Document Detail


Searching for consensus through multi-criteria decision analysis. Assessment of screening strategies for hemoglobinopathies in southeastern France.
MedLine Citation:
PMID:  2228458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Until now, no systematic strategy for the prevention of major hemoglobinopathies has been implemented in southeastern France, in spite of frequencies of beta-thalassemia trait and HbS trait as high as 2.5-8% in some ethnic populations. The purpose of the study was to help a group of experts, brought together by the Regional Center for Disease Control, to reach a consensus about screening for carriers of heterozygote hemoglobinopathies. A multicriteria decision-analysis model was used to take into account not only the costs and effectiveness of potential screening strategies, but also five other qualitative criteria: technical and practical feasibilities, ethical acceptability, information follow-up in time, and global impact on health education. Conclusions differ significantly from those of a pure cost-effectiveness analysis, but a multicriteria approach seems best suited to medical experts' preferences.
Authors:
C Le Gales; J P Moatti
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of technology assessment in health care     Volume:  6     ISSN:  0266-4623     ISO Abbreviation:  Int J Technol Assess Health Care     Publication Date:  1990  
Date Detail:
Created Date:  1990-12-27     Completed Date:  1990-12-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8508113     Medline TA:  Int J Technol Assess Health Care     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  430-49     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Costs and Cost Analysis
Decision Support Techniques*
France
Hemoglobinopathies / diagnosis,  prevention & control*
Humans
Mass Screening / economics,  methods,  organization & administration*
Models, Biological
Predictive Value of Tests
Technology Assessment, Biomedical

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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