Wagner Deborah S, Yap Jose Martin, Bradley Kathryn M, Voepel-Lewis Terri
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, MI 48109-0211, USA.
Paediatr Anaesth. 2007 Nov;17(11):1035-42. doi: 10.1111/j.1460-9592.2007.02261.x.
Willingness to pay (WTP) surveys have proven to be useful tools in determining patient preferences though relatively few pediatric studies have utilized them. Studies in the adult surgical population have used such methods to assess patients' perspectives regarding the avoidance of anesthesia side effects or outcomes. The purpose of this survey was to assess parental preferences, using a relative WTP model, for the avoidance of anesthesia side effects in their children undergoing surgery.
The survey was distributed to 150 parents of children who were undergoing surgery. Parents were asked to rank order (1 = most unwanted to 7 = least troublesome) six stated potential anesthesia side effects and to allocate a fixed dollar percentage of a $100 toward prevention of each. A total of 142 surveys were returned (95% response rate).
Parents ranked vomiting as the least desirable side effect for their child (rank order = 1.9) and pain as second (rank order = 2.14). However, parents allocated $33.48 to prevent pain compared with $28.89 for vomiting as a relative dollar amount.
This study suggests that targeting management toward the prevention of these adverse outcomes may improve parental satisfaction with anesthesia care of their children.
支付意愿（WTP）调查已被证明是确定患者偏好的有用工具，不过相对较少的儿科研究使用过此类调查。针对成年外科患者群体的研究已采用此类方法来评估患者对于避免麻醉副作用或结果的看法。本次调查的目的是使用相对支付意愿模型，评估家长对于其接受手术的孩子避免麻醉副作用的偏好。
该调查面向150名孩子即将接受手术的家长发放。要求家长对六种既定的潜在麻醉副作用进行排序（1 = 最不希望出现至7 = 最不麻烦），并从100美元的固定金额中分配一定比例用于预防每种副作用。共收回142份调查问卷（回复率为95%）。
家长将呕吐列为孩子最不希望出现的副作用（排序 = 1.9），疼痛列为第二（排序 = 2.14）。然而，作为相对金额而言，家长分配33.48美元用于预防疼痛，而用于预防呕吐的金额为28.89美元。
本研究表明，针对预防这些不良后果进行管理，可能会提高家长对其孩子麻醉护理的满意度。
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