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Group Decision Making with the Analytic Hierarchy Process in Benefit-Risk Assessment: A Tutorial


  • J. Hummel


  • John Bridges
  • Maarten IJzerman


The analytic hierarchy process (AHP) has been increasingly applied as a technique for multi-criteria decision analysis in healthcare. The AHP can aid decision makers in selecting the most valuable technology for patients, while taking into account multiple, and even conflicting, decision criteria. This tutorial illustrates the procedural steps of the AHP in supporting group decision making about new healthcare technology, including (1) identifying the decision goal, decision criteria, and alternative healthcare technologies to compare, (2) structuring the decision criteria, (3) judging the value of the alternative technologies on each decision criterion, (4) judging the importance of the decision criteria, (5) calculating group judgments, (6) analyzing the inconsistency in judgments, (7) calculating the overall value of the technologies, and (8) conducting sensitivity analyses. The AHP is illustrated via a hypothetical example, adapted from an empirical AHP analysis on the benefits and risks of tissue regeneration to repair small cartilage lesions in the knee. Copyright Springer International Publishing Switzerland 2014

Suggested Citation

  • J. Hummel & John Bridges & Maarten IJzerman, 2014. "Group Decision Making with the Analytic Hierarchy Process in Benefit-Risk Assessment: A Tutorial," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 7(2), pages 129-140, June.
  • Handle: RePEc:spr:patien:v:7:y:2014:i:2:p:129-140
    DOI: 10.1007/s40271-014-0050-7

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    References listed on IDEAS

    1. P. Thokala & A. Duenas, 2012. "Multiple Criteria Decision Analysis for Health Technology Assessment," Post-Print hal-00800398, HAL.
    2. Forman, Ernest & Peniwati, Kirti, 1998. "Aggregating individual judgments and priorities with the analytic hierarchy process," European Journal of Operational Research, Elsevier, vol. 108(1), pages 165-169, July.
    3. Kuenz Murphy, Catherine, 1993. "Limits on the analytic hierarchy process from its consistency index," European Journal of Operational Research, Elsevier, vol. 65(1), pages 138-139, February.
    4. Alessio Ishizaka & Dieter Balkenborg & Todd Kaplan, 2005. "Influence of aggregation and measurement scale on ranking a compromise alternative in AHP," Discussion Papers 0506, University of Exeter, Department of Economics.
    5. Gerardine DeSanctis & R. Brent Gallupe, 1987. "A Foundation for the Study of Group Decision Support Systems," Management Science, INFORMS, vol. 33(5), pages 589-609, May.
    6. Saaty, Thomas L., 1994. "Highlights and critical points in the theory and application of the Analytic Hierarchy Process," European Journal of Operational Research, Elsevier, vol. 74(3), pages 426-447, May.
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    1. Sue Ellen Taelman & Davide Tonini & Alexander Wandl & Jo Dewulf, 2018. "A Holistic Sustainability Framework for Waste Management in European Cities: Concept Development," Sustainability, MDPI, Open Access Journal, vol. 10(7), pages 1-33, June.
    2. Das, Ridoy & Wang, Yue & Putrus, Ghanim & Kotter, Richard & Marzband, Mousa & Herteleer, Bert & Warmerdam, Jos, 2020. "Multi-objective techno-economic-environmental optimisation of electric vehicle for energy services," Applied Energy, Elsevier, vol. 257(C).

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