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        What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment

        Registro en:
        1932-6203 (Electrónico)
        http://hdl.handle.net/10554/59674
        https://doi.org/10.1371/journal.pone.0249298
        instname:Pontificia Universidad Javeriana
        reponame:Repositorio Institucional - Pontificia Universidad Javeriana
        repourl:https://repository.javeriana.edu.co
        http://repositorioslatinoamericanos.uchile.cl/handle/2250/3469324
        Autor
        van EgmondI, Sven
        De Vries, Esther
        Hollestein, Loes
        Bastiaens, Maarten
        De Roos, Peter
        Kuijpers, Danielle
        Steyerberg, Ewout
        Wakkee, Marlies
        Mosterd, Klara
        Nijsten, Tamar
        de Bekker-Grob, Esther W.
        Institución
        • Pontificia Universidad Javeriana (Colombia)
        Resumen
        Background Follow-up after low-risk basal cell carcinoma (BCC) is being provided more frequently than recommended by guidelines. To design an acceptable strategy to successfully reduce this ‘low-value’ care, it is important to obtain insights into the preferences of patients and dermatologists. Objective To determine the preferences and needs of patients and dermatologists to reduce low-risk BCC follow-up care, and the trade-offs they are willing to make. Methods A questionnaire including a discrete choice experiment was created, containing attributes regarding amount of follow-up, continuity of care, method of providing addition information, type of healthcare provider, duration of follow-up visits and skin examination. In total, 371 BCC patients and all Dutch dermatologists and dermatology residents (n = 620) were invited to complete the questionnaire. A panel latent class model was used for analysis. Results Eighty-four dermatologists and 266 BCC patients (21% and 72% response rates respectively) completed the discrete choice experiment. If the post-treatment visit was performed by the same person as treatment provider and a hand-out was provided to patients containing personalised information, the acceptance of having no additional follow-up visits (i.e. following the guidelines) would increase from 55% to 77% by patients. Female patients and older dermatologists, however, are less willing to accept the guidelines and prefer additional follow-up visits. Limitations The low response rate of dermatologists. Conclusion This discrete choice experiment revealed a feasible strategy to substantially reduce costs, while maintaining quality of care, based on the preferences and needs of BCC patients, which is supported by dermatologists.
        Materias
        Pacientes
        Dermatólogos
        Carcinoma
        Experimento de elección discreta

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        Red de Repositorios Latinoamericanos
        + de 8.000.000 publicaciones disponibles
        500 instituciones participantes
        Dirección de Servicios de Información y Bibliotecas (SISIB)
        Universidad de Chile
        Ingreso Administradores
        Colecciones destacadas
        • Tesis latinoamericanas
        • Tesis argentinas
        • Tesis chilenas
        • Tesis peruanas
        Nuevas incorporaciones
        • Argentina
        • Brasil
        • Colombia
        • México
        Dirección de Servicios de Información y Bibliotecas (SISIB)
        Universidad de Chile
        Red de Repositorios Latinoamericanos | 2006-2018