Preference of individuals in the treatment strategies of acute myocardial infarction in China: a discrete choice experiment

Autor: Weiqian Dai, Chang Liu, Jiahe Liu, Yaduan Lin, Yu Cheng, Wai-kit Ming
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Health and Quality of Life Outcomes, Vol 18, Iss 1, Pp 1-10 (2020)
Druh dokumentu: article
ISSN: 1477-7525
DOI: 10.1186/s12955-020-01466-1
Popis: Abstract Background Acute myocardial infarction (AMI) is a significant cause of mortality and morbidity worldwide. Today, with increasing life quality and social economy, people pay much attention to the cost-effectiveness of a treatment strategy. This study investigated the preferences of individuals who would be potential caregivers or patients for AMI treatment in order to provide liable and instructive information for cardiologists and other related physicians. Methods A discrete choice experiment was conducted among people to assess preferences for hypothetical AMI treatment scenarios characterized by the attributes of treatment method, mortality within 5 years, complication rate within 1 year, treatment duration and expense. A conditional logit regression model and latent class analysis were used to interpret the collected data systematically. The relative importance of each attribute and willingness to pay of people on the trade-offs between different treatment strategies were estimated. Results Participants valued mortality within 5 years most highly (average importance: 40.9, 95%CI 0.447–0.530). Three classes of participants were identified: Class 1 placed the most importance on treatment duration, class 2 corresponded with the overall result while expense was regarded as the most important attribute in class 3. Individuals favored an intermediate treatment duration of about 10 days instead of the shortest (95% CI 1.044–1.248, P
Databáze: Directory of Open Access Journals
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