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Eliciting Preferences in Dentistry with Multiattribute Stated Preference Methods: A Systematic Review.

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Preference experiments in dentistry are gaining popularity to understand patient values. This review critically examines their use, highlighting the need for well-designed studies to improve patient care.

Keywords:
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Area of Science:

  • Health Services Research
  • Dental Public Health
  • Behavioral Economics

Background:

  • Preference experiments are crucial for understanding patient and stakeholder values in healthcare.
  • While gaining traction in dentistry, the quality and scope of these methods require evaluation.

Purpose of the Study:

  • To systematically review and critique the application of multiattribute stated preference experiments in dentistry.
  • To illustrate the use of these methods in eliciting preferences for dental services, treatments, and health states.

Main Methods:

  • Conducted a systematic literature search across multiple databases (PubMed, Econlit, Ovid, Embase, etc.) and gray literature.
  • Included studies eliciting preferences from patients, the public, and dental professionals regarding dental care aspects.
  • Assessed study quality using a 10-point checklist from the International Society of Pharmacoeconomics and Outcomes Research.

Main Results:

  • Identified 12 relevant studies published between 1999 and 2015, primarily in non-dental journals.
  • Studies originated from high-income countries and utilized discrete choice experiment methods.
  • Reported quality scores varied widely, ranging from 53% to 100%.

Conclusions:

  • Multiattribute stated preference experiments are increasingly utilized in dentistry, necessitating a clear understanding of their methodologies and outputs.
  • Effective design and interpretation of these studies are vital for enhancing patient care and informing treatment planning.
  • Valuation of health states and willingness-to-pay estimates are critical for resource allocation and economic evaluations in dentistry.