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收集医生对医疗器械的偏好:我们做得对吗? 意大利整形外科医生使用2种不同的陈述偏好方法提供证据

Patrizio Armeni¹, Michela Meregaglia¹, Ludovica Borsoi¹

¹Research Centre on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, Milan, Italy.

Medical decision making : an international journal of the Society for Medical Decision Making

|October 14, 2023

概括

在选择新的部或膝盖假肢时,骨科医生优先考虑临床证据和产品质量. 离散选择实验 (DCE) 与最佳-最差缩放 (BWS) 相比,更好地揭示了医生对医疗器械的真正偏好.

科学领域:

卫生经济学卫生经济学
医疗器械评估医疗器械评估
整形外科手术整形外科手术

背景情况:

医生优先项目 (PPI) 是高成本的医疗器械,临床选择对采购产生重大影响.
了解医生偏好对于优化选择关节和膝关节假肢等骨科植入物至关重要.
偏好诱导方法中的响应偏差可能会扭曲结果,需要强大的评估技术.

研究的目的:

确定影响骨科医生选择新关节或膝关节假肢 (PPI) 的关键因素.
为了比较两种声明偏好技术的有效性:最佳-最差缩放 (BWS) 和离散选择实验 (DCE).
调查PPI选择方法中的潜在响应偏差.

主要方法:

一项在线调查对108名意大利骨科医生进行了调查.
采用了两种方法:第一类最佳-最差缩放 (BWS) 和二进制离散选择实验 (DCE).
用条件逻辑和混合逻辑回归模型分析数据,包括支付意愿 (WTP) 估计.

主要成果:

BWS表示"临床证据"和"产品质量"最重要",销售代表关系"和"成本"最不重要.
DCE显示,他们更喜欢具有强有力的临床证据,积极的HTA,负担得起的成本和确定的使用/关系的高质量产品.
在BWS和DCE方法之间,整形外科医生表示的偏好差异很大.

结论:

不同的偏好诱导方法对医生偏好项目 (PPI) 产生不同的结果.
1型BWS可能容易受到默许和社会可取性偏见的影响.
通过结合复杂的权衡,离散选择实验 (DCE) 更有可能捕捉医生对医疗器械的真正偏好,减轻反应偏差.

关键词:

意大利意大利意大利意大利最好的-最糟糕的缩放.离散选择实验是一个实验.卫生技术评估卫生技术评估整形医生整形医生整形医生医生偏好的项目.偏好诱导的诱导方式响应偏差是一种反应偏差.

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