Analysis of the literature on quantifiable tools for value judgments considered in decisionmaking pointed to multicriteria decision analysis (MCDA).
A multicriteria decision analysis (MCDA) Value Matrix (VM) was developed to include the 15 quantifiable components that are currently considered in decisionmaking.
For 9 of the MCDA matrix decision criteria, 89% or more of committee members thought they should always be considered in decisionmaking.
Committee members were surveyed about whether each of the framework's decision criteria should always, sometimes or never be considered in decisionmaking.
Review of decisionmaking processes revealed that not all value components usually considered in decisionmaking are readily quantifiable.[ 10, 24- 44, 61- 67] A commonly shared direction of scoring is needed to define low and high ends of a scale to make quantification meaningful.
Components that are quantifiable from a universal standpoint (defined as intrinsic value components) are structured into an MCDA matrix (the MCDA Value Matrix or VM), which includes 15 components usually considered in healthcare decisionmaking [ 27].
A MCDA Value Matrix (VM) was developed to include the value components usually considered in policy decisionmaking.
When surveyed on whether each of the criteria of the framework should always, sometimes or never be considered in the decisionmaking process, all committee members agreed that "Budget impact on health plan" should always be considered (Table 1).
Extreme events and disturbances were often accepted as force majeur and, therefore, were not explicit considered in management decisionmaking, despite their potential to considerably influence management outcomes (Francis et al. 2007, Howden et al. 2007).
This study also revealed that strength of evidence is an important aspect in decisionmaking, highlighting the influence of evidence-based medicine.
