Examines correlates and associated outcomes of patient communication and patient preferences for communication with physicians about cardiopulmonary resuscitation and prolonged mechanical ventilation.
RESEARCH DESIGN AND METHODS We searched the PubMed, Embase, CINAHL, and EconLit databases for articles published on or before 23 January 2013. We included English-language studies of adult patients with type 2 diabetes that assessed patient preferences for diabetes medication treatment. Titles, abstracts, and articles were reviewed by at least two independent reviewers. Study data and quality were abstracted with standard protocols. Read More. ...
Background: In response to 2012 guidance in which the US Food and Drug Administrations (FDA) Center for Devices and Radiological Health (CDRH) stated the importance of patient-centric measures in regulatory benefit-risk assessments, the Medical Device Innovation Consortium (MDIC) initiated a project. The project was used to develop a framework to help the Food and Drug Administration (FDA) and industry sponsors understand how patient preferences regarding benefit and risk might be integrated into the review of innovative medical devices.
In the Conjoint Analysis (COA) model proposed here - a new approach to estimate more than one response function-an extension of the traditional COA, the polytomous response variable (i.e. evaluation of the overall desirability of alternative product profil...
Nearly every CBC and MaxDiff project fielded today involves multiple versions (blocks) of the experimental design plan. If an unequal number of respondents completes each version, does this cause much practical consequence? Keith Chrzan investigates this question using carefully simulated respondent data (imitating patterns of preference from real CBC and MaxDiff studies) and concludes that even cases of extremely imbalanced incidence across versions poses no trouble for true parameter recovery. A caveat is that Keiths simulations cannot account for potential psychological order and context biases, which the author discusses and invites other researchers to investigate.. Download PDF View in new window ...
A suite of interconnected and easy-to-use information collection and analysis tools, including online surveys, mobile data collection, advanced analytics and data visualization.
A suite of interconnected and easy-to-use information collection and analysis tools, including online surveys, mobile data collection, advanced analytics and data visualization.
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TY - JOUR. T1 - Patient preferences for psoriasis treatment. T2 - process characteristics considered more important than outcome attributes. AU - Meredith, Fiona. AU - Ormerod, Anthony. PY - 2012/4. Y1 - 2012/4. N2 - In a recent paper by Schaarschmidt et al., patients with moderate-to-severe psoriasis completed a conjoint analysis survey (discrete choice experiment) to determine which factors had influenced their choice of treatment, and the relative importance of each factor. They also assessed how socioeconomic and demographic factors affected patient choice. Using relative importance scores, treatment location was found to be the more important attribute to patients, followed by probability of benefit and method of delivery.. AB - In a recent paper by Schaarschmidt et al., patients with moderate-to-severe psoriasis completed a conjoint analysis survey (discrete choice experiment) to determine which factors had influenced their choice of treatment, and the relative importance of each factor. ...
Abstract: In this paper we derive locally optimal designs for discrete choice experiments. As in Kanninen (2002) we consider a multinomial logistic model, which contains various ualitative attributes as well as a quantitative one, which may range over a sufficiently large region. The derived optimal designs improve upon those given in the literature, but have the feature that every choice set contains alternatives, which coincide in all but the quantitative attributes. The multinomial logistic model may then lead to an unrealistic response behavior, if the quantitative attribute is described by a price variable.. Keywords: conjoint analysis, discrete choice experiment, multinomial logistic model, locally optimal design. ...
Hows your ability to withstand short-term losses? This is the question at the core of any discussion of risk tolerance. Some people are able to ride through turbulence in the financial markets with a shrug while others suffer headaches. Many investment professionals recommend that their clients adopt an investment policy statement (IPS) to do so, and to address matters such as long-range goals and desired returns. What life factors can shape your risk tolerance? Two come quickly to mind. The first factor is your age. The second is your time horizon. As you age, you have fewer years to recoup market losses. So gradually reducing the amount of risk in your portfolio over time has merit. Many financial professionals advocate this, and Wall Street firms have even created investments around this premise, commonly featured in employer-sponsored retirement plans. Your timeline to retirement can also influence your risk tolerance. If you are sure that you will start tapping into your retirement savings ...
