scholarly journals Treatment preferences among Japanese women with dysmenorrhea: results from a discrete choice experiment study

2018 ◽  
Vol Volume 12 ◽  
pp. 1627-1640 ◽  
Author(s):  
Sayako Akiyama ◽  
Amir Goren ◽  
Enrique Basurto ◽  
Tetsushi Komori ◽  
Tasuku Harada
Author(s):  
Cédric Lanier ◽  
Melissa Dominicé Dao ◽  
Dave Baer ◽  
Dagmar M. Haller ◽  
Johanna Sommer ◽  
...  

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.


2018 ◽  
Vol 110 (4) ◽  
pp. e389 ◽  
Author(s):  
C. Poulos ◽  
A.M. Soliman ◽  
C. Renz ◽  
J. Posner ◽  
M. Bhattacharya ◽  
...  

Rheumatology ◽  
2016 ◽  
Vol 55 (11) ◽  
pp. 1959-1968 ◽  
Author(s):  
Glen S. Hazlewood ◽  
Claire Bombardier ◽  
George Tomlinson ◽  
Carter Thorne ◽  
Vivian P. Bykerk ◽  
...  

2016 ◽  
Vol 46 ◽  
pp. 22-23
Author(s):  
Pete Smith ◽  
Peter Hellings ◽  
Glenis Scadding ◽  
Richard Harvey ◽  
Simon Carney ◽  
...  

Author(s):  
Jeroen Metzemaekers ◽  
M. Elske Akker-van Marle ◽  
Jonathan Sampat ◽  
Mathilde J.G.H. Smeets ◽  
James English ◽  
...  

Objective To study the preferences and risk tolerance of women suffering from deep endometriosis (DE) with bowel involvement when they have to choose between conservative or surgical. Design Labelled Discrete Choice Experiment (DCE). Setting Dutch academic and non-academic hospitals and online recruitment. Population or Sample A total of 169 patients diagnosed with DE of the bowel. Methods Baseline characteristics and the fear for surgery were collected. Women were asked to rank attributes and choose between hypothetical conservative (medication) or surgical treatment in different choice sets (scenarios). Each choice set offered different levels of all treatment attributes. Data were analysed by using multinomial logistic regression. Main Outcome Measures The following attributes; effect/or risk on pain, fatigue, pregnancy, endometriosis lesions, mood swings, osteoporosis, temporary stoma and permanent intestinal symptoms were used in this DCE. Results In the ranking osteoporosis is the least important attribute, while in the DCE, a lower chance of osteoporosis is one of the most important drivers when choosing a conservative treatment. Women with previous surgery show less fear for surgery compared to women without surgery. The low anterior resection syndrome is almost equally important for patients as the chance of pain reduction. Pain reduction has higher importance than improving fertility chances even in women with a future child wish. Conclusions The risk of suffering from LARS as a result of treatment is almost equally important as the reduction of pain symptoms. Women with previous surgery experience less fear for surgery compared to women without a surgical history.


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