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患者对压力尿失禁治疗的偏好:一个离散选择实验

Dwayne Boyers¹, Mary Kilonzo², Tracey Davidson³

¹Health Economics Research Unit, University of Aberdeen, Aberdeen, UK d.boyers@abdn.ac.uk.

|August 29, 2023

概括

由于压力尿失禁而接受手术的妇女高度重视症状改善和避免并发症. 他们愿意为更短的康复时间和更好的结果付费,这表明患者在治疗决策中的关键偏好.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
卫生经济学卫生经济学
患者报告的结果

背景情况:

压力尿失禁 (SUI) 显著影响女性的生活质量.
对SUI的手术管理选择各不相同,需要了解患者的偏好,以优化治疗选择.

研究的目的:

为了引起和量化患者对与女性SUI手术治疗相关的过程和结果的偏好.
为了确定不同治疗属性的"支付意愿".

主要方法:

对325名成年女性进行了离散选择实验 (DCE) 调查.
该DCE包括40个选择任务,评估对麻醉类型,康复时间,治疗成功,不良事件,日常活动影响和成本的偏好.
分析采用了多项逻辑回归.

主要成果:

受访者优先考虑全身麻醉,更短的恢复,改善SUI症状,避免不良事件.
妇女表示愿意每天支付76英,以缩短恢复时间.
显著的货币价值被分配给症状改善 (高达11,706英) 和避免并发症 (高达-10,632英).

结论:

患者的偏好显示,在SUI手术中对症状改善和避免并发症的评价很高.
缓解症状和不良事件风险之间的权衡是共同决策的关键考虑因素.
导出的支付意愿值可以为SUI治疗的未来成本效益分析提供信息.

关键词:

卫生经济学卫生经济学卫生政策卫生政策手术手术手术手术手术手术手术尿失禁是尿失禁的原因之一.

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