An application of analytic network process model in supporting decision making to address pharmaceutical shortage

BMC Health Services Research

Najmeh Moradi¹  Leila Zarei²  Gholamhosein Mehralian³  Farzad Peiravian³ 

[1] Pharmacoeconomics and Pharma Management, Health Management and Economics Research Centre, Iran University of Medical Sciences;Pharmacoeconomics and Pharma Management, Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences;Pharmacoeconomics and Pharma Management, School of Pharmacy, Shahid Beheshti University of MedicalSciences;

关键词: Equity;    Efficiency;    Effectiveness;    Resource allocation;    Scarce drugs allocation;    Need-based resource allocation;   

DOI  :  10.1186/s12913-020-05477-y

来源: DOAJ

【 摘 要 】

Abstract Background The present study aimed to develop an Analytic Network Process (ANP) model to assist policymakers in identifying and prioritizing allocation indicators, which are being used or should be used to distribute drugs in short supply among different provinces. Methods The model encompasses the interactions between various indicators and efficiency, equity, and effectiveness paradigms. Accordingly, a set of clusters and elements, which were associated with the allocation of drugs in short supply in Iran’s pharmaceutical system, were detected to develop the model and were then compared in pairs in terms of a specified factor to show the priorities. Results Equity had the highest priority (0.459) following by Efficiency (0.37), and Effectiveness (0.171). The 4 most important allocation indicator were “number of prescriptions” (0.26) and “total bed occupancy rate” (0.19) related to equity, “total population” (0.21) in efficiency and “the burden of rare and incurable disease” (0.07) in effectiveness paradigm. Conclusions The capability to overcome inefficient resource allocation patterns caused by both oversupply and undersupply derived from historic resource allocation may be highly limited in the absence of the need indicators. The quality of the decision is related to a careful balancing act of the three paradigms which represents roughly the triple aim of public healthcare systems: clinical improvement (effectiveness), population health improvement (equity and access), and reducing cost (economic aspects -efficiency).

【 授权许可】

Unknown