Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction.
Int J Environ Res Public Health
; 18(21)2021 10 21.
Article
in En
| MEDLINE
| ID: mdl-34769601
ABSTRACT
BACKGROUND:
Few studies have addressed patient preferences in emergent surgical decision making. AIM OF THE STUDY Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model.METHODS:
A conjoint analysis survey was developed with Sawtooth Software. Three common flaps-i.e., a cross-finger flap (CFF), a dorsal metacarpal artery perforator flap (DMAPF), and an arterialized venous flap (AVF)-were listed as treatment alternatives. Five attributes corresponding to these flaps were recovery time, total procedure, postoperative care methods, postoperative scar condition, and complication rate. Utility and importance scores were generated from the software, and preference characteristics were evaluated using cluster analysis.RESULTS:
The survey was completed by 197 participants with hand trauma. Complication risk received the highest importance score (42.87%), followed by scar condition (21.55%). Cluster analysis classified the participants as "conservative," "practical," and "dual-concern". The dual-concern and conservative groups had more foreign laborers and highly educated participants, respectively, than the other groups. Most participants in the conservative and practical groups preferred DMAPF, whereas those in the dual-concern group favored CFF. Our proposed model consisted of shared decision-making and treatment recommendation pathways.CONCLUSION:
Incorporating patient preferences into the decision-making model can strengthen patient-centered care. Further research on the applications of the proposed model is warranted.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Decision Making
/
Patient Preference
Type of study:
Guideline
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Int J Environ Res Public Health
Year:
2021
Type:
Article
Affiliation country:
Taiwan