scholarly journals Preferences of gastric cancer survivors for follow-up care—a multicenter discrete choice experiment study

2021 ◽  
Author(s):  
Hui-qin Li ◽  
Hua Yuan ◽  
Guang-ying Wan ◽  
Hui Xue ◽  
Xiu-ying Zhang
Keyword(s):  
Gastric Cancer ◽  
Cancer Survivors ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Experiment Study ◽  
Follow Up Care

scholarly journals Eliciting gastric cancer survivors’ preferences for follow-up services: a discrete choice experiment protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e049742
Author(s):  
Hui-qin Li ◽  
Jin-hua Han ◽  
Hua Yuan ◽  
Guang-ying Wan ◽  
Hui Xue ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Survivors ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Logit Model ◽  
Choice Experiment ◽  
Fractional Factorial ◽  
Discrete Choice Experiments ◽  
Follow Up Care

IntroductionFollow-up care is important for gastric cancer survivors, but follow-up strategies for gastric cancer survivors remain inconsistent, and compliance of gastric cancer survivors with follow-up care is very low. Understanding the needs and preferences of gastric cancer survivors is conducive to developing appropriate and acceptable follow-up strategies, thereby improving patient compliance. Discrete choice experiments can quantify individual needs and preferences. However, to date, there is no discrete choice experiment on the preferences of gastric cancer survivors, and no studies have examined how gastric cancer survivors make choices based on different characteristics of follow-up. This paper outlines an ongoing discrete choice experiment that aims to (1) explore follow-up service-related characteristics that may affect gastric cancer survivors’ choices about their follow-up, (2) elicit how gastric cancer survivors consider the trade-offs among different follow-up service options using discrete choice experiment, (3) determine whether gastric cancer survivors’ needs and preferences for follow-up vary due to the economy, politics, technology and culture in different regions.Methods and analysisSix attributes were developed through a literature review, semistructured interviews and experts and focus group discussions. A fractional factorial design was used to evaluate the interaction between attributes. A multiple logit model will be used to understand the trade-off between the follow-up characteristics of gastric cancer survivors. A mixed logit model will be used to explore the willingness to pay and uptake rate of gastric cancer survivors for follow-up attributes and further explore the preferences of different groups.Ethics and disseminationThis study was approved by the ethics committee of the School of Nursing, Jilin University. The results of this study will be shared through online blogs, policy briefs, seminars and peer-reviewed journal articles and will be used to modify the current strategy of gastric cancer survivors’ follow-up services according to economic development and regional culture.

scholarly journals Preferences of Gastric Cancer Survivors for Follow-up Care---A Multicenter Discrete Choice Experiment Study

2021 ◽  
Author(s):  
Hui-qin Li ◽  
Hua Yuan ◽  
Guang-ying Wan ◽  
Hui Xue ◽  
Xiu-ying Zhang
Keyword(s):  
Gastric Cancer ◽  
Cancer Survivors ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Specialist Nurse ◽  
Multiple Attribute ◽  
Follow Up Care ◽  
Attribute Levels

Abstract Purposes: The purposes of this discrete choice experiment are as follows:1.To investigate the preference of gastric cancer survivors for follow-up care.2.To quantify the importance of follow-up care-related characteristics that may affect the gastric cancer survivors’ choices of their follow-up, so as to provide references for development of the follow-up strategy of gastric cancer survivors.Methods: Discrete choice experimental design principles was applied to develop the survey instrument. All questionnaires were filled out by the respondents and collected on site. A mixed logit model was used to estimate gastric cancer survivors’ preferences. Willingness to pay estimates and simulations of follow-up uptake rates were calculated.Results: All six attributes are significant important for the follow-up care of gastric cancer survivors (p＜0.05). Achieving very thorough follow-up contents was the most valued attribute level (coefficient=1.995). Specialist doctors are the most preferred providers, followed by specialist nurses and gastric cancer survivors were willing to pay more for these attribute levels. Changes in attribute levels affected uptake rate of follow-up. When the multiple attribute levels were changed at the same time, a very thorough follow-up contents provided by the same specialist doctor (specialist nurse), the probability of receiving follow-up increases by 95.82% (94.90%).Conclusions: The characteristics of follow-up care in our study reflect the health management services expectations of gastric cancer survivors. A dedicated specialist nurse involved in follow-up care should be developed to contributes to solve the complex and multifaceted personal needs of gastric cancer survivors.

scholarly journals What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249298
Author(s):  
Sven van Egmond ◽  
Esther de Vries ◽  
Loes Hollestein ◽  
Maarten Bastiaens ◽  
Kees-Peter de Roos ◽  
...  
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Basal Cell ◽  
Choice Experiment ◽  
Latent Class ◽  
Low Risk ◽  
Follow Up Care

