Baseline characteristics and treatment preferences of oral surgery patients
| Autor: | Thomas R. Belin, Melanie W. Gironda, Claudia Der-Martirosian, Stuart O. Schweitzer, Kathryn A. Atchison, Richard Leathers, Edward E. Black, Alan L Felsenfeld |
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| Rok vydání: | 2006 |
| Předmět: |
Molar
Adult Employment Male medicine.medical_specialty Urban Population Oral surgery Mandibular fracture Oral Surgical Procedures Dentistry Choice Behavior Article Treatment and control groups Sex Factors Willingness to pay Internal medicine Mandibular Fractures medicine Humans business.industry Age Factors Hispanic or Latino Patient Acceptance of Health Care medicine.disease Los Angeles Preference Black or African American Otorhinolaryngology Socioeconomic Factors Baseline characteristics Tooth Extraction Educational Status Surgery Female Molar Third Oral Surgery business Epidemiologic Methods Psychosocial Bone Wires |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 65(12) |
| ISSN: | 1531-5053 |
| Popis: | Purpose Patient preferences for treatment choices may depend on patient characteristics. Using standard gamble (SG) and willingness to pay (WTP), this study compares preferences for treatment of mandibular fracture among patients in a low-income urban area. Patients and Methods Surveys of African-American and Hispanic adults receiving treatment at King/Drew Medical Center for either mandibular fracture (n = 98) or third molar removal (n = 105) were used to investigate differences in patient characteristics across treatment groups (third molar vs fracture) and treatment preference (wiring vs surgery). Results The fracture patients were willing to pay more to restore function without scarring or nerve damage than were the third molar patients. Patients who chose surgery were willing to accept a greater risk of possible nerve damage or scarring than those who chose wiring. Among 15 potential predictors of SG and WTP studied in 4 subgroups defined by actual treatment and treatment preference, significant predictors varied, with associations for education and clinical experience for SG and associations with income and psychosocial predictors for WTP. Conclusions SG and WTP capture different domains of health values in patients. There is considerable heterogeneity in relationships among patient characteristics and patient preferences across subgroups defined by actual treatment and treatment preferences. |
| Databáze: | OpenAIRE |
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