scholarly journals Decision Tool of Medical Endoscope Maintenance Service in Chinese Hospitals: A Conjoint Analysis

2021 ◽  
Author(s):  
Jun Zheng ◽  
Jingming Wei ◽  
Ying Xie ◽  
Siyao Chen ◽  
Jun Li ◽  
...  
Keyword(s):  
Decision Making ◽  
Medical Device ◽  
Conjoint Analysis ◽  
Medical Staff ◽  
Medical Institution ◽  
Cross Sectional Survey ◽  
Attribute Importance ◽  
Medical Endoscope ◽  
Tertiary Hospitals ◽  
Maintenance Service

Abstract Background: Quality and cost of medical device maintenance are dominant factors influencing hospitals’ decision in choosing medical endoscope products. Effective and efficient medical device maintenance are also paramount for providing cost-effective and high quality of medical care. This research aims to facilitate decision-making at hospitals in choosing the suitable endoscope device and the associated maintenance service; it also aims to facilitate decision-making at suppliers to develop the right products and services to fulfill customer demands.Methods: A cross-sectional survey was undertaken in 50 Chinese hospitals, including primary and tertiary hospitals. Moreover, 65 medical staff and 56 medical engineers were recruited from 50 Chinese hospitals. A comprehensive set of attributes were defined and investigated. Conjoint analysis and orthogonal design were used for survey design and statistical analysis. Results: Attribute importance and utility values of decision-making factors were analyzed at the aggregate, occupation, and medical institution levels. (1) At the aggregate level, the most critical factor is "maintenance response" and the least important one is "maintenance efficiency". (2) At the occupation level, medical staff paid more attention to "maintenance response" and medical engineers paid more attention to "maintenance quality". (3) At the medical institution level, Primary hospitals paid more attention to "maintenance price", while tertiary hospitals paid more attention to "maintenance quality". Conclusions: In general, this study provides a more scientific decision-making tool to both hospitals in choosing maintenance service of medical equipment such as endoscopy, and it also helps manufacturers and suppliers improve the after-sales service.

scholarly journals A Conjoint Analysis of Preferences on Medical Endoscope After-sales Service

2021 ◽  
Author(s):  
Jun Zheng ◽  
Jingming Wei ◽  
Ying Xie ◽  
Siyao Chen ◽  
Jun Li ◽  
...  
Keyword(s):  
Conjoint Analysis ◽  
Delphi Study ◽  
Medical Staff ◽  
Orthogonal Design ◽  
Service Level ◽  
Medical Institution ◽  
Aggregate Level ◽  
Attribute Importance ◽  
Medical Endoscope ◽  
Utility Values

Abstract Background: Medical endoscope instruments are minimally invasive, and they are widely used to investigate symptoms or help to perform certain types of surgery. This study investigates and defines a comprehensive set of attributes, to measure the after-sales service of medical endoscopes. The set of attributes help customers communicate their real needs with suppliers, and guide suppliers to develop the right products and services to fulfil customer demands. Methods: Based on literature review and the findings from the Delphi study, we identified 5 factors (attributes) that best described the expectations on the after-sales service of medical endoscopes. Using conjoint analysis, a set of 16 combinations (also named as cards or profiles) of the factor levels were generated in orthogonal design and used to develop the questionnaire. We administered the cards to 65 medical staff and 56 medical engineers across 50 Chinese hospitals, asking them to assign a preference score to each card. The utility value of each factor level was estimated and attribute importance values were obtained.Results: Attribute importance and utility values of factor levels were analysed at the aggregate level, occupation level, and medical institution level. (1) At the aggregate level, the five attributes were ranked in the order of importance values, the most important one is “maintenance response” and the least important is “maintenance efficiency”. (2) Medical staff and medical engineers ranked the five attributes in the same order. However, medical staff paid more attention to "maintenance response" and medical engineers paid more attention to "maintenance quality". (3) At the medical institution level, primary hospitals paid more attention to "maintenance price", while tertiary hospitals paid more attention to "maintenance quality".Conclusions: In this study, the utility values and attribute importance that affected the after-sales service level of medical endoscopes were obtained using conjoint analysis. The research results were consistent with the actual market situation of medical endoscope service. In general, this study provides a more scientific solution for hospitals in choosing after-sales service of medical equipment, and it also helps manufacturers and suppliers improve the after-sales service.

