Accepted manuscript - deposit in ELEMENT.pdf (403.62 kB)
Creating a priority list of non-communicable diseases to support health research funding decision-making
journal contribution
posted on 2023-06-10, 04:56 authored by Saeideh BabashahiSaeideh Babashahi, Paul Hansen, Trudy SullivanObjective To develop and pilot a framework based on multi-criteria decision analysis (MCDA) to prioritize non-communicable diseases (NCDs) to support health research funding decision-making. Methods The framework involves identifying NCDs to be prioritized, specifying prioritization criteria and determining their weights from a survey of stakeholders. The mean weights from the survey are applied to the NCDs’ ratings on the criteria to generate a ‘total score’ for each NCD, by which the NCDs are prioritized. Results Nineteen NCDs and five criteria were included. The criteria, in decreasing order of importance (mean weights in parentheses), are: deaths across the population (27.7 %), loss of quality-of-life across the population (23.0 %), cost to patients and families (18.6 %), cost to the health system (17.2 %), and whether vulnerable groups are disproportionately affected (13.4 %). The priority list of NCDs, stratified into four tiers of importance, is: ‘Very critical’ priority: coronary heart disease, back and neck pain, diabetes mellitus; ‘Critical’ priority: dementia and Alzheimer’s disease, stroke; ‘High’ priority: colon and rectum cancer, depressive disorders, chronic obstructive pulmonary disease, chronic kidney disease, breast cancer, prostate cancer, arthritis, lung cancer; and ‘Medium’ priority: asthma, hearing loss, melanoma skin cancer, addictive disorders, non-melanoma skin cancer, headaches. Conclusion The results indicate the framework for prioritizing NCDs for research funding is feasible and effective. The framework could also be used for other health conditions.
History
Publication status
- Published
File Version
- Accepted version
Journal
Health PolicyISSN
0168-8510Publisher
ElsevierExternal DOI
Issue
2Volume
125Page range
221-228Event location
IrelandDepartment affiliated with
- Global Health and Infection Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2022-09-29First Open Access (FOA) Date
2022-09-29First Compliant Deposit (FCD) Date
2022-09-29Usage metrics
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