کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4198508 1609035 2009 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Balancing patient preferences and clinical needs: Community versus hospital based care for patients with suspected DVT
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Balancing patient preferences and clinical needs: Community versus hospital based care for patients with suspected DVT
چکیده انگلیسی

ObjectiveTo establish patients’ preferences and willingness to pay (WTP) for different service models for suspected deep vein thrombosis (DVT).MethodsWe analysed patient responses to a discrete choice experiment (DCE) questionnaire which had been targeted at patients in Leicester, UK.The questionnaire elicited preferences/WTP for attributes of DVT provision including speed of diagnosis; access; continuity of care; and minimizing hospital visits. Additionally we evaluated trade-offs between clinical and service attributes. We analysed responses from 256 patients with suspected DVT (65% response rate).ResultsRespondents are WTP £4.82 per extra hour of dedicated DVT service provision; £17.12 per hospital visit avoided; £115.73 per day’s reduction in diagnostic wait; and £179.32 for ‘much’ not ‘some’ continuity, or £56.88 for ‘some’ not ‘lack’ of continuity in nursing.ConclusionsResearch evaluating different DVT service models usually reports on clinical efficacy in centres of excellence. Results show prompt diagnosis is valued by patients and may improve efficacy by reducing unnecessary anticoagulation. However, patients value ‘process’ measures such as continuity of care also. To ensure optimal provision, clinical benefit measurement ought to be augmented with information on patients’ preferences.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health Policy - Volume 90, Issues 2–3, May 2009, Pages 313–319
نویسندگان
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