scholarly journals A Conjoint Analysis of Preferences on Medical Endoscope After-sales Service

2020 ◽  
Author(s):  
Jun Zheng ◽  
Jingming Wei ◽  
Ying Xie ◽  
Siyao Chen ◽  
Jun Li ◽  
...  
Keyword(s):  
Conjoint Analysis ◽  
Delphi Study ◽  
Medical Staff ◽  
Orthogonal Design ◽  
Service Level ◽  
Medical Institution ◽  
Aggregate Level ◽  
Attribute Importance ◽  
Medical Endoscope ◽  
Utility Values

Abstract Background: Medical endoscope instruments are minimally invasive, and they are widely used to investigate symptoms or help to perform certain types of surgery. This study investigates and defines a comprehensive set of attributes, to measure the after-sales service of medical endoscopes. The set of attributes help customers communicate their real needs with suppliers, and guide suppliers to develop the right products and services to fulfil customer demands. Methods: Based on literature review and the findings from the Delphi study, we identified 5 factors (attributes) that best described the expectations on the after-sales service of medical endoscopes. Using conjoint analysis, a set of 16 combinations (also named as cards or profiles) of the factor levels were generated in orthogonal design and used to develop the questionnaire. We administered the cards to 65 medical staff and 56 medical engineers across 50 Chinese hospitals, asking them to assign a preference score to each card. The utility value of each factor level was estimated and attribute importance values were obtained.Results: Attribute importance and utility values of factor levels were analysed at the aggregate level, occupation level, and medical institution level. (1) At the aggregate level, the five attributes were ranked in the order of importance values, the most important one is “maintenance response” and the least important is “maintenance efficiency”. (2) Medical staff and medical engineers ranked the five attributes in the same order. However, medical staff paid more attention to "maintenance response" and medical engineers paid more attention to "maintenance quality". (3) At the medical institution level, primary hospitals paid more attention to "maintenance price", while tertiary hospitals paid more attention to "maintenance quality".Conclusions: In this study, the utility values and attribute importance that affected the after-sales service level of medical endoscopes were obtained using conjoint analysis. The research results were consistent with the actual market situation of medical endoscope service. In general, this study provides a more scientific solution for hospitals in choosing after-sales service of medical equipment, and it also helps manufacturers and suppliers improve the after-sales service.

scholarly journals Individual Value Clarification Methods Based on Conjoint Analysis: A Systematic Review of Common Practice in Task Design, Statistical Analysis, and Presentation of Results

2018 ◽  
Vol 38 (6) ◽  
pp. 746-755 ◽  
Author(s):  
Marieke G.M. Weernink ◽  
Janine A. van Til ◽  
Holly O. Witteman ◽  
Liana Fraenkel ◽  
Maarten J. IJzerman
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Conjoint Analysis ◽  
Decision Aids ◽  
Clinical Decision ◽  
Task Design ◽  
Shared Decision ◽  
Attribute Importance ◽  
Barriers To Implementation ◽  
Choice Tasks

