Value of concerted and hospital hemodialysis through a multi-criteria decision analysis

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Název: Value of concerted and hospital hemodialysis through a multi-criteria decision analysis
Autoři: Caro Martínez, Araceli, Valcárcel Cabrera, María Del Carmen, Olry-de-Labry-Lima, Antonio
Přispěvatelé: [Caro Martínez,A, Valcárcel Cabrera,MDC, Orly-de-Labry-Lima,A] Escuela Andaluza de Salud Pública, Granada, Spain, [Caro Martínez,A ] Programa de Doctorado Interuniversitario en Ciencias de la Salud, Universidad de Jaén-Universidad de Sevilla (UJA-US), Sevilla, Spain, [Olry-de-Labry-Lima,A] Centro Andaluz de Documentación e Información de Medicamentos (CADIME), Escuela Andaluza de Salud Pública, Granada, Spain, [Olry-de-Labry-Lima,A] Consorcio de Investigación Biomédica en Red Epidemiología y Salud Pública, CIBERESP, [Olry-de-Labry-Lima,A] Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain, Vifor Pharma
Zdroj: RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
Universidad Pontificia de Salamanca
Nefrología (English Edition), Vol 43, Iss 6, Pp 742-749 (2023)
Informace o vydavateli: Elsevier BV, 2023.
Rok vydání: 2023
Témata: Servicios externos, Technology Assessment, Biomedical, Decision Making, Diálisis, Outsourced Services, 16. Peace & justice, Diseases of the genitourinary system. Urology, Decision Support Techniques, 3. Good health, Evaluación de la tecnología biomédica, Evaluación de tecnologías sanitarias, Toma de Decisiones, Renal Dialysis, Spain, Humans, RC870-923, Renal Insufficiency, Chronic, Servicios Externos, Dialysis, Toma de decisiones
Popis: To evaluate the value of the provision of contracted versus hospital dialysis services for the treatment of chronic kidney disease in Spain using the multicriteria decision analysis methodology.The EVIDEM (Evidence and Value: Impact on Decision Making) evaluation framework was used to calculate the estimated value of both dialysis delivery models (arranged vs. hospital) through a virtual workshop in which different profiles participated: directors and managers, professionals and heads of units and representatives of patients and relatives. The scores were combined using an additive lineal model, which combined the weight of the model with the individual score of the criteria, and each value was transformed to a scale between 0 and 1.The estimated value for arranged dialysis was 0.29 (DS: ±0.2) and 0.39 (DS: ±0.2) for hospital dialysis. All profiles gave a higher value to hospital hemodialysis compared to contracted hemodialysis. The highest value for hospital dialysis was for patients (0.44), with the lowest mean value for directors (0.36) and the range for arranged dialysis being between patients (0.31) and intermediate positions (0.27).Hospital hemodialysis obtained a higher value than concerted dialysis. In general, the panelists affirmed that it is a useful and interesting exercise and that, to a certain extent, it provides security in decision-making, since it allows ordering, rationalizing and considering, in an explicit and transparent manner, the different criteria involved.
Druh dokumentu: Article
Popis souboru: application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document
Jazyk: English
ISSN: 2013-2514
DOI: 10.1016/j.nefroe.2024.01.001
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/38246811
https://hdl.handle.net/10668/23299
https://doaj.org/article/f16122e6663a4227aeea55dd498b7996
Rights: CC BY NC ND
Přístupové číslo: edsair.doi.dedup.....8704bba2fc9d07e053b002f6de0dae33
Databáze: OpenAIRE
Popis
Abstrakt:To evaluate the value of the provision of contracted versus hospital dialysis services for the treatment of chronic kidney disease in Spain using the multicriteria decision analysis methodology.The EVIDEM (Evidence and Value: Impact on Decision Making) evaluation framework was used to calculate the estimated value of both dialysis delivery models (arranged vs. hospital) through a virtual workshop in which different profiles participated: directors and managers, professionals and heads of units and representatives of patients and relatives. The scores were combined using an additive lineal model, which combined the weight of the model with the individual score of the criteria, and each value was transformed to a scale between 0 and 1.The estimated value for arranged dialysis was 0.29 (DS: ±0.2) and 0.39 (DS: ±0.2) for hospital dialysis. All profiles gave a higher value to hospital hemodialysis compared to contracted hemodialysis. The highest value for hospital dialysis was for patients (0.44), with the lowest mean value for directors (0.36) and the range for arranged dialysis being between patients (0.31) and intermediate positions (0.27).Hospital hemodialysis obtained a higher value than concerted dialysis. In general, the panelists affirmed that it is a useful and interesting exercise and that, to a certain extent, it provides security in decision-making, since it allows ordering, rationalizing and considering, in an explicit and transparent manner, the different criteria involved.
ISSN:20132514
DOI:10.1016/j.nefroe.2024.01.001