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Title: Priority setting for the prevention and control of cardiovascular diseases: multi-criteria decision analysis in four eastern Mediterranean countries
Authors: Ghandour, Rula 
Shoaibi, Azza 
Khatib, Rana 
Abu Rmeileh, Niveen 
Unal, Belgin 
Sozmen, Kaan 
Kılıc, Bulent 
Fouad, Fouad 
Al Ali, Radwan 
Ben Romdhane, Habiba 
Aissi, Wafa 
Ahmad, Balsam 
Capewell, Simon 
Critchley, Julia 
Husseini, Abdullatif 
Keywords: Multiple criteria decision making;Priority setting;Decision making process;Low middle income countries;Cardiovascular system - Diseases
Issue Date: 2014
Publisher: Int J Public Health
Abstract: To explore the feasibility of using a simple multi-criteria decision analysis method with policy makers/ key stakeholders to prioritize cardiovascular disease (CVD) policies in four Mediterranean countries: Palestine, Syria, Tunisia and Turkey. Methods A simple multi-criteria decision analysis (MCDA) method was piloted. A mixed methods study was used to identify a preliminary list of policy options in each country. These policies were rated by different policymakers/ stakeholders against pre-identified criteria to generate a priority score for each policy and then rank the policies. Results Twenty-five different policies were rated in the four countries to create a country-specific list of CVD prevention and control policies. The response rate was 100 % in each country. The top policies were mostly population level interventions and health systems’ level policies. Conclusions Successful collaboration between policy makers/stakeholders and researchers was established in this small pilot study. MCDA appeared to be feasible and effective. Future applications should aim to engage a larger, representative sample of policy makers, especially from outside the health sector. Weighting the selected criteria might also be assessed.
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