Background. There is an increased practice of using value clarification exercises in decision aids that aim to improve shared decision making. Our objective was to systematically review to which extent conjoint analysis (CA) is used to elicit individual preferences for clinical decision support. We aimed to identify the common practices in the selection of attributes and levels, the design of choice tasks, and the instrument used to clarify values. Methods. We searched Scopus, PubMed, PsycINFO, and Web of Science to identify studies that developed a CA exercise to elicit individual patients’ preferences related to medical decisions. We extracted data on the above-mentioned items. Results. Eight studies were identified. Studies included a fixed set of 4–8 attributes, which were predetermined by interviews, focus groups, or literature review. All studies used adaptive conjoint analysis (ACA) for their choice task design. Furthermore, all studies provided patients with their preference results in real time, although the type of outcome that was presented to patients differed (attribute importance or treatment scores). Among studies, patients were positive about the ACA exercise, whereas time and effort needed from clinicians to facilitate the ACA exercise were identified as the main barriers to implementation. Discussion. There is only limited published use of CA exercises in shared decision making. Most studies resembled each other in design choices made, but patients received different feedback among studies. Further research should focus on the feedback patients want to receive and how the CA results fit within the patient–physician dialogue.

Do consumers know what they want?

2001 ◽  
Vol 18 (5) ◽  
pp. 437-448 ◽  
Author(s):  
Hernan Riquelme
Keyword(s):  
Decision Making ◽  
Mobile Phone ◽  
Conjoint Analysis ◽  
Predictive Power ◽  
Model Comparison ◽  
Analysis Model ◽  
Attribute Importance ◽  
Product Attribute ◽  
Self Knowledge

Predicting one’s own decision‐making policies is evidently a useful skill. How good are consumers at it? In spite of its importance, the question has not been much studied directly, although hints can be found in several parts of the literature. This article describes an experiment that identifies how much knowledge consumers have about an important purchase: a mobile phone. A total of 94 consumers provided ratings of the importance of six attributes and preference for several choices of mobile phone plans that were advertised in the market. Consumers’ self‐knowledge was assessed by three methods: comparing the product attribute importance derived from the subject’s model with the attribute importance derived from a conjoint analysis model; comparison of predicted judgments generated by the subject’s model with their holistic judgments; and comparison of the actual purchase of a mobile phone with the prediction generated by the subject’s model. Results show that consumers have a relatively good predictive power of a product they have chosen. However, this knowledge is not perfect. The results have important implications for companies that collect information about preferences from consumers.

Knowledge, Attitudes and associated factors to Use District Health Information System (DHIS2 data) for decision making among health professionals in a Resource limited settings: Cross-sectional Survey (Preprint)

2020 ◽  
Author(s):  
Shuma Gosha Kanfe ◽  
Nebyu Demeke Mengiste ◽  
Mohammedjud Hassen Ahmed ◽  
Gebiso Roba Debele ◽  
Berhanu Fikadie Endehabtu
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Associated Factors ◽  
Good Knowledge ◽  
Cross Sectional Survey ◽  
District Health ◽  
Cross Sectional ◽  
Determinant Factors ◽  
Knowledge And Attitudes ◽  
Health Need

BACKGROUND Evidence based practice is a key to increase effectiveness and efficiency of quality health services. To achieve this, utilization of health facility data (DHIS2 data) is required which is determined by knowledge and attitudes of health professionals. Thus, this study aimed to assess knowledge and attitudes of health professionals to use DHIS2 data for decision making. OBJECTIVE This study aimed to assess the knowledge, attitudes and its associated factors among health professionals to use DHIS2 data for decision making at South west of Ethiopia 2020 METHODS Cross sectional quantitative study methods was conducted to assess Knowledge and Attitudes of health professionals to use DHIS2 data. A total of 264 participants were approached. SPSS version 22 software was used for data entry and analysis. Descriptive and analytical statistics including Bivariable and Multivariable analyses was done RESULTS Overall 130(49.2%) of the respondents had good knowledge to use DHIS2 data (95% CI: [43, 55.3]), whereas over 149 (56.4%) of the respondents had favorable attitudes towards the use of DHIS2 data for decision making purpose (95% CI: [53.2, 59.8]). Skills [AOR=2.20,95% CI:(1.16, 4.19)], Age [AOR= 1.92, 95% CI: (1.03, 3.59)] ,Resources[AOR=2.56, 95% CI:(1.35,4.86)], Staffing[AOR= 2.85, 95% CI : (1.49, 5.48)] and Experiences[AOR= 4.66, 95% CI: (1.94, 5.78)] were variables associated with knowledge to use DHIS2 data whereas Training [AOR= 5.59, 95% CI: (2.48, 5.42)], Feedback [AOR= 4.08, 95% CI: (1.87, 8.91)], Motivation [AOR=2.87, 95% CI: (1.36, 6.06)] and Health need [AOR=2.32, 95% CI: (1.10-4.92)] were variables associated with attitudes of health professionals to use DHIS2 data CONCLUSIONS In general, about half of the study participants had good knowledge of DHIS2 data utilization whereas more than half of respondents had favorable attitudes. Skills, resources, ages, staffing and experiences were the most determinant factors for the knowledge to use DHIS2 data whereas health need, motivation, feedback and training were determinant factors for attitudes to use DHIS2 data

