PMID- 10602156 OWN - NLM STAT- MEDLINE DCOM- 20000207 LR - 20220330 IS - 0277-6715 (Print) IS - 0277-6715 (Linking) VI - 18 IP - 23 DP - 1999 Dec 15 TI - Multi-criteria decision making--an approach to setting priorities in health care. PG - 3345-54 AB - The objective of this paper is to present a multi-criteria decision making (MCDM) approach to support public health decision making that takes into consideration the fuzziness of the decision goals and the behavioural aspect of the decision maker. The approach is used to analyse the process of health technology procurement in a University Hospital in Rio de Janeiro, Brazil. The method, known as TODIM, relies on evaluating alternatives with a set of decision criteria assessed using an ordinal scale. Fuzziness in generating criteria scores and weights or conflicts caused by dealing with different viewpoints of a group of decision makers (DMs) are solved using fuzzy set aggregation rules. The results suggested that MCDM models, incorporating fuzzy set approaches, should form a set of tools for public health decision making analysis, particularly when there are polarized opinions and conflicting objectives from the DM group. CI - Copyright 1999 John Wiley & Sons, Ltd. FAU - Nobre, F F AU - Nobre FF AD - Programa de Engenharia Biomedica - COPPE/UFRJ, Cidade Universitaria - Ilha do Fundao, P.O. Box 68510, 21945-970 - Rio de Janeiro - RJ, Brazil. flavio@peb.ufrj.br FAU - Trotta, L T AU - Trotta LT FAU - Gomes, L F AU - Gomes LF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Stat Med JT - Statistics in medicine JID - 8215016 SB - IM MH - Brazil MH - *Decision Making MH - Delivery of Health Care/economics MH - Developing Countries MH - Fuzzy Logic MH - Health Priorities/*economics MH - Humans MH - Medical Laboratory Science/economics MH - *Models, Economic MH - Technology, High-Cost/*economics EDAT- 1999/12/22 00:00 MHDA- 1999/12/22 00:01 CRDT- 1999/12/22 00:00 PHST- 1999/12/22 00:00 [pubmed] PHST- 1999/12/22 00:01 [medline] PHST- 1999/12/22 00:00 [entrez] AID - 10.1002/(SICI)1097-0258(19991215)18:23<3345::AID-SIM321>3.0.CO;2-7 [pii] AID - 10.1002/(sici)1097-0258(19991215)18:23<3345::aid-sim321>3.0.co;2-7 [doi] PST - ppublish SO - Stat Med. 1999 Dec 15;18(23):3345-54. doi: 10.1002/(sici)1097-0258(19991215)18:23<3345::aid-sim321>3.0.co;2-7.