Development of a Transparent Interactive Decision Interrogator to Facilitate the Decision-Making Process in Health Care
2011

Development of a Transparent Interactive Decision Interrogator for Health Care Decisions

publication Evidence: moderate

Author Information

Author(s): Bujkiewicz Sylwia, Jones Hayley E., Lai Monica C.W., Cooper Nicola J., Hawkins Neil, Squires Hazel, Abrams Keith R., Spiegelhalter David J., Sutton Alex J.

Primary Institution: Department of Health Sciences, University of Leicester

Hypothesis

Can a transparent interactive decision interrogator (TIDI) improve the decision-making process in health care?

Conclusion

TIDI successfully facilitates critiques of decision models by decision makers during the NICE appraisal process.

Supporting Evidence

  • TIDI allows decision makers to run advanced statistical models in real time.
  • It enhances the transparency and efficiency of the decision-making process.
  • TIDI was used successfully in the NICE appraisal of tumor necrosis factor-alpha inhibitors.

Takeaway

TIDI is a tool that helps people make better decisions in health care by allowing them to see and change the information used in decision models easily.

Methodology

TIDI was programmed in Visual Basic for applications within Excel, linking decision models developed in R and WinBUGS.

Potential Biases

Potential biases in the decision models may not be fully accounted for, especially in the context of non-technical users.

Limitations

TIDI may not be suitable for very complex models that take too long to execute in real time.

Digital Object Identifier (DOI)

10.1016/j.jval.2010.12.002

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