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Application of concepts of the analytic hierarchy process in decision-making

Krenicky Tibor, Hrebenyk Liudmyla, Chernobrovchenko Vadym

Management Systems in Production Engineering

2022

nr 4 (30)

304--310

The Analytical Hierarchy Process (AHP) is one of the multi-criteria methods with tools that are effective for decision-making in complementary or alternative medicine (CAM). This approach, in combination with other available methods, such as the Utrecht Method, allows medical professionals and patients themselves to take a balanced choice of special treatment and health control. This is particularly important for pregnant women who suffer from nausea and vomiting during pregnancy (NVP). The mechanisms of toxicosis occur, and the way of treatment have certain uncertainties. The decision-making process for therapeutic care must consider several factors, the determination of which is the result of collaboration between the patient and the healthcare provider. This paper presents the results of a decision-making study regarding the use of the ginger medicinal plant in helping a woman with NVP symptoms. The research was conducted using the original questionnaire according to the methodology proposed by the developers of the Utrecht Method. The chosen respondents were healthcare professionals with experience in treating NVP and pregnant women. The Analytical Hierarchy Process (AHP) capabilities in decisionmaking were shown in an example of analyzing the benefits, risks, and side effects of using ginger during pregnancy. The combination of two methodological approaches allowed to successfully connect the proven facts of using CAM therapy with the subjective assessment of all stakeholders. The study demonstrates that this approach successfully uses decision-making by structuring hierarchical decision elements and weighing the criteria involved in the decision-making issue. The article examines the practicality and effectiveness of using AHP when making decisions regarding the treatment and improvement of the condition of pregnant women with NVP, and summarizes the quantitative and qualitative indicators of the effectiveness of this method. The presented combination of two methodological approaches in decision-making allows for choosing an optimized medical strategy for supporting pregnant women through CAM therapy.

Ekonomiczne aspekty wykonania procedur chirurgicznych metodą otwartą i laparoskopową jako element analizy Health Technology Assessment

Janik A., Bartnicka J., Ziętkiewicz A., Kowalski G.

Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska

2018

z. 115

75--90

Celem oceny technologii medycznych (ang. Health Technology Assessment – HTA) jest wspieranie świadomego kształtowania polityki i oceny ekonomicznej w zakresie medycyny, a tym samym racjonalnej alokacji zasobów niezbędnych do rozwoju technologii medycznych. Przykładem zmian technologicznych w medycynie jest intensywny rozwój małoinwazyjnych technik chirurgicznych, w tym technik laparoskopowych. Biorąc pod uwagę korzyści uzyskiwane przez pacjenta w wyniku leczenia laparoskopowego, naturalną tendencją powinno być ich zastosowanie w miejsce metod otwartych. Niestety dla osób zarządzających placówkami zdrowia priorytetem jest minimalizacja kosztów wykonywanych procedur medycznych. Z tego względu, celem niniejszego artykułu jest analiza porównawcza kosztów wybranych zabiegów chirurgicznych wykonywanych metodą otwartą i laparoskopową. Uzyskane wyniki są częściowo zaskakujące, gdyż kwestionują przekonanie, że koszt wykonania zabiegów laparoskopowych przekracza koszt identycznych zabiegów wykonywanych metodą otwartą.

The aim of Health Technology Assessment is to support activities intended to form politics as well as economic analysis in medicine and hence rational allocation of resources which are necessary for developing medical technologies. An example of technological changes in medicine is an intensive development of minimally invasive surgical techniques including laparoscopic techniques. Taking into account the great benefits of laparoscopic treatment for patient the natural tendency should be the change of open surgeries to minimal invasive procedures. However the problem of conflicts costs-benefits is indicated by health managers, for whom the procedures’ costs are treated as a priority. Taking this as a background for considerations, there was formulated the research objective that is a comparative analysis of selected surgical procedures performed in open method and laparoscopy. The outcomes are partly surprising and questioned the hypothetical rule that the cost of performing laparoscopic procedures exceed the cost of identical procedures, but executed with open method.