Multicriteria approach for allocation of financial resources in the area of health care

For some years, the Quebec Health and Welfare Ministry allocates annual funds Sot specific development programs in different administrative regions of Quebec, Canada. Equitable allocation of these budgets to different social establishment of a given administrative region becomes complex. Ii depends on the populations to serve and on the health of these populations. In response to that problematic, ave have developped a merited which relies oil the notion of ''global health'' to maintain equitable allocation. It soon appeared that several points of view had to be considered and that the toe of a multicriteria decision aid method, in a constructive approach was well-adapted to this problem. This ''constructive'' aspect of our approach was very important here because of the political context of that problematic. In this paper we related how modifications of the AHP and PROMETHEE methods were used. We describe how the criteria were defined and how the weights were obtained through the application of that methodology to the program ''personnes agees en perte d'autonomie''. Finally, we summarize how real-world decision makers accepted the method.