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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Physicians underestimate the importance of patient-centredness to patients: A discrete choice experiment in fertility care
Human Reproduction, Volume 26, No. 3, Year 2011
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Description
Background: High-quality healthcare should be effective, safe and patient-centred. How important patient-centredness is in relation to effectiveness of fertility care has never been investigated. This study aimed to determine and compare the importance of patient-centredness, relative to pregnancy rates, to patients and physicians. Methods A discrete choice experiment (DCE) was designed. Participants had to choose between hypothetical fertility clinics differing in following attributes: travel time; pregnancy rate (effectiveness); physicians attitude; information on treatment; and continuity of physicians (the latter three represent patient-centredness). A total of 1378 patients and 268 physicians from eight Dutch and Belgian fertility clinics received the DCE-questionnaire. The attributes relative importance was analysed using multinomial logistic regression. Additionally, patients actual choice behaviour was investigated. Results In total, 925 patients and 227 physicians participated. Pregnancy rates were relatively more important to physicians. Patients assigned more value to patient-centredness (P< 0.001) and were willing to trade-off a higher pregnancy rate for patient-centredness than physicians recommended them to do (P< 0.05). For example, patients considered pregnancy rates 1.5 times as important as an interested physicians attitude, whereas physicians considered this 2.4 times as important (P< 0.001). The willingness to trade-off pregnancy rate for this attitude was 9.8 for patients and 6.3 for physicians (P< 0.001). A lack of patient-centredness was the most cited non-medical reason for changing fertility clinics. Conclusions Patients and physicians put considerable value on pregnancy rates. However, physicians significantly undervalue the importance of patient-centredness to patients. Clinics aiming to optimize the quality of their services should be aware of the substantial importance their patients assign to patient-centredness. © 2011 The Author.
Authors & Co-Authors
Dancet, Eline A.F.
Netherlands, Nijmegen
Radboud University Medical Center
Belgium, Leuven
Ku Leuven– University Hospital Leuven
Belgium, Leuven
Ku Leuven
Koolman, Xander H.E.
Netherlands, Delft
Delft University of Technology
Nelen, Willianne L.D.M.
Netherlands, Nijmegen
Radboud University Medical Center
Stolk, Elly A.
Netherlands, Rotterdam
Erasmus Mc
Sermeus, Walter
Belgium, Leuven
Ku Leuven
D'Hooghe, Thomas Maria
Belgium, Leuven
Ku Leuven– University Hospital Leuven
Kremer, Jan A.M.
Netherlands, Nijmegen
Radboud University Medical Center
Statistics
Citations: 129
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.1093/humrep/deq389
ISSN:
02681161
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Approach
Quantitative