TY - JOUR. T1 - Factors affecting young peoples preferences for emerging technologies for chlamydia testing and treatment: a discrete choice experiment in England. AU - Eaton, S.. AU - Biggerstaff, D.. AU - Pink, J.. AU - Petrou, S.. AU - Osipenko, L.. AU - Gibbs, J.. AU - Estcourt, C.S.. AU - Sadiq, T.. AU - Szczepura, Ala. N1 - This is a published meeting abstract only, available on the Elsevier website at: http://www.sciencedirect.com/science/article/pii/S0140673616322802. The paper was given at the Public Health Science: A National Conference Dedicated to New Research in UK Public Health. PY - 2016/11/25. Y1 - 2016/11/25. N2 - Background Technological advances offer opportunities to redesign existing chlamydia screening and testing, and treatment pathways, to improve screening uptake and the proportion of positive individuals successfully treated. Innovations underway include self-tests networked through mobile phones, which could be combined with online clinical care and other ...
Although the recovery of patients suffering from low back pain is highly context dependent, patient preferences about treatment options are seldom incorporated into the therapeutic plan. Shared decision-making (SDM) offers a tool to overcome this deficiency. The reinforcement by the general practitioner (GP) of a shared chosen therapy might increase patients expectations of favourable outcomes and thus contribute to recovery. In the Netherlands, a clustered randomised controlled trial was performed to assess the effectiveness of shared decision-making followed by positive reinforcement of the chosen therapy (SDM&PR) on patient-related clinical outcomes. Overall, 68 GPs included 226 patients visiting their GP for a new episode of non-chronic low back pain. GPs in the intervention group were trained in implementing SDM&PR using a structured training programme with a focus on patient preferences in reaching treatment decisions. GPs in the control group provided care as usual. The primary outcome was the
Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Easily share your publications and get them in front of Issuus millions of monthly readers. Title: Personality and Risk Tolerance, Author: Psychological Consultancy Limited, Name: Personality and Risk Tolerance, Length: 21 pages, Page: 1, Published: 2010-09-01
The initial programming is usually performed by a neurologist or a DBS nurse from the implanting center, one to four weeks after surgery. Who performs further programming will depend on patient preference and location. Many patients who live far from the implanting center will be programmed by their local neurologist. Many neurologists and movement disorder specialist may not be however comfortable programming DBS devices for dystonia.
Based on examination of variation of practice patterns in the Dartmouth Atlas, John Wennberg, M.D. has suggested three general approaches to reduce inappropriate variation and increase the equity of medical care: increase the amount of effective care, reduce supply sensitive care and increase preference sensitive care [32]. The underuse of DMARDs by patients with RA, is an example of underutilization of effective care. This may be explained by healthcare system failures, individual physician behavior, or in some cases subsets of patients who are informed but elect not to take medications recommended in national standards of care. A recent computer based, simulated decision, discrete choice experiment of 144 RA patients preferences of specific risks and benefits of treatment found that when compared to white adults with RA, African American RA patients were more likely to be classified as risk averse (OR 8.4 [3.1-23.1]) [33]. In general, it is unknown if risk aversion is an inherent culturally ...
Provance JB, Spertus JA, Decker C, Jones PG, Smolderen KG. Assessing Patient Preferences for Shared Decision-Making in Peripheral Artery Disease. Circ Cardiovasc Qual Outcomes. 2019 Aug;12(8):e005730. doi:10.1161/CIRCOUTCOMES.119.005730. Epub 2019 Aug 15. PubMed PMID: 31412733. ...
An international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas.  Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal.
An international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas.  Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal.
Downloadable (with restrictions)! Increasingly, health economists are required to work across sectors when evaluating options for improving health, health care and well-being. Social care is a key sector which is both influenced by and influences the use and outcomes of health services. This paper reports on a developing approach to measuring social care outcome, designed to reflect outcomes across client groups. In this process it is important that we reflect the relative importance or value of these domains of outcome. This paper reports on a pilot study that investigated the feasibility of using discrete choice experiments to identify a financial willingness to accept valuation of a large number of domains and investigated factors associated with variations in respondents preferences. We conclude that, while the domains themselves need further work, the approach provides a helpful starting point in the difficult issue of reflecting population preferences for a large number of social care outcome
Tinelli, Michela and Ryan, Mandy and Bond, Christine (2004) Patient preferences for increasing the role of the pharmacist in the management of drug therapy. In: British Pharmaceutical Conference, September, 2004, Manchester. (Unpublished) ...
