Preferences for treatment among adolescents with Type 1 diabetes: a national study using a discrete choice experiment model

2018 ◽  
Vol 35 (5) ◽  
pp. 621-629
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S. Stallknecht ◽  
U. Samuelsson ◽  
C. Marcus ◽  
M. Bøgelund
2018 ◽  
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A. Thankamony ◽  
F. Campbell ◽  
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KRISTEN CHALMERS ◽  
JESSICA L. LEBLANC ◽  
JOYCE YI-FRAZIER ◽  
SEEMA K. SHAH ◽  
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2017 ◽  
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E Geelhoed ◽  
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TW Jones ◽  
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2019 ◽  
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Bruce K. Christensen ◽  
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2019 ◽  
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E van Grinsven ◽  
M van de Haterd ◽  
D van Lankveld ◽  
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2016 ◽  
Vol 18 (2) ◽  
pp. 155-165 ◽  
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Ch.-Markos Dintsios ◽  
Anja Schwalm ◽  
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2021 ◽  
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Anthony C Smith ◽  
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Liam J Caffery

Introduction Telehealth has been shown to improve access to care, reduce personal expenses and reduce the need for travel. Despite these benefits, patients may be less inclined to seek a telehealth service, if they consider it inferior to an in-person encounter. The aims of this study were to identify patient preferences for attributes of a healthcare service and to quantify the value of these attributes. Methods We surveyed patients who had taken an outpatient telehealth consult in the previous year using a survey that included a discrete choice experiment. We investigated patient preferences for attributes of healthcare delivery and their willingness to pay for out-of-pocket costs. Results Patients ( n = 62) preferred to have a consultation, regardless of type, than no consultation at all. Patients preferred healthcare services with lower out-of-pocket costs, higher levels of perceived benefit and less time away from usual activities ( p < 0.008). Most patients preferred specialist care over in-person general practitioner care. Their order of preference to obtain specialist care was a videoconsultation into the patient’s local general practitioner practice or hospital ( p < 0.003), a videoconsultation into the home, and finally travelling for in-person appointment. Patients were willing to pay out-of-pocket costs for attributes they valued: to be seen by a specialist over videoconference ($129) and to reduce time away from usual activities ($160). Conclusion Patients value specialist care, lower out-of-pocket costs and less time away from usual activities. Telehealth is more likely than in-person care to cater to these preferences in many instances.


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