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

Author

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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)

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

Suggested Citation

  • L. Sampietro-Colom & M. Espallargues & E. Rodríguez & M. Comas & J. Alonso & X. Castells & J.L. Pinto, 2008. "Wide Social Participation in Prioritizing Patients on Waiting Lists for Joint Replacement: A Conjoