下肢骨折后患者对物理治疗方案的偏好:一个离散选择实验
Natasha S McKibben1, Lucas S Marchand2, Haley K Demyanovich1
1Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
BMJ open
|October 5, 2023
概括
患者优先考虑下肢骨折后的运动恢复,并表示愿意为恢复受伤前功能的物理治疗支付更多费用. 这些发现有助于设计以患者为中心的康复计划.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 卫生经济学 卫生经济学
背景情况:
- 下肢骨折需要广泛的物理治疗,以获得最佳的恢复.
- 了解患者的偏好对于有效和个性化的康复策略至关重要.
研究的目的:
- 量化患者在下肢骨折后对物理治疗计划的偏好.
- 确定影响这些偏好的患者特定因素.
主要方法:
- 进行了一项离散选择实验,对151名成年患者进行了手术治疗,以治疗下肢骨折.
- 患者评估假设情景,比较成本,流动性,疼痛,治疗时间和治疗环境.
- 一个多项逻辑模型分析了每个属性的相对重要性和支付意愿.
主要成果:
- 运动恢复是最有价值的属性 (45%),其次是成本 (23%) 和长期疼痛 (19%).
- 患者愿意支付每次额外142美元以改善移动性和72美元以减少疼痛.
- 在女性,老年人,有高等教育的人和来自较不贫困地区的人中,愿意为流动性付费的意愿更高.
结论:
- 患有下肢骨折的患者非常重视恢复行动能力.
- 支付物理治疗费用的财务意愿与获得受伤前的流动性水平有关.
- 这些来自患者的偏好可以为术后物理治疗干预的设计和处方提供信息.
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