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Are Patients Capable of Using the Analytic Hierarchy Process and Willing to Use It to Help Make Clinical Decisions?

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  • James G. Dolan

Abstract

The analytic hierarchy process (AHP) is a user-friendly technique that enables a decision maker to elicit subjective values and combine them with more objective data in an explicit, unbiased manner. To determine whether patients are capable of using and willing to use the AHP to help make clinical decisions, the author asked 20 volunteers to perform an AHP analysis of the choice among five screening regimens for colon cancer. The patients were categorized as capable if they completed the analysis in ≤ 45 minutes and as willing if they indicated that they would prefer to go through this type of analysis before making a clinical decision. Eighteen (90%) were capable and willing. The difference between this result and 25%, the predefined null hypothesis, is significant: p = 1.6 × 10 -9 . These results indicate that AHP-based decision-making aids are likely to be acceptable to and within the capabilities of many patients. If so, they could serve as practical tools for improving the clinical decision- making process. Key words: decision making; analytic hierarchy process; physician-patient relationship; informed consent. (Med Decis Making 1995;15:76-80)

Suggested Citation

  • James G. Dolan, 1995. "Are Patients Capable of Using the Analytic Hierarchy Process and Willing to Use It to Help Make Clinical Decisions?," Medical Decision Making, , vol. 15(1), pages 76-80, February.
    • Handle: RePEc:sae:medema:v:15:y:1995:i:1:p:76-80
    DOI: 10.1177/0272989X9501500111
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    References listed on IDEAS

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    1. James S. Dyer, 1990. "Remarks on the Analytic Hierarchy Process," Management Science, INFORMS, vol. 36(3), pages 249-258, March.
    2. James S. Dyer, 1990. "A Clarification of "Remarks on the Analytic Hierarchy Process"," Management Science, INFORMS, vol. 36(3), pages 274-275, March.
    3. Thomas L. Saaty, 1990. "An Exposition of the AHP in Reply to the Paper "Remarks on the Analytic Hierarchy Process"," Management Science, INFORMS, vol. 36(3), pages 259-268, March.
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    Cited by:

    1. Janine Til & James Dolan & Anne Stiggelbout & Karin Groothuis & Maarten IJzerman, 2008. "The Use of Multi-Criteria Decision Analysis Weight Elicitation Techniques in Patients with Mild Cognitive Impairment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(2), pages 127-135, April.
    2. Johanna Vásquez & Sergio Botero, 2020. "Hybrid Methodology to Improve Health Status Utility Values Derivation Using EQ-5D-5L and Advanced Multi-Criteria Techniques," IJERPH, MDPI, vol. 17(4), pages 1-18, February.
    3. Matthew Liberatore & Robert Nydick & Constantine Daskalakis & Elisabeth Kunkel & James Cocroft & Ronald Myers, 2009. "Helping Men Decide About Scheduling a Prostate Cancer Screening Exam," Interfaces, INFORMS, vol. 39(3), pages 209-217, June.
    4. Liberatore, Matthew J. & Nydick, Robert L., 2008. "The analytic hierarchy process in medical and health care decision making: A literature review," European Journal of Operational Research, Elsevier, vol. 189(1), pages 194-207, August.
    5. M. Gabriela Sava & Luis G. Vargas & Jerrold H. May & James G. Dolan, 2020. "An analysis of the sensitivity and stability of patients’ preferences can lead to more appropriate medical decisions," Annals of Operations Research, Springer, vol. 293(2), pages 863-901, October.

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