**3.3 Workshop follow-up**

Finally, all participants agreed that the resulting model seemed appropriate to be used for selecting bidding winners in Thai hospitals and that it should be tested in real-life pilot applications. Hence, after the MCDA model has in this workshop been adapted to the Thai hospital decision context by Thai stakeholders from a broad range of healthcare-related institutions, two additional steps are important to ensure applicability in the hospital setting: (1) piloting and validating in real-life decision processes and (2) refinement based on the experiences in the piloting in selected hospitals. Realizing such a pilot application will require involvement of all functions concerned in the specific hospital decision process and their agreement. This will be facilitated through support from the local leader of the initiative.
