Discrete-choice experiment to measure patient preferences for the surgical management of colorectal cancer
Discrete-choice experiment to measure patient preferences for the surgical management of colorectal cancer
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DOI：
10.1002/bjs.4917
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发表时间：
2005-06-01
影响因子：
9.6
通讯作者：
Short, L
中科院分区：
文献类型：
--
作者：
Salkeld, G;Solomon, M;Short, L
背景：在病人和他或她的外科医生之间建立信任是至关重要的。本研究的目的是评估外科医生和结直肠癌患者之间的“信任属性”的相对重要性。Methods：在澳大利亚悉尼的两所教学医院完成结直肠癌初级治疗的60名男性和43名女性进行了离散选择问卷调查。103例患者中有47例基于单一属性选择手术治疗，其余患者愿意在不同属性之间进行交易。按重要性排序，患者根据专业培训（β系数= 0.83）、外科医生的沟通（β = 0.82）、医院类型（β = 0.72）和决定治疗的人（β = 0.01）选择手术治疗。警惕的患者在他们的决策风格和那些谁没有受过高等教育的更有可能改变他们的喜好在重复interview.Conclusion：临床医生可能有更好的机会，以满足病人的期望的过程中的护理，如果他们评估病人的知识的愿望，给那些没有受过高等教育的人更多的时间来吸收有关他们的治疗信息。
Background: Establishing trust between a patient and his or her surgeon is of paramount importance. The aim of this study was to assess the relative importance of the 'attributes of trust' between surgeon and patient with colorectal cancer.Methods: A discrete-choice questionnaire was conducted with 60 men and 43 women who had completed primary treatment for colorectal cancer in two teaching hospitals in Sydney, Australia.Results: Forty-seven of the 103 patients based their choice of surgical management on a single attribute and the remainder were willing to trade between different attributes. In order of importance, patients based their choice of surgical management on specialty training (beta coefficient = 0.83), surgeon's communication (beta = 0.82), type of hospital (beta = 0.72) and who decides treatment (beta = 0.01). Patients who were vigilant in their decision-making style and those who did not have tertiary education were more likely to change their preferences in the repeat interview.Conclusion: Clinicians may have a better chance of meeting a patient's expectations about the process of care if they assess the patient's desire for knowledge and give those who do not have tertiary education more time to assimilate information about their treatment.