There are two salient facts about health care in low and middle-income countries; 1) the private sector plays an important role and 2) the care provided is often of poor quality. Despite these facts we know little about what drives quality of care in the private sector and why patients continue to seek care from poor quality providers. We use two field studies in India that provide unique insight into this issue. First, we use a discrete choice experiment to show that patients are willing to pay higher prices for better technical quality (defined by correct treatment and correct diagnosis). Second, we use standardized patients to show that private providers who provide better technical quality are not able to charge higher prices. Instead providers are able to charge higher prices for elements of quality that the patient can observe (good patient interactions and more effort), which are less important for health outcomes. Taken together, this research highlights a market inefficiency and ...
Depression is a serious illness that is difficult to diagnose and treat, especially in populations that underutilize mental health services. The Latino population is one such group. Accommodating patient preferences for care, provider capacities, and administrator priorities is essential to the development of effective depression care interventions that are sustainable in public sector systems. However, little is understood regarding the depression treatment preferences of low-income Latinos who have not received quality depression care and who may not feel that they can voice their opinions about their health care. In addition, little is known about the preferences, capabilities, and priorities of providers and administrators in primary care clinics. This study will determine ways to make depression care more responsive to the needs of consumers in primary care clinics serving low-income Latinos. The study will also evaluate the effectiveness of various treatments in reducing ...
This paper outlines the methods and applications related to the nascent area of empirical discrete games in marketing. Many key strategic decisions firms make involve discrete choices such as deciding
Interested in investing, but unsure of how much risk you should take? Ask yourself these 5 questions to determine your own personal risk tolerance.
EXTENDED ABSTRACT - People frequently have to predict the risk tolerance of others. For example, a marketer of investment services might be interested in how certain investors would react to the additional risk of stocks as compared to bonds; the executives at a biotechnology firm might attempt to understand whether doctors would prescribe a novel, risky, but potentially highly effective treatment over a standard, safe, but less effective treatment. ...
Results Respondents expressed preferences for improvements on all programme characteristics. They were willing to give up 0.09 (95% CI 0.08 to 0.09) lives saved per 1000 screened to avoid one individual being over treated. Similarly, respondents were willing to give up 1.22 (95% CI 0.90 to 1.55) or 5.21 (95% CI 4.78 to 5.67) lives saved per 1000 screened to upgrade the location from general practice to a hospital or to a high-tech hospital, respectively. Subgroup analysis revealed important preference heterogeneity with respect to smoking status, level of health literacy and self-perceived risk of cardiovascular disease. ...
Thus far, we have primarily discussed approaches to mitigating clinicians pre-existing beliefs and concerns about SDM. In summary, the key aspects of initial clinician engagement include awareness by clinicians of patients reluctance to disagree, their own misdiagnosis of patients preferences and health beliefs unless they are specifically elicited, an appreciation that patients preferences may change once informed, and the need to create a safe environment for patients to feel comfortable engaging in healthcare decisions. At this stage, clinicians may be motivated to gain experience with decision aids they find compelling. Thus, the next step involves increasing awareness of and addressing logistical barriers to implementation.. Logistical challenges to out-of-visit SDM may be partially overcome if healthcare delivery system leadership believes in the value of SDM and allocates the resources needed to do so. Group Health, a health system that provides medical care and insurance to ,660 000 ...
In recent years, the interest in communication issues in cancer care has steadily increased, in particular regarding the information needs of oncology patients, the communication of bad news and the impact of such news on patients, and the development of guidelines on how clinicians can deliver bad news in a sensitive way.1 ,2 Research evidence suggests that patients have varying preferences for the amount and type of information they desire.3 Good clinical practice entails oncologists recognising these variations in patient preferences, and physicians and patients working together to accomplish these preferences. In order to accommodate these varying preferences, the physicians need to elicit patient preferences and to adapt their information giving processes to meet these needs. If the expression of such needs is not facilitated or encouraged, these needs tend to remain hidden; consequently, the patients may perceive that they received too much or too little information. The literature ...
