IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p14027-d955745.html
   My bibliography  Save this article

Clinical Decision-Making for Appendectomy in Kosovo: A Conjoint Analysis

Author

Listed:
  • Ilir Hoxha

    (The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH 03766, USA
    Evidence Synthesis Group, 10000 Prishtina, Kosovo
    Research Unit, Heimerer College, 10000 Prishtina, Kosovo
    Lux Development, 10000 Prishtina, Kosovo)

  • Bajram Duraj

    (General Hospital of Prizren, 20000 Prizren, Kosovo)

  • Shefki Xharra

    (General Hospital of Prizren, 20000 Prizren, Kosovo
    General Hospital of Gjilan, 60000 Gjilan, Kosovo)

  • Afrim Avdaj

    (General Hospital of Prizren, 20000 Prizren, Kosovo)

  • Valon Beqiri

    (The Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia)

  • Krenare Grezda

    (Evidence Synthesis Group, 10000 Prishtina, Kosovo
    Research Unit, Heimerer College, 10000 Prishtina, Kosovo)

  • Erza Selmani

    (Evidence Synthesis Group, 10000 Prishtina, Kosovo
    Research Unit, Heimerer College, 10000 Prishtina, Kosovo)

  • Blerta Avdiu

    (Lux Development, 10000 Prishtina, Kosovo)

  • Jakob Cegllar

    (Lux Development, 10000 Prishtina, Kosovo)

  • Dorjan Marušič

    (Lux Development, 10000 Prishtina, Kosovo)

  • Aferdita Osmani

    (Lux Development, 10000 Prishtina, Kosovo)

Abstract

Objective : The objective was to investigate the association of clinical attributes with decision making for performing appendectomy and making preoperative preparations for appendectomy. Method: A conjoint analysis with 17 clinical scenarios was executed with surgeons employed at public hospitals in Kosovo. Setting: The study was conducted at two public hospitals in Kosovo that have benefited from quality-improvement interventions. Participants: The participants included 22 surgeons. Outcome measures: The primary outcome was the overall effect of clinical attributes on the decision to perform appendectomy and make the preoperative preparations for appendectomy. Results : In the regression analyses, several attributes demonstrated statistically significant effects on the clinical decision to perform appendectomy and on the practice of preoperative preparation. Conclusions: We found that several factors influenced the decision to perform appendectomy and the practices for preoperative preparation. Nevertheless, the small sample size limited our efforts to interpret the results. These findings could assist Kosovo in the design and implementation of future similar studies and in fostering quality improvement measures that address clinical decision making and the lack of process standardization in the delivery of surgical care.

Suggested Citation

  • Ilir Hoxha & Bajram Duraj & Shefki Xharra & Afrim Avdaj & Valon Beqiri & Krenare Grezda & Erza Selmani & Blerta Avdiu & Jakob Cegllar & Dorjan Marušič & Aferdita Osmani, 2022. "Clinical Decision-Making for Appendectomy in Kosovo: A Conjoint Analysis," IJERPH, MDPI, vol. 19(21), pages 1-8, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14027-:d:955745
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/14027/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/21/14027/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Semra Ozdemir & Jia Jia Lee & Isha Chaudhry & Remee Rose Quintana Ocampo, 2022. "A Systematic Review of Discrete Choice Experiments and Conjoint Analysis on Genetic Testing," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 15(1), pages 39-54, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ilir Hoxha & Besim Guda & Ali Hoti & Esra Zhubi & Erza Selmani & Blerta Avdiu & Jakob Cegllar & Dorjan Marušič & Aferdita Osmani, 2022. "Clinical Decision-Making for Heart Failure in Kosovo: A Conjoint Analysis," IJERPH, MDPI, vol. 19(22), pages 1-13, November.
    2. Ilir Hoxha & Valid Apuk & Besfort Kryeziu & Premtim Rashiti & Mrika Aliu & Alejandro Gonzalez Aquines & Olga Khan & Ha Thi Hong Nguyen, 2023. "Management of Non-Communicable Diseases in Kosovo: A Scoping Review," IJERPH, MDPI, vol. 20(4), pages 1-16, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14027-:d:955745. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.