How to use

DMAT can be used to help you make good decisions about health spending priorities now (prospectively), or to judge how well you have made those decisions in the past (retrospectively).  For example, when exploring the participation and consultation domain, you can either make plans to ensure that you engage the appropriate patient groups or you can review how well you did this (and – as such –  so how you might improve next time).

You can answer the questions as an individual or as a group. If you answer as an individual, your own answers alone will be reflected in your report.  You can also answer the questions first as an individual and then afterwards as part of a group. If you proceed down this route, you will be able to see a report that shows any differences between the answers provided.

The domains

DMAT is organised around eight ‘domains’ or areas that contribute to good decisions about health funding, such as the cost-effectiveness of a service. Views about these domains may differ because they reflect sometimes controversial social values, such as what people mean by ‘fairness’. We hope that DMAT provides a structure and process for discussing these things openly.

The eight DMAT domains bring together processes (how things are done) and social values (the quality people – as a society – place importance on) into a single tool. The idea is that both these things play a part in good decision-making about spending priorities in health. In other words, good processes and openly-stated values make decisions more acceptable and understandable.

To complete the tool and generate a report, you must provide a response to the questions in all eight domains. However, if you are unable to answer a question, you can click the ‘Don’t know’ option.

1Institutional setting



4Participation and consultation

5Clinical effectiveness

6Cost effectiveness

7Quality of care


The questions

Each domain contains a number of questions (no more five for each domain) for you to answer as an individual or as a group. When you have finished, your answers are brought together in a visual report.

You can complete the domains in whichever order you like.  You can also check or change your answers to the questions at any time.

Answers are based on a 1-5 scoring system (in which, 1 = Never and 5 = Always).  There are often links between the content of the questions in each domain, so you may wish to view them all before answering each one.  If you feel unable to answer a particular question, you can click the ‘Don’t know’ button.


To help you think about your score for each question, DMAT offers some additional guiding or prompt questions to ask yourself. These are optional, and you may have more – or alternative questions – of your own to consider or discuss with others.

As we continue to develop DMAT, we will review the questions and also how helpful people find the prompt questions. Feedback on this and all aspects of DMAT are very welcome. Please contact the research team via the feedback page on this website.

Go to feedback

The report

When you have answered all the questions, you will be able to see a report which brings the scores together as a spider graph. If you answer ‘Don’t know’ to all the questions in a domain, this section will be left blank on the graph.

If you answer the questions individually and as a group, you will be able to compare the two sets of results and see how they differ.