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Evaluation of pharmaceutical intervention strategies against pandemics in Sweden: a scenario-driven MCDA study
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.ORCID iD: 0000-0002-5391-7598
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.ORCID iD: 0000-0002-2324-1021
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2020 (English)In: Value in Health, ISSN 1098-3015, E-ISSN 1524-4733Article in journal (Refereed) Submitted
Abstract [en]

Objectives: To enhance preparedness for diverse pandemic situations by predicting the performance of alternative pharmaceutical intervention strategies.

Methods: We gathered domain experts and ran a series of decision conferences where a scenario-based MCDA model was interactively defined and implemented. Assuming an influenza pandemic, a microsimulation model was used to estimate societal health impact, a health-economic model was used to estimate economic losses, and expert preferences were elicited to define trade-offs between multiple criteria and synthesize various estimates. Sensitivity analysis to address various forms of uncertainty, along with exploration of inter-scenario robustness of strategies, were also conducted.

Results: Nine intervention strategies, including the baseline "no interventions" strategy, were evaluated and ranked under five pandemic scenarios for Sweden’s population. The strategy prioritising vaccination of children and people in medical risk groups performed most robust across the scenarios.

Conclusions: Scenario-based MCDA approach relying on multiple models for consequences assessment is instrumental in defining robust intervention strategies under deep uncertainty and support decision-making at the pre-pandemic and pandemic situations.

Place, publisher, year, edition, pages
2020.
Keywords [en]
decision intelligence, computational epidemiology, multi-criteria decision analysis, scenario analysis
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health and Social Medicine Computer Systems
Research subject
Computer and Systems Sciences; Epidemiology; Public Health Sciences; Econometrics
Identifiers
URN: urn:nbn:se:su:diva-185796OAI: oai:DiVA.org:su-185796DiVA, id: diva2:1474836
Available from: 2020-10-09 Created: 2020-10-09 Last updated: 2025-02-20
In thesis
1. Handling severe uncertainty in strategic project appraisal: Methods and applications of context analysis
Open this publication in new window or tab >>Handling severe uncertainty in strategic project appraisal: Methods and applications of context analysis
2020 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The long-term success or failure of a strategic project is largely shaped by its context. Therefore, the assessment of the external factors influencing the fulfilment of project long-term goals is vital for the effective project appraisal and planning.

However, many projects are embedded in a complex, dynamic, and multi-stakeholder environment creating a condition of severe uncertainty. These aspects make both the assessment of a project context and the prediction of the outcomes challenging. In the face of these challenges, the overall aim of this thesis is to propose both conceptual thinking and practical approaches for the project context analysis.

To this end, the presented work has adopted a design science research and formal approaches from the fields of systems analysis, risk assessment and decision sciences, to systematically understand the problems of the context analysis, and to develop and evaluate the solutions. This thesis presents novel methods for assessing project context, which have been implemented in the following decision support tools:

• a tool for strategic fit assessment,

• a tool for context factor analysis,

• a tool for corporate reputation risk assessment,

• a toolkit for stakeholder-based impact assessment of a policy,

• a toolkit for assessing intervention strategies in pandemics.

The proposed methods have been applied and evaluated in case-studies within various domains, such as business strategy, development aid, energy policy, and public healthcare. These studies have demonstrated the adequacy and usefulness of the proposed methods for supporting decision making in situations with varying levels of uncertainty. This indicates the potential of the methods to improve the effectiveness of the project appraisal practice.

This research has concluded that a project context is a multi-faceted concept, and, thus, no single method is capable of the comprehensive assessment. Instead, an assembly of specialised but complementary approaches is required to adequately model and assess both the various aspects of the context and the uncertainties of different types.

Place, publisher, year, edition, pages
Stockholm: Department of Computer and Systems Sciences, Stockholm University, 2020. p. 44
Series
Report Series / Department of Computer & Systems Sciences, ISSN 1101-8526 ; 20-013
Keywords
Decision Intelligence, Deep Uncertainty, Scenario Analysis, Multiple Criteria Decision Analysis, Simulation, Context Analysis, Project Appraisal, Risk Assessment, Threat and Opportunity
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Economics and Business Computer and Information Sciences Public Health, Global Health and Social Medicine
Research subject
Computer and Systems Sciences
Identifiers
urn:nbn:se:su:diva-185797 (URN)978-91-7911-328-5 (ISBN)978-91-7911-329-2 (ISBN)
Public defence
2020-11-26, Lilla hörsalen, NOD-huset, Borgarfjordsgatan 12, Kista, 13:00 (English)
Opponent
Supervisors
Available from: 2020-11-03 Created: 2020-10-15 Last updated: 2025-02-20Bibliographically approved

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Talantsev, AntonFasth, TobiasLarsson, Aron

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