Fuzzy approach to decision analysis with multiple criteria and uncertainty in health technology assessment

Michał Jakubczyk () and Bogumił Kamiński
Additional contact information
Michał Jakubczyk: Warsaw School of Economics

Annals of Operations Research, 2017, vol. 251, issue 1, No 18, 324 pages

Abstract: Abstract Decision making in health technology assessment (HTA) involves multiple criteria (clinical outcomes vs. cost) and risk (criteria measured with estimation error). A survey conducted among Polish HTA experts shows that opinions how to trade off health against money should be treated as fuzzy. We propose an approach that allows to introduce fuzziness into decision making process in HTA. Specifically, in the paper we (i) define a fuzzy preference relation between health technologies using an axiomatic approach; (ii) link it to the fuzzy willingness-to-pay and willingness-to-accept notions and show the survey results in Poland eliciting these; (iii) incorportate uncertainty additionally to fuzziness and define two concepts to support decision making: fuzzy expected net benefit and fuzzy expected acceptability (the counterparts of expected net benefit and cost-effectiveness acceptability curves, CEACs, often used in HTA). Illustrative examples show that our fuzzy approach may remove some problems with other methods (CEACs possibly being non-monotonic) and better illustrate the amount of uncertainty present in the decision problem. Our framework can be used in other multiple criteria decision problems under risk where trade-off coefficients between criteria are subjectively chosen.

Keywords: Multiple criteria decision making; Fuzzy preferences; Uncertainty; Health technology assessment; Willingness to pay; Preference elicitation (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

Downloads: (external link)
http://link.springer.com/10.1007/s10479-015-1910-9 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:annopr:v:251:y:2017:i:1:d:10.1007_s10479-015-1910-9

Ordering information: This journal article can be ordered from
http://www.springer.com/journal/10479

DOI: 10.1007/s10479-015-1910-9

Access Statistics for this article

Annals of Operations Research is currently edited by Endre Boros

More articles in Annals of Operations Research from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().