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The analytic hierarchy process in medical and health care decision making: A literature review

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  • Liberatore, Matthew J.
  • Nydick, Robert L.
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    This paper presents a literature review of the application of the analytic hierarchy process (AHP) to important problems in medical and health care decision making. The literature is classified by year of publication, health care category, journal, method of analyzing alternatives, participants, and application type. Very few articles were published prior to 1988 and the level of activity has increased to about three articles per year since 1997. The 50 articles reviewed were classified in seven categories: diagnosis, patient participation, therapy/treatment, organ transplantation, project and technology evaluation and selection, human resource planning, and health care evaluation and policy. The largest number of articles was found in the project and technology evaluation and selection category (14) with substantial activity in patient participation (9), therapy/treatment (8), and health care evaluation and policy (8). The AHP appears to be a promising support tool for shared decision making between patient and doctor, evaluation and selection of therapies and treatments, and the evaluation of health care technologies and policies. We expect that AHP research will continue to be an important component of health care and medical research.

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    Article provided by Elsevier in its journal European Journal of Operational Research.

    Volume (Year): 189 (2008)
    Issue (Month): 1 (August)
    Pages: 194-207

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    Handle: RePEc:eee:ejores:v:189:y:2008:i:1:p:194-207
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    1. Kwak, N. K. & Lee, Chang W., 2002. "Business process reengineering for health-care system using multicriteria mathematical programming," European Journal of Operational Research, Elsevier, vol. 140(2), pages 447-458, July.
    2. James S. Dyer, 1990. "Remarks on the Analytic Hierarchy Process," Management Science, INFORMS, vol. 36(3), pages 249-258, March.
    3. Tarimcilar, M. Murat & Khaksari, Shahriar Z., 1991. "Capital budgeting in hospital management using the analytic hierarchy process," Socio-Economic Planning Sciences, Elsevier, vol. 25(1), pages 27-34.
    4. Patrick T. Harker & Luis G. Vargas, 1990. "Reply to "Remarks on the Analytic Hierarchy Process" by J. S. Dyer," Management Science, INFORMS, vol. 36(3), pages 269-273, March.
    5. Singpurwalla, Norah & Forman, Ernest & Zalkind, David, 1999. "Promoting shared health care decision making using the analytic hierarchy process," Socio-Economic Planning Sciences, Elsevier, vol. 33(4), pages 277-299, December.
    6. Hannan, Edward L. & O'Donnell, Josph & Freedland, Terry, 1981. "A priority assignment model for standards and conditions in a long term care survey," Socio-Economic Planning Sciences, Elsevier, vol. 15(6), pages 277-289.
    7. Robert L. Winkler, 1990. "Decision Modeling and Rational Choice: AHP and Utility Theory," Management Science, INFORMS, vol. 36(3), pages 247-248, March.
    8. James S. Dyer, 1990. "A Clarification of "Remarks on the Analytic Hierarchy Process"," Management Science, INFORMS, vol. 36(3), pages 274-275, March.
    9. 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.
    10. Odynocki, Boris, 1983. "The forward and backward processes in health policy planning," Mathematics and Computers in Simulation (MATCOM), Elsevier, vol. 25(2), pages 146-155.
    11. Ryan Cook, D. & Staschak, Sandra & Green, William T., 1990. "Equitable allocation of livers for orthotopic transplantation: An application of the Analytic Hierarchy process," European Journal of Operational Research, Elsevier, vol. 48(1), pages 49-56, September.
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