Priority setting for the prevention and control of cardiovascular diseases: multi-criteria decision analysis in four eastern Mediterranean countries

Int J Public Health. 2015 Jan:60 Suppl 1:S73-81. doi: 10.1007/s00038-014-0569-3. Epub 2014 May 31.

Abstract

Objectives: To explore the feasibility of using a simple multi-criteria decision analysis method with policy makers/key stakeholders to prioritize cardiovascular disease (CVD) policies in four Mediterranean countries: Palestine, Syria, Tunisia and Turkey.

Methods: A simple multi-criteria decision analysis (MCDA) method was piloted. A mixed methods study was used to identify a preliminary list of policy options in each country. These policies were rated by different policymakers/stakeholders against pre-identified criteria to generate a priority score for each policy and then rank the policies.

Results: Twenty-five different policies were rated in the four countries to create a country-specific list of CVD prevention and control policies. The response rate was 100% in each country. The top policies were mostly population level interventions and health systems' level policies.

Conclusions: Successful collaboration between policy makers/stakeholders and researchers was established in this small pilot study. MCDA appeared to be feasible and effective. Future applications should aim to engage a larger, representative sample of policy makers, especially from outside the health sector. Weighting the selected criteria might also be assessed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administrative Personnel
  • Cardiovascular Diseases / prevention & control*
  • Cardiovascular Diseases / therapy*
  • Cost-Benefit Analysis
  • Decision Support Techniques
  • Delivery of Health Care / organization & administration
  • Developing Countries
  • Health Policy*
  • Health Priorities / organization & administration*
  • Humans
  • Middle East / epidemiology
  • Pilot Projects
  • Tunisia / epidemiology