Article ID: | iaor19931267 |
Country: | United States |
Volume: | 40 |
Issue: | 6 |
Start Page Number: | 1040 |
End Page Number: | 1052 |
Publication Date: | Nov 1992 |
Journal: | Operations Research |
Authors: | Hall Nicholas G., Hershey John C., Kessler Larry G., Stotts R. Craig |
Keywords: | health services, programming: integer, project management |
This paper describes the development of a model for making project funding at The National Cancer Institute (NCI). The American Stop Smoking Intervention Study (ASSIST) is a multiple-year, multiple-site demonstration project, aimed at reducing smoking prevalence. The initial request for ASSIST proposals was answered by about twice as many states as could be funded. Scientific peer review of the proposals was the primary criterion used for funding decisions. However, a modified Delphi process made explicit several criteria of secondary importance. A structured questionnaire identified the relative importance of these secondary criteria, some of which the authors incorporated into a composite preference function. They modeled the proposal funding decision as a zero-one program, and adjusted the preference function and available budget parametrically to generate many suitable outcomes. The actual funding decision, identified by the present model, offers significant advantages over manually generated solutions found by experts at NCI.