Views of glaucoma patients on provision of follow-up care; an assessment of patient preferences by conjoint analysis
Views of glaucoma patients on provision of follow-up care; an assessment of patient preferences by conjoint analysis
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DOI：
10.1136/bjo.2008.140483
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发表时间：
2008-12-01
影响因子：
4.1
通讯作者：
King, A. J.
中科院分区：
文献类型：
--
作者：
Bhargava, J. S.;Bhan-Bhargava, A.;King, A. J.
目的：确定青光眼患者对提供青光眼随访服务的偏好，检查患者对提供青光眼随访服务的地点、途径和人员的偏好。方法：在青光眼门诊接受随访检查的100例患者接受了基于访谈的评估，在此期间，他们完成了视觉功能问卷调查和青光眼随访护理方案的排序。计算了联合分析方案包中提供的护理方面的偏好百分比，并为方案设计中包含的每个因素水平生成效用值。结果：出行时间和卫生专业人员的培训是患者最重要的选择因素（占60%以上）。每个因素都会产生效用分数，对患者来说，更短的旅行时间和医生的检查是最重要的特征。住在离医院最远的地方并有严重视力障碍的患者认为，完成一次发作的就诊次数是一个重要特征。结论：青光眼患者在接受随访时，理想的情况是走一段较短的距离，并能被医生看到。
Aims: To determine patients' preferences for provision of glaucoma follow-up services examining preferences for location, access and personnel for delivery of this care.Methods: 100 patient patients attending the glaucoma outpatient clinic for follow-up review underwent an interview-based assessment during which they completed the visual function questionnaire 25 and ranking of scenario options for provision of follow-up care for their glaucoma. Percentage preferences for aspects of care offered in the conjoint analysis scenario packages and generation of utility values for each of the factor levels included in the scenario design were calculated.Results: Travel time and training of health professional were the most important factors for patients (accounting for over 60%) of their preference. Utility scores were generated for each factor, with shorter travel time and examination by a doctor being the most important features to the patients. Patients who lived furthest from the hospital and had severe visual disability considered the number of visits to complete an episode to be an important feature.Conclusion: Patients ideally would like to travel a short distance and be seen by a doctor when being followed up for their glaucoma.