scholarly journals Public knowledge, preferences and experiences about medical substitute decision-making: a national cross-sectional survey

2021 ◽  
pp. bmjspcare-2020-002619
Author(s):  
Marcus Sellars ◽  
Julien Tran ◽  
Linda Nolte ◽  
Ben White ◽  
Craig Sinclair ◽  
...  
Keyword(s):  
Decision Making ◽  
Online Survey ◽  
Public Knowledge ◽  
Cross Sectional Survey ◽  
Medical Decisions ◽  
Cross Sectional ◽  
Minimal Support ◽  
Substitute Decision Maker ◽  
Final Sample ◽  
Advance Care

ObjectiveTo describe the Australian adult public’s knowledge and experiences regarding substitute decision-making for medical decisions and their preferences for obtaining information about the substitute decision-maker (SDM) role.MethodsThis is a national cross-sectional online survey of the Australian adult public. The survey examined participants’ advance care planning (ACP) awareness and experience, SDM experiences and preferences for obtaining more information about SDM, and participant knowledge about SDM.ResultsOf 1586 people who opened the survey, 1120 (70.6%) were included in the final sample. 13% (n=142) of participants indicated they had acted as an SDM. A median score of two correct responses out of five showed low to moderate knowledge about the SDM role among all participants, with only 33% reporting awareness of SDM laws existing in Australia. While most (59%) participants ranked a health professional as their preferred source of obtaining information about supporting SDMs, few participants who had been an SDM (n=64, 45%) reported obtaining any support in making medical decisions. The median SDM knowledge scores for people who had discussed ACP (3.0 vs 2.0, U=1 45 222, z=6.910, p<0.001), documented their ACP preferences (3.0 vs 2.0, U=71 984, z=4.087, p<0.001) or acted in the SDM role (3.0 vs 2.0, U=56 353, z=−3.694, p<0.001) were significantly higher compared with those who had not.ConclusionsThe Australian public may have low to moderate knowledge about the SDM role and access only minimal support when making challenging medical decisions.

scholarly journals Psychological impact and implementation of preventative measures in hemodialysis centers during the COVID-19 pandemic: a provincial questionnaire survey in China

2021 ◽  
Author(s):  
Yuanhan Chen ◽  
Yanhua Wu ◽  
Penghua Hu ◽  
Xia Fu ◽  
Shuangxin Liu ◽  
...  
Keyword(s):  
Rural Areas ◽  
Questionnaire Survey ◽  
Medical Staff ◽  
Psychological Impact ◽  
Guangdong Province ◽  
Psychological Status ◽  
Staff Members ◽  
Preventative Measures ◽  
Tertiary Hospitals ◽  
Novel Coronavirus

