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4161. Selection and prioritisation of medical devices for HTA evaluation: Towards a socio-technical framework based on multiple criteria decision analysis

Invited abstract in session MA-17: Decision support in healthcare, stream OR in Health Services (ORAHS).

Monday, 8:30-10:00
Room: 40 (building: 116)

Authors (first author is the speaker)

1. Ana Vieira
Centre for Management Studies of Instituto Superior Técnico, Universidade de Lisboa, Portugal
2. João Pimenta
Instituto Superior Técnico, Universidade de Lisboa
3. Lilite Loição
INFARMED
4. Helena Monteiro
INFARMED

Abstract

Given the diversity and rapid pace of innovation in the medical device (MD) industry, there is an increasing need for Health Technology Assessment (HTA) agencies to prioritise which MDs to evaluate. The Portuguese HTA agency, INFARMED, National Authority of Medicines and Health Products, I.P. –, intends to develop a socio-technical framework to address such a challenge. Taking a step towards this goal, the present study develops an approach for structuring a multiple criteria decision analysis (MCDA) model to measure the value of MD assessments. More concretely, it arrives at a robust value tree that represents the relevant value dimensions to consider when prioritising MDs for HTA evaluation at INFARMED. The proposed methodological approach follows a top-down (”value-focused thinking”) approach, entailing a systematic literature review and social methods, such as a web survey and a workshop. Causal mapping, as a powerful visual tool capable of supporting structuring tasks, was applied as an intermediary method to build the final value tree. The resulting tree is structured into three levels, comprising criteria and attributes within two domains - disease-related and device-related dimensions. Looking forward to operationalising this structure in the future, selected MCDA techniques are discussed. All in all, the present study provides a sound operational basis for the framework sought by INFARMED, with potential relevance for future studies on HTA priority-setting.

Keywords

Status: accepted

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