Background Follow-up after low-risk basal cell carcinoma (BCC) is being provided more frequently than recommended by guidelines. To design an acceptable strategy to successfully reduce this ‘low-value’ care, it is important to obtain insights into the preferences of patients and dermatologists. Objective To determine the preferences and needs of patients and dermatologists to reduce low-risk BCC follow-up care, and the trade-offs they are willing to make. Methods A questionnaire including a discrete choice experiment was created, containing attributes regarding amount of follow-up, continuity of care, method of providing addition information, type of healthcare provider, duration of follow-up visits and skin examination. In total, 371 BCC patients and all Dutch dermatologists and dermatology residents (n = 620) were invited to complete the questionnaire. A panel latent class model was used for analysis. Results Eighty-four dermatologists and 266 BCC patients (21% and 72% response rates respectively) completed the discrete choice experiment. If the post-treatment visit was performed by the same person as treatment provider and a hand-out was provided to patients containing personalised information, the acceptance of having no additional follow-up visits (i.e. following the guidelines) would increase from 55% to 77% by patients. Female patients and older dermatologists, however, are less willing to accept the guidelines and prefer additional follow-up visits. Limitations The low response rate of dermatologists. Conclusion This discrete choice experiment revealed a feasible strategy to substantially reduce costs, while maintaining quality of care, based on the preferences and needs of BCC patients, which is supported by dermatologists.

scholarly journals How Do Patients Want Us to Use the Computer During Medical Encounters?—A Discrete Choice Experiment Study

2021 ◽  
Author(s):  
Cédric Lanier ◽  
Melissa Dominicé Dao ◽  
Dave Baer ◽  
Dagmar M. Haller ◽  
Johanna Sommer ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Primary Care Physicians ◽  
Skills Training ◽  
Experiment Study ◽  
Visual Contact ◽  
Patient Centered ◽  
Clinical Communication ◽  
French Speaking

Abstract Background Primary care physicians (PCPs) now widely use electronic health records (EHRs) during medical encounters. Experts in clinical communication issued recommendations for a patient-centered use of EHRs. However, they have never been validated by patients themselves. Objective To explore patients’ preferences regarding physicians’ EHR-related behaviors. Design Discrete choice experiment study. Patients French-speaking patients waiting for a medical consultation at two outpatient clinics in Geneva, Switzerland. Main Measures We invited patients to watch videos displaying 2 or 3 variations of four specific EHR-related behaviors and asked them to indicate which one they preferred. EHR-related behaviors were (1) typing: continuous/intermittent/handwriting in biomedical or psychosocial focused consultations; (2) maintaining contact while typing: visual/verbal/both; (3) signposting the use of EHR: with/without; (4) position of physicians’ hands and bust: on the keyboard and towards the patient/away from the keyboard and towards the patient/on the keyboard and towards the screen. Key Results Three hundred thirty-six patients participated (response rate 61.4%). They preferred intermittent typing versus handwriting or continuous typing for biomedical issues (32.7%; 95% CI: 26.0–40.2% vs 31.6%; 95% CI: 24.9–39.0% or 14.9%; 95% CI: 10.2–21.1%) and psychosocial issues (38.7%; 95% CI: 31.6–46.3% vs 24.4% 95% CI: 18.4–31.5% or 17.9%; 95% CI; 12.7–24.4%). They favored visual and verbal contact (38.9%; 95% CI: 31.9–46.3%) over verbal (30.3%; 95% CI: 23.9–37.5%) or visual contact only (11.4%; 95% CI: 7.5–17.1%) while the doctor was typing. A majority preferred signposting the use of EHR versus no signposting (58.9%; 95% CI: 53.5–64.0% vs 34.8%; 95% CI: 29.9–40.1%). Finally, half of the patients (49.7%; 95% CI: 42.0–57.4%) favored the position with the physician’s bust towards the patient and hands away from the keyboard. Conclusions Our study shows that patients’ preferences regarding EHR-related behaviors are in line with most experts’ recommendations. Such recommendations should be more consistently integrated into under- and postgraduate communication skills training.

scholarly journals A discrete choice experiment study of patient preferences regarding treatments for endometriosis-associated pain

2018 ◽  
Vol 110 (4) ◽  
pp. e389 ◽  
Author(s):  
C. Poulos ◽  
A.M. Soliman ◽  
C. Renz ◽  
J. Posner ◽  
M. Bhattacharya ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Patient Preferences ◽  
Choice Experiment ◽  
Experiment Study

scholarly journals Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving

2020 ◽  
Vol 38 (6) ◽  
pp. 633-643 ◽  
Author(s):  
Petra Baji ◽  
Miklós Farkas ◽  
Dominik Golicki ◽  
Valentina Prevolnik Rupel ◽  
Renske Hoefman ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Informal Caregiving ◽  
Experiment Study
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