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A Unified Framework for the Prioritization of Organ Transplant Patients: Analytic Hierarchy Process, Sensitivity and Multifactor Robustness Study
Author(s) -
Lin Carol S.,
Harris Shan L.
Publication year - 2012
Publication title -
journal of multi‐criteria decision analysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.462
H-Index - 47
eISSN - 1099-1360
pISSN - 1057-9214
DOI - 10.1002/mcda.1480
Subject(s) - analytic hierarchy process , prioritization , robustness (evolution) , computer science , stakeholder , operations research , equity (law) , risk analysis (engineering) , decision maker , hierarchy , management science , economics , medicine , mathematics , market economy , biochemistry , chemistry , management , political science , law , gene
Fair and equitable allocation of donor organs in the USA is a daunting yet necessary task, which can mean the difference between life and death for patients on transplant waiting lists. This paper proposes a multi‐criterion decision‐making model using the analytic hierarchy process to allow for an allocation decision to be made on the basis of urgency, efficiency, benefit and equity. These four perspectives and objectives can be broken down into both quantitative and qualitative measures, which can be easily combined and weighted through group consensus. The proposed model overcomes the limitations of a single type of system, integrates the views of many organ allocation philosophies, improves the decision maker's ability to collaborate, helps justify the decision and reaches the optimal result. In addition, the proposed profile matrix allows decision makers to graphically trade off criteria against each other and to clearly articulate the decision rationale. Our computational study suggests that the proposed model not only satisfactorily serves the objectives of many constituents, but also remains noticeably robust under various criteria‐weight‐change scenarios. It improves stakeholder confidence in the organ allocation procedure, maximizes the usefulness of the organ and enhances welfare to society. Copyright © 2012 John Wiley & Sons, Ltd.