArticlepeer-review


The potential for multi-criteria decision analysis (MCDA) to support health technology assessment (HTA) has been much discussed, and
various HTA agencies are piloting or applying MCDA. Alongside these developments, good practice guidelines for the application of MCDA in health care have been developed. An assessment of current applications of MCDA to HTA in light of good practice guidelines reveals,
however, that many have methodologic flaws that undermine their usefulness. Three challenges are considered: the use of additive
models, a lack of connection between criteria scales and weights, and the use of MCDA in economic evaluation. More attention needs to
be paid to MCDA good practice by researchers, journal editors, and decision makers and further methodologic developments are required
if MCDA is to achieve its potential to support HTA.
Original languageEnglish
Pages (from-to)394-397
Number of pages4
JournalValue in Health
Issue number4
Publication statusPublished - 26 Apr 2018

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© 2018, International Society for Pharmacoeconomics and Outcomes Research (ISPOR). This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details

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