The Feasibility of Sophisticated Multicriteria Support for Clinical Decisions

James G. Dolan and Peter J. Veazie
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James G. Dolan: Department of Public Health Sciences, University of Rochester, Rochester, NY
Peter J. Veazie: Department of Public Health Sciences, University of Rochester, Rochester, NY

Medical Decision Making, 2018, vol. 38, issue 4, 465-475

Abstract: Background. Multicriteria decision-making (MCDM) methods are well-suited to serve as the foundation for clinical decision support systems. To do so, however, they need to be appropriate for use in busy clinical settings. We compared decision-making processes and outcomes of patient-level analyses done with a range of multicriteria methods that vary in ease of use and intensity of decision support, 2 factors that could affect their ease of implementation into practice. Methods. We conducted a series of Internet surveys to compare the effects of 5 multicriteria methods that differ in user interface and required user input format on decisions regarding selection of a preferred method for lowering the risk of cardiovascular disease. The study sample consisted of members of an online Internet panel maintained by Fluidsurveys, an Internet survey company. Study outcomes were changes in preferred option, decision confidence, preparation for decision making, the Values Clarification and Decisional Uncertainty subscales of the Decisional Conflict Scale, and method ease of use. Results. The frequency of changes in the preferred option ranged from 9% to 38%, P

Keywords: cardiovascular disease prevention; decision making; decision making techniques; decision support; multicriteria decision making; patient-centered care; shared decision making (search for similar items in EconPapers)
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:38:y:2018:i:4:p:465-475

DOI: 10.1177/0272989X17736769

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