Universität zu Köln

Burkamp, Jasper, Buehn, Stefanie and Pieper, Dawid (2020). Patient Preferences between Minimum Volume Thresholds and Nationwide Healthcare Provision: the Example of Total Knee Arthroplasty. Z. Orthop. Unfallchir., 158 (4). S. 390 - 397. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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Abstract

Objective The aim of this study is to investigate, whether patients in Germany are willing to travel a longer time to a certain hospital in order to receive a better treatment (lower 90-days mortality, lower risk of revision) in elective total knee arthroplasty. In addition, we analyzed which characteristics determined patient preference. Methods The participants were recruited via random samples of registration offices and hospitals. All have undergone discrete choice experiments for the outcomes mortality and revision. Descriptive statistics were used to analyze the patient's preference. Logistic regression models were applied to identify characteristics that influence decision making. Results 71.7% (mortality) and 86.11% (revision) of the respondents are willing to travel a longer time in order to lower their surgical risk. The amount of people that are willing to do so is even larger in the subgroup recruited in the hospital (78.5% respectively 90.7%). Conclusion The majority of the participants are willing to travel longer to lower their surgical risk for elective knee arthroplasty. It has to be considered, that the population under study might not be representative. Patient's preferences corresponds with the aim of introducing minimum volume thresholds. Future studies should focus on other indications and outcomes.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Burkamp, Jasper UNSPECIFIED UNSPECIFIED UNSPECIFIED Buehn, Stefanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Pieper, Dawid UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-324663
DOI:	10.1055/a-0965-7720
Journal or Publication Title:	Z. Orthop. Unfallchir.
Volume:	158
Number:	4
Page Range:	S. 390 - 397
Date:	2020
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1864-6743
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOSPITALS; SURGERY; TRAVEL; STATE Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32466