Activity: Talk or presentation › Oral presentation
Reflective MCDA as a family of system-oriented qualitative and quantitative analytical methods for accountable and reasonable decision-making within health care services.
Introduction: Although HTA is recognized as an important aspect of health systems governance, its full contribution to governance requires a change of paradigm as there is a disconnect between traditional approaches and the real-life challenges of policy-making. Reflective MCDA is advanced as a family of system-oriented analytical methods to be used qualitatively (and quantitatively as applicable) as a pragmatic alternative to the current paradigm for accountable and reasonable decision-making within health care systems.
Structure of Session: The full day workshop will deploy in three parts:
1- Methodological background (morning - 90 min): What do we mean by reflective MCDA? a. Norman Daniels (U of Harvard) will present the need for ethical accountable and reasonable processes for an expanded HTA that supports health system governance. b. Mireille Goetghebeur (U of Montreal) will present the ethical and methodological foundations of reflective MCDA, which aims at sustaining an inclusive, deliberative culture that recognizes the complex nature of decisions in healthcare and embraces the potential for reasonableness and accountability. c. Rob Baltussen (U of Radboud) and Salah Ghabri (HAS, France) will then discuss the options and limitations of the quantitative aspects of MCDA. d. This will be followed by i. an interactive discussion on the methodological roots and the objectives of reflective MCDA ii. and by an interactive online exercise (smartphones required) on weighting techniques.
2- MCDA experiences for HTA from around the world: To illustrate applications for HTA decisions and to share experience on challenges and opportunities of MCDA in real-life with the audience: a. Irina Cleemput (KCE, Belgium), Janine van Til (U of Twente), Matteo Ritrovato (OPBG Hospital, Rome, Italy) and Michele Tringali (Lombardy Regional Government, Italy) will present European experiences (morning session 90’); b. Sitaporn Youngkong (U of Mahidol, Thailand), Hector Castro (MoH, Colombia) and Adriana Velasquez (WHO, Switzerland) will present experiences in the LMICs (afternoon session 90’). c. Each session will be followed by a discussion period to exchange with the audience.
3- Round table on moving forward the MCDA ecosystem (90’, afternoon): The big picture of an MCDA ecosystem (international, national, regional, hospital) driven by a evidence-based and participatory culture. Why moving forward? What does it take to move forward? Barriers and opportunities? Concrete steps During a round table chaired by Rob Baltussen (U of Radboud) and including Marcella Marletta (MoH, Italy), Gualtiero Ricciardi (NIH, Italy) and Antonio Saria Santamera (U of Alcala, Spain) as discussants, the following questions will be presented and discussed with the audience: a. What challenges and opportunities should we consider before proposing implementation of MCDA in the deliberative process of HTA Committees at national and subnational level? b. What are the recommendations on MCDA use that should be submitted for approval to the HTA institution governance? This will be followed by a wrap-up and future directions by the chairs.