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A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt
BACKGROUND: With the availability of several similar medical devices performing the same function, choosing one for reimbursement is not easy, especially if purchased for a large number of patients. The objective of this project was to create a multicriteria decision analysis (MCDA) tool, that captu...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9644459/ https://www.ncbi.nlm.nih.gov/pubmed/36352382 http://dx.doi.org/10.1186/s12911-022-02025-y |
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author | Elezbawy, Baher Fasseeh, Ahmad Nader Németh, Bertalan Gamal, Mary Eldebeiky, Mariam Refaat, Remonda Taha, Amr Rabiea, Shimaa Abdallah, Marwa Ramadan, Soha Noaman, Hasnaa Eldin, Amany Bahaa Mostafa, Hossam Nouh, Sara Zaki, Asmaa Abdelrahman, Mohamed Abaza, Sherif Kalò, Zoltàn |
author_facet | Elezbawy, Baher Fasseeh, Ahmad Nader Németh, Bertalan Gamal, Mary Eldebeiky, Mariam Refaat, Remonda Taha, Amr Rabiea, Shimaa Abdallah, Marwa Ramadan, Soha Noaman, Hasnaa Eldin, Amany Bahaa Mostafa, Hossam Nouh, Sara Zaki, Asmaa Abdelrahman, Mohamed Abaza, Sherif Kalò, Zoltàn |
author_sort | Elezbawy, Baher |
collection | PubMed |
description | BACKGROUND: With the availability of several similar medical devices performing the same function, choosing one for reimbursement is not easy, especially if purchased for a large number of patients. The objective of this project was to create a multicriteria decision analysis (MCDA) tool, that captures and compares all implantable medical devices’ attributes, to provide an objective method for choosing among the available options in Egypt. METHOD: We conducted a systematic review and expert interviews, to identify the relevant criteria for inclusion in the tool. Subsequently, a workshop was conducted, that involved experts in procuring and tendering medical devices. Experts chose the criteria, ranked them, assigned weights and scoring functions for each criterion, and then created the draft tool. A pilot phase followed; then, another workshop was conducted to fine-tune the tool. We readjusted the tool based on experts’ experience with the draft tool. RESULTS: The final tool included eight criteria, arranged according to their weightage: technical characteristics (29.4%), country of origin (19.5%), use in reference countries (14.9%), supply reliability (11.7%), previous use in tenders (9.0%), instant replacement within product variety (6.9%), pharmacovigilance (4.6%), and refund or replacement (4.0%). Each medical device was assessed on these eight criteria to achieve a final score, that was compared to the alternative devices’ scores. Price is not included in the MCDA tool, but it will be added in the financial evaluation phase. CONCLUSION: Decisionmakers could use the MCDA tool, to make evidence-based and objective decisions for purchasing implantable devices, in the Egyptian public sector. Post price evaluation, the product with the best value will be chosen for reimbursement. HIGHLIGHTS: We created an MCDA tool to help decision makers choose between alternative implantable medical devices in Egypt. The MCDA tool includes eight criteria, where price is evaluated as a separate step. “Technical characteristics” and “country of origin” criteria carried the highest weights, thus representing approximately 50% of the decision. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12911-022-02025-y. |
format | Online Article Text |
id | pubmed-9644459 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-96444592022-11-15 A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt Elezbawy, Baher Fasseeh, Ahmad Nader Németh, Bertalan Gamal, Mary Eldebeiky, Mariam Refaat, Remonda Taha, Amr Rabiea, Shimaa Abdallah, Marwa Ramadan, Soha Noaman, Hasnaa Eldin, Amany Bahaa Mostafa, Hossam Nouh, Sara Zaki, Asmaa Abdelrahman, Mohamed Abaza, Sherif Kalò, Zoltàn BMC Med Inform Decis Mak Research BACKGROUND: With the availability of several similar medical devices performing the same function, choosing one for reimbursement is not easy, especially if purchased for a large number of patients. The objective of this project was to create a multicriteria decision analysis (MCDA) tool, that captures and compares all implantable medical devices’ attributes, to provide an objective method for choosing among the available options in Egypt. METHOD: We conducted a systematic review and expert interviews, to identify the relevant criteria for inclusion in the tool. Subsequently, a workshop was conducted, that involved experts in procuring and tendering medical devices. Experts chose the criteria, ranked them, assigned weights and scoring functions for each criterion, and then created the draft tool. A pilot phase followed; then, another workshop was conducted to fine-tune the tool. We readjusted the tool based on experts’ experience with the draft tool. RESULTS: The final tool included eight criteria, arranged according to their weightage: technical characteristics (29.4%), country of origin (19.5%), use in reference countries (14.9%), supply reliability (11.7%), previous use in tenders (9.0%), instant replacement within product variety (6.9%), pharmacovigilance (4.6%), and refund or replacement (4.0%). Each medical device was assessed on these eight criteria to achieve a final score, that was compared to the alternative devices’ scores. Price is not included in the MCDA tool, but it will be added in the financial evaluation phase. CONCLUSION: Decisionmakers could use the MCDA tool, to make evidence-based and objective decisions for purchasing implantable devices, in the Egyptian public sector. Post price evaluation, the product with the best value will be chosen for reimbursement. HIGHLIGHTS: We created an MCDA tool to help decision makers choose between alternative implantable medical devices in Egypt. The MCDA tool includes eight criteria, where price is evaluated as a separate step. “Technical characteristics” and “country of origin” criteria carried the highest weights, thus representing approximately 50% of the decision. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12911-022-02025-y. BioMed Central 2022-11-09 /pmc/articles/PMC9644459/ /pubmed/36352382 http://dx.doi.org/10.1186/s12911-022-02025-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Elezbawy, Baher Fasseeh, Ahmad Nader Németh, Bertalan Gamal, Mary Eldebeiky, Mariam Refaat, Remonda Taha, Amr Rabiea, Shimaa Abdallah, Marwa Ramadan, Soha Noaman, Hasnaa Eldin, Amany Bahaa Mostafa, Hossam Nouh, Sara Zaki, Asmaa Abdelrahman, Mohamed Abaza, Sherif Kalò, Zoltàn A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt |
title | A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt |
title_full | A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt |
title_fullStr | A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt |
title_full_unstemmed | A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt |
title_short | A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt |
title_sort | multicriteria decision analysis (mcda) tool to purchase implantable medical devices in egypt |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9644459/ https://www.ncbi.nlm.nih.gov/pubmed/36352382 http://dx.doi.org/10.1186/s12911-022-02025-y |
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