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Are patients willing to accept longer travel times to decrease their risk associated with surgical procedures? A

Stefanie Bühn1, Jakob Holstiege2, Dawid Pieper3

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Patients often prioritize local hospitals for surgery, even when regional facilities offer lower risks. Decision-making involves factors beyond rational risk and distance, indicating complex patient preferences for surgical care location.

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Area of Science:

  • Healthcare Decision-Making
  • Patient Preferences
  • Surgical Outcomes

Background:

  • Hospital distance influences patient choices for surgical procedures.
  • Uncertainty exists regarding patient willingness to travel for lower surgical risks at regional hospitals.
  • Systematic review to examine patient preferences for care location considering surgical outcomes and hospital proximity.

Purpose of the Study:

  • Investigate patient preferences for hospital location in elective surgery.
  • Analyze the trade-offs between surgical risk and travel distance.
  • Identify factors influencing patient decisions on where to undergo surgery.

Main Methods:

  • Systematic review of experimental choice studies.
  • Searched MEDLINE (PubMed), EconLit, PsycInfo, and EMBASE databases.
  • Extracted data on participant willingness to travel for lower surgical risk and associated decision factors.

Main Results:

  • Majority of patients preferred traveling longer distances for reduced surgical risk.
  • A subset of participants consistently chose local hospitals regardless of regional risk reduction.
  • Older age and lower educational attainment correlated with higher risk tolerance for local surgery.

Conclusions:

  • Patient willingness to travel for lower surgical risk is complex and not straightforward.
  • Hospital choice involves factors beyond rational risk assessment and distance.
  • Patient decision-making integrates multiple considerations when selecting a surgical care location.