Value redefined for inflammatory bowel disease patients: a choice-based conjoint analysis of patients' preferences.
Purpose: Value-based healthcare is an upcoming field. The core idea is to evaluate care based on achieved outcomes divided by the costs. Unfortunately, the optimal way to evaluate outcomes is ill-defined. In this study, we aim to develop a single, preference based, outcome metric, which can be used...
| Publicado en: | Quality of Life Research Vol. 26; no. 2; pp. 455 - 466 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Feb2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121061546&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121061546 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09629343 GPQ jtl: Quality of Life Research issn: 09629343 maglogo: N pubinfo: dt: Feb2017 vid: 26 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 121061546 121061546 143913053 NLM27582169 121061546 10.1007/s11136-016-1398-z NLM27582169 121061546 ppf: 455 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Value redefined for inflammatory bowel disease patients: a choice-based conjoint analysis of patients' preferences. aug: au: Deen, Welmoed Nguyen, Dominic Duran, Natalie Kane, Ellen Oijen, Martijn Hommes, Daniel van Deen, Welmoed K Duran, Natalie E van Oijen, Martijn G H Hommes, Daniel W affil: Division of Digestive Diseases, Center for Inflammatory Bowel Diseases, David Geffen School of Medicine , University of California , Los Angeles USA sug: subj: Patient Satisfaction Statistics and Numerical Data Inflammatory Bowel Diseases Psychosocial Factors Decision Making Female Aged Middle Age Male Aged, 80 and Over Health Care Delivery Adult Quality of Life Aged: 65+ years Middle Aged: 45-64 years Aged, 80 & over Adult: 19-44 years Female Male ab: Purpose: Value-based healthcare is an upcoming field. The core idea is to evaluate care based on achieved outcomes divided by the costs. Unfortunately, the optimal way to evaluate outcomes is ill-defined. In this study, we aim to develop a single, preference based, outcome metric, which can be used to quantify overall health value in inflammatory bowel disease (IBD).Methods: IBD patients filled out a choice-based conjoint (CBC) questionnaire in which patients chose preferable outcome scenarios with different levels of disease control (DC), quality of life (QoL), and productivity (Pr). A CBC analysis was performed to estimate the relative value of DC, QoL, and Pr. A patient-centered composite score was developed which was weighted based on the stated preferences.Results: We included 210 IBD patients. Large differences in stated preferences were observed. Increases from low to intermediate outcome levels were valued more than increases from intermediate to high outcome levels. Overall, QoL was more important to patients than DC or Pr. Individual outcome scores were calculated based on the stated preferences. This score was significantly different from a score not weighted based on patient preferences in patients with active disease.Conclusions: We showed the feasibility of creating a single outcome metric in IBD which incorporates patients' values using a CBC. Because this metric changes significantly when weighted according to patients' values, we propose that success in healthcare should be measured accordingly. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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