Abstract Objectives This study investigated the psychological status of patients and staff, and the implementation of preventative measures in hemodialysis centers in Guangdong province, China, during the 2019 novel coronavirus disease (COVID-19) pandemic. Methods An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. The questionnaires were designed to investigate the psychological status of hemodialysis patients and general staff members (doctors, nurses, technicians, and other staff), and to address the implementation of preventative measures for administrators (directors or head nurses) of the hemodialysis centers. Results A total of 1782 patients, 3400 staff, and 420 administrators voluntarily participated in this survey. Patients living in rural areas reported a higher incidence of severe anxiety compared to those living in other areas (in rural areas, towns, and cities, the incidence rate was 17.0%, 9.0%, and 8.9%, respectively, P < 0.001). Medical staff were less likely to worry about being infected than non-medical staff (13.1% vs 30.3%, respectively, P < 0.001). With respect to the implementation of preventative measures, hemodialysis centers in general hospitals outperformed stand-alone blood purification centers, while tertiary hospitals outperformed hospitals of other levels. However, restrictions regarding the admission of non-resident patients were lower in tertiary hospitals than in other hospitals. In this situation, only one patient imported from Hubei province was diagnosed with COVID-19. Conclusions COVID-19 did not significantly affect the psychological status of most patients and medical staff members. Due to the implementation of comprehensive preventative measures, there were no cluster outbreaks of COVID-19 in hemodialysis centers. This provincial-level survey may provide referential guidance for other countries and regions that are experiencing a similar pandemic.

scholarly journals Determinants of successful guideline implementation: a national cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying-hui Jin ◽  
Li-Ming Tan ◽  
Khalid S. Khan ◽  
Tong Deng ◽  
Chao Huang ◽  
...  
Keyword(s):  
Guideline Development ◽  
Guideline Implementation ◽  
Medical Specialty ◽  
Cross Sectional Survey ◽  
The West ◽  
Cross Sectional ◽  
Adherence To Guidelines ◽  
Multi Stage ◽  
Geographical Regions ◽  
Tertiary Hospitals

Abstract Background CPGs are not uniformly successful in improving care and several instances of implementation failure have been reported. Performing a comprehensive assessment of the barriers and enablers is key to developing an informed implementation strategy. Our objective was to investigate determinants of guideline implementation and explore associations of self-reported adherence to guidelines with characteristics of participants in China. Methods This is a cross-sectional survey, using multi-stage stratified typical sampling based on China's economic regional divisions (the East, the Middle, the West and the Northeast). 2–5 provinces were selected from each region. 2–3 cities were selected in each province, and secondary and tertiary hospitals from each city were included. We developed a questionnaire underpinned by recommended methods for the design and conduct of self-administered surveys and based on conceptual framework of guideline use, in-depth related literature analysis, guideline development manuals, related behavior change theory. Finally, multivariate analyses were performed using logistic regression to produce adjusted odds ratios (OR) and 95% confidence intervals (95% CI). Results The questionnaire consisted of four sections: knowledge of methodology for developing guidelines; barriers to accessing guideline; barriers to guideline implementation; and methods for improving guideline implementation. There were 1732 participants (87.3% response rate) from 51 hospitals. Of these, 77.2% reported to have used guidelines frequently or very frequently. The key barriers to guideline use were lack of education or training (46.2%), and overly simplistic wording or overly broad scope of recommendations (43.8%). Level of adherence to guidelines was associated with geographical regions (the northeast P < 0.001; the west P = 0.02; the middle P < 0.001 compared with the east), hospital grades (P = 0.028), length of practitioners’ practice (P = 0.006), education background (Ph.D., P = 0.027; Master, P = 0.002), evidence-based medicine skills acquired in work unit (P = 0.012), and medical specialty of practitioner (General Practice, P = 0.006; Surgery, P = 0.043). Conclusion Despite general acknowledgement of the importance of guidelines, the use of guidelines was not as frequent as might have been expected. To optimize the likelihood of adherence to guidelines, guideline implementation should follow an actively developed dissemination plan incorporating features associated with adherence in our study.

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