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Prioritizing investments in public health: a multi-criteria decision analysis

Marsh, K., Dolan, P., Kempster, J. and Lugon, M. (2013) Prioritizing investments in public health: a multi-criteria decision analysis. Journal of Public Health, 35 (3). pp. 460-466. ISSN 1741-3842

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Abstract

The evidence on public health interventions has traditionally focussed on a limited number of costs and benefits, adopted inconsistent methods and is not always relevant to the UK context. This paper develops a multi-criteria decision analysis (MCDA) approach to overcome these challenges. A document review and stakeholder consultation was used to identify interventions and the criteria against which they should be assessed. The interventions were measured against these criteria using literature reviews and decision models. Criteria weights were generated using a discrete choice experiment. Fourteen interventions were included in the final ranking. Taxation was ranked as the highest priority. Mass-media campaigns and brief interventions ranked in the top half of interventions. School-based educational interventions, statins and interventions to address mental health problems ranked in the bottom half of interventions. This paper demonstrates that it is possible to incorporate criteria other than cost-effectiveness in the prioritization of public health investment using an MCDA approach. There are numerous approaches available that adopt the MCDA framework. Further research is required to determine the most appropriate approach in different settings.

Item Type: Article
Official URL: http://jpubhealth.oxfordjournals.org/
Additional Information: © 2012 The Author
Library of Congress subject classification: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Journal of Economic Literature Classification System: I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health
Sets: Departments > Social Policy
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Funders: Health England
Date Deposited: 16 Sep 2013 09:55
URL: http://eprints.lse.ac.uk/52610/

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