Using multi-criteria decision analysis to rank European health systems: The Beveridgian financing case
Miguel Alves Pereira,
Inês Freire Machete,
Diogo Cunha Ferreira and
Rc Marques ()
Socio-Economic Planning Sciences, 2020, vol. 72, issue C
Health is one of the most fundamental human rights. In that sense, the creation of health systems attempted to provide the population with organisations, institutions, and resources to meet their needs. However, health inequalities are prevalent in all countries. Thus, evaluating health systems is vital to understand this issue. Accordingly, the aim of this work is to develop a multi-criteria decision analysis (MCDA) approach to innovatively rank nine of the European health systems with Beveridgian financing that would help determine the shortcomings of the Portuguese National Health Service and discern the operating “best practices”, in a close interaction with the Portuguese Ministry of Health. First, the panel of decision-making actors was guided through the design of a cognitive map to promote their learning process and help them identify eleven fundamental points of view. Second, their operationalisation was facilitated by selecting acceptable descriptors of performance. Finally, an MCDA approach was proposed to evaluate the chosen health systems using an additive model, which included a sensitivity and a robustness analysis. In the end, the model was perceived by the panel as being trustworthy and reliable. This framework can be used for further MCDA modelling in similar applications based on participatory procedures.
Keywords: Multi-criteria decision analysis; Problem structuring; Model structuring; Cognitive mapping; Health systems (search for similar items in EconPapers)
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed
Downloads: (external link)
Full text for ScienceDirect subscribers only
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
Persistent link: https://EconPapers.repec.org/RePEc:eee:soceps:v:72:y:2020:i:c:s0038012120301336
Access Statistics for this article
Socio-Economic Planning Sciences is currently edited by Barnett R. Parker
More articles in Socio-Economic Planning Sciences from Elsevier
Bibliographic data for series maintained by Nithya Sathishkumar ().