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On your way home from work, do you drive in the slow lane or the fast lane? Each person has a different propensity for risk. When investing, this risk propensity can be used to determine the percentage of your portfolio that is exposed to equities. Complete the following questionnaire to help determine your risk profile.
Lets say that John and Bill do the following to earn a living: John trades the futures contracts. His account is leveraged and he takes...
This study followed a cohort of community-dwelling individuals receiving wound-care in a large urban-rural region. During a randomized control trial (RCT) evaluating outcomes of receiving care in a nurse-clinic or at home, many approached were willing to participate if they could choose their location of care. This provided a unique opportunity to enroll them as a
I am sharing this experience on behalf of my wife and she is fully aware of and has endorsed this submission. It seems that, in some circumstances, individual patient preference is immaterial. Respect for medical support staff based on blind trust of their technical qualifications at the expense of patient concerns to me, is paternalistic and misogynistic. My wife recently was asked to obtain a echo stress test. After making the appointment three days prior, the appointment was yesterday. At the time of making the appointment and as a result of feeling uncomfortable being exposed to and touched by a male, my wife requested a female team do the stress echo test and was told that that would be fine. Upon arrival, there was 3 people present in the room; one female and 2 males. She was advised that the Dr would be present when the stress portion was completed. She indicated to the female present that she felt uncomfortable with the males in the room. The female replied telling her that they were the ...
BOSTON -- When choosing treatment for hyperthyroidism, physicians should more frequently take patient preference into account, according to a draft revision of treatment guidelines.
Will you save the best chocolate in the box until last? Do you want the good news first or the bad? Your preferences may depend on your age, reports a Cornell study published in Psychology and Aging.
Durham, C. A., C. A. Roheim and I. Pardoe. (2012). Picking apples: Can multi-attribute ecolabels compete? Journal of Agricultural & Food Industrial Organization 10(1), online. PDF paper. Pardoe, I. (2008). Modeling home prices using realtor data. Journal of Statistics Education 16(2), online. HTML abstract, HTML paper, PDF paper. Data. Pardoe, I. and D. K. Simonton (2008). Applying discrete choice models…
Using hypothetical scenarios to explore disease modifying drug treatment preferences in people with multiple sclerosis - MS Trust research update
Jayadevappa R, Chhatre S, Gallo JJ, Wittink M, Morales KH, Malkowicz SB, Lee D, Guzzo T, Caruso A, Van-Arsadalen K, Wein AJ, Schwartz JS.: Treatment Preference and Patient Centered Prostate Cancer Care: Design and Rationale. Journal of Contemporary Clinical Trials 3(45): 296-301, October 2015 Notes: [Epub ahead of print ...
Looking for online definition of Risk tolerance in the Medical Dictionary? Risk tolerance explanation free. What is Risk tolerance? Meaning of Risk tolerance medical term. What does Risk tolerance mean?
Psychiatric advance directives (PADs) are an emerging method for adults with serious and persistent mental illness to document treatment preferences in advance of periods of incapacity. This article p
Introduction: Radial access for neurovascular procedures is rarely performed or even considered. There is increasing evidence from the interventional cardiology literature that radial access is associated with lower costs, lower incidence of myocardial infarction, stroke, decreased major access site complications, and even decreased mortality. Roadblocks for adopting or considering radial access for neurovascular procedures includes physician bias, physician training, and limitations in technology/devices. As we move towards a patient centered health care delivery, patient preference and complication rates should be considered. The 2 goals of this poster presentation are to provide a simplified approach to performing radial access for neurovascular and to present data on patient preference and outcomes for radial access.. Hypothesis: Radial access for neuro interventional procedures is preferred by patients over traditional femoral access and can be performed with a high degree of technical ...
