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The Decision Making Audit TOOL


This decision tool can help you found out how well organisations are making decisions on your behalf

What is the DMAT ?

Many countries are introducing ways to prioritise health services which involves making difficult decisions concerning who gets (and who does not get) health interventions. Priority setting requires technical judgements of clinical effectiveness (what works) and cost effectiveness (is it worth the money). But these judgements are embedded in a wider set of social (societal) value judgements that underlie justifiable reasoning about priorities, including fairness, responsiveness to need and nondiscrimination and obligations of accountability and transparency.  We have been exploring how to make sure that institutions approach this in a fair and robust manner. At a workshop in london (see research page on this website) we have developed a social values framework that has been converted into a decision making audit tool (the DMAT).   See attachment below for  its content values. Working with a design company we have now created an interactive digital online version which consists of a series of questions that will allow internal and external audit of how an institution is incorporating values into its decision making 

How can you use it  ?

Use it as an educational support in group work

The online DMAT is designed to be used by anyone interested in how an organisation has made a health prioritisation decision that interests them eg a new service is being introduced or one is being closed  down.The detailed instructions are in the DMAT itself ( click on button below)It is free but you will need to register your email address so that you can come back to your analysis later. It is a prototype so we are keen to hear from you if you have used it and also if you have any suggestions on how to improve it 

The DMAT can be used by individuals or as a group. It can be used as part of an education session where different people are assessing the same institution and then you can discuss any results that seem to show variation in the values that an organisation bases its decisions on. Organisations may want to do it as a Board or Executive team and then compare results over time to see if there has been any improvement. Instructions on how to register as a group are in the DMAT itself. The DMAT is a prototype and we would be keen to hear from you when you use it and if you have any suggestions on how it can be improved

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