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青光眼患者对后续护理服务的看法;通过联合分析评估患者偏好

Views of glaucoma patients on provision of follow-up care; an assessment of patient preferences by conjoint analysis.

作者信息

Bhargava J S, Bhan-Bhargava A, Foss A J E, King A J

机构信息

Department of Ophthalmology, Nottingham University NHS Trust, Queen's Medical Centre Campus, Derby Road, Nottingham NG7 2UH, UK.

出版信息

Br J Ophthalmol. 2008 Dec;92(12):1601-5. doi: 10.1136/bjo.2008.140483. Epub 2008 Jul 29.

Abstract

AIMS

To determine patients' preferences for provision of glaucoma follow-up services examining preferences for location, access and personnel for delivery of this care.

METHODS

100 patient patients attending the glaucoma outpatient clinic for follow-up review underwent an interview-based assessment during which they completed the visual function questionnaire 25 and ranking of scenario options for provision of follow-up care for their glaucoma. Percentage preferences for aspects of care offered in the conjoint analysis scenario packages and generation of utility values for each of the factor levels included in the scenario design were calculated.

RESULTS

Travel time and training of health professional were the most important factors for patients (accounting for over 60%) of their preference. Utility scores were generated for each factor, with shorter travel time and examination by a doctor being the most important features to the patients. Patients who lived furthest from the hospital and had severe visual disability considered the number of visits to complete an episode to be an important feature.

CONCLUSION

Patients ideally would like to travel a short distance and be seen by a doctor when being followed up for their glaucoma.

摘要

目的

确定患者对青光眼随访服务提供方式的偏好,考察其对该护理服务提供地点、可及性和人员的偏好。

方法

100名到青光眼门诊进行随访复查的患者接受了基于访谈的评估,期间他们完成了视觉功能问卷25,并对青光眼随访护理的情景选项进行了排序。计算了联合分析情景包中提供的护理方面的百分比偏好,并为情景设计中包含的每个因素水平生成了效用值。

结果

出行时间和医护人员培训是患者最重要的因素(占其偏好的60%以上)。为每个因素生成了效用分数,出行时间较短和由医生进行检查对患者来说是最重要的特征。住得离医院最远且有严重视力残疾的患者认为完成一次诊疗的就诊次数是一个重要特征。

结论

理想情况下,患者希望在青光眼随访时出行距离短且由医生诊治。

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