Background: Exercise is effective in improving non-specific low back pain (LBP). Certain components of physical exercise, such as the type, intensity and frequency of exercise, are likely to influence participation among working adults with non-specific LBP, but the value and relative importance of these components remain unknown. The studys aim was to examine such specific components and their influence on individual preferences for exercise for secondary prevention of non-specific LBP among working adults. Methods: In a discrete choice experiment, working individuals with non-specific LBP answered a webbased questionnaire. Each respondent was given ten pairs of hypothetical exercise programs and asked to choose one option from each pair. The choices comprised six attributes of exercise (i.e., type of training, design, intensity, frequency, proximity and incentives), each with either three or four levels. A conditional logit regression that reflected the random utility model was used to ...
Background: Exercise is effective in improving non-specific low back pain (LBP). Certain components of physical exercise, such as the type, intensity and frequency of exercise, are likely to influence participation among working adults with non-specific LBP, but the value and relative importance of these components remain unknown. The studys aim was to examine such specific components and their influence on individual preferences for exercise for secondary prevention of non-specific LBP among working adults. Methods: In a discrete choice experiment, working individuals with non-specific LBP answered a webbased questionnaire. Each respondent was given ten pairs of hypothetical exercise programs and asked to choose one option from each pair. The choices comprised six attributes of exercise (i.e., type of training, design, intensity, frequency, proximity and incentives), each with either three or four levels. A conditional logit regression that reflected the random utility model was used to ...
TY - JOUR. T1 - Experiencing cancer treatment decision-making in managed care. AU - Wenzel, Jennifer. AU - Shaha, Maya. PY - 2008/9/1. Y1 - 2008/9/1. N2 - Aim. This paper is a report of a study to explore womens perceptions of and experiences with breast cancer treatment decision-making in managed care organizations (MCOs). Background. Managed care organizations are the predominant form of employer-sponsored healthcare insurance in the United States of America. These healthcare financing entities minimize cost by streamlining healthcare delivery and may impose choice restrictions. The extent of these restrictions has not previously been studied from an in-depth patient perspective. Method. A qualitative descriptive approach was adopted using interviews with a purposive sample of 14 managed care enrollees diagnosed with breast cancer at all stages. The data were collected between 2003 and 2005. Data analysis involved a reflexive process of transcript reading, categorization, data reduction and ...
To date there have been no value sets to support the use of the EQ-5D-Y in cost-utility analysis. Discrete choice experiments (DCEs) can be used to obtain values on a latent scale, but these values require anchoring at 0 = dead to meet the conventions of quality-adjusted life year (QALY) estimation. This Research Paper describes a study in which four stated preference methods for anchoring EQ-5D-Y values were compared: visual analogue scale, DCE (with a duration attribute), lag-time TTO and the recently developed location-of-dead (LOD) element of the personal utility function approach. ...
Cowell, Frank and Amiel, Yoram (2007) Social welfare and individual preferences under uncertainty: a questionnaire-experimental approach. In: Bishop, John and Amiel, Yoram, (eds.) Inequality and Poverty: Papers From the Society for the Study of Economic Inequalities Inaugural Meeting. Research on economic inequality,14. Elsevier, Oxford, pp. 345-364. ISBN 0762313749 ...
MyJournals.org - Science - Criteria for prioritization of HIV programs in Viet Nam: a discrete choice experiment (BMC Health Services Research)
Methods We held an international web-based survey with 91 general practitioners and rheumatologists, comfortable with the diagnosis and treatment of gout. Conjoint analysis was used as the framework for devising and analyzing questions. Panel members were anonymously given 20 pairs of two profiles describing a study type and a positive predictive value and a negative predictive value. The panelists were asked to make a choice which of the 2 study profiles they would prefer to enroll a patient. There were 5 study types presented: a phase 3 RCT of an NSAID versus prednisone for acute gout; a phase 3 RCT of a biologic agent for acute gout; a phase 2 RCT of a novel uricosuric drug of unknown efficacy and limited toxicity data; a case-control genome-wide-association (GWAS) study of gout; a cohort study examining long term outcomes of gout. PPV and NPV both had five levels: 60%, 70%, 80%, 90%, 99%. The data were analyzed using Sawtooth software. A binary logit model was used to calculate the relative ...