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Searching for Consensus Through Multicriteria Decision Analysis

Assessment of Screening Strategies for Hemoglobinopathies in Southeastern France

Published online by Cambridge University Press:  10 March 2009

Catherine Le Gales  and
Jean-Paul Moatti
Catherine Le Gales
Affiliation:
INSERM
Jean-Paul Moatti
Affiliation:
INSERM
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Abstract

Until now, no systematic strategy for the prevention of major hemoglobinopathies has been implemented in southeastern France, in spite of frequencies of β-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 significatively from those of a pure costeffectiveness analysis, but a multicriteria approach seems best suited to medical experts' preferences.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 6 , Issue 3 , April 1990 , pp. 430 - 449
Copyright
Copyright © Cambridge University Press 1990

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