Wide Social Participation in Prioritizing Patients on Waiting Lists for Joint Replacement: A Conjoint Analysis

L. Sampietro-Colom, M. Espallargues, E. Rodríguez, M. Comas, J. Alonso, X. Castells and J.L. Pinto
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L. Sampietro-Colom: Office for the Assessment of Innovation and New Technologies, Fundació Clínic, Barcelona, Spain, lsampiet@clinic.ub.es, Catalan Agency for Health Technology Assessment and Research (CAHTA), Barcelona, Spain
M. Espallargues: Catalan Agency for Health Technology Assessment and Research (CAHTA), Barcelona, Spain
E. Rodríguez: Department of Applied Economics, Universidad de Vigo, Vigo, Spain
M. Comas: Evaluation and Clinical Epidemiology Department, Hospital del Mar-IMAS, Barcelona, Spain, Health Services Research Unit, Institut Municipal d'Investigació Médica (IMIM-Hospital del Mar), Barcelona, Spain
J. Alonso: Health Services Research Unit, Institut Municipal d'Investigació Médica (IMIM-Hospital del Mar), Barcelona, Spain, Universitat Autónoma de Barcelona, Barcelona, Spain
X. Castells: Evaluation and Clinical Epidemiology Department, Hospital del Mar-IMAS, Barcelona, Spain, Health Services Research Unit, Institut Municipal d'Investigació Médica (IMIM-Hospital del Mar), Barcelona, Spain (MC, JA, XC)
J.L. Pinto: Centre for Research in Economy and Health (CRES), Universitat Pompeu Fabra, Barcelona, Spain

Medical Decision Making, 2008, vol. 28, issue 4, 554-566

Abstract: Objective. The aim was to develop a priority scoring system for patients on waiting lists for joint replacement based on a wide social participation, and to analyze the differences among participants. Methods. Conjoint analysis. Focus groups in combination with a nominal technique were employed to identify the priority criteria ( N= 36). A rank-ordered logit model was then applied for scoring estimations. Participants ( N= 860) represented: consultants, allied-health professionals, patients and their relatives, and the general population of Catalonia. Results. Clinical and social criteria were selected, and their relative importance (over 100 points) was: pain (33), difficulty in doing activities of daily living (21), disease severity (18), limitations on ability to work (10), having someone to look after the patient (9), being a caregiver (6), and recovery probability (4). Estimated criteria coefficients had the expected positive sign and all were statistically significant ( P

Keywords: priority setting; elective surgery; hip/knee replacement; conjoint analysis; preferences; social participation. (Med Decis Making 2008; 28:554—566) (search for similar items in EconPapers)
Date: 2008
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:28:y:2008:i:4:p:554-566

DOI: 10.1177/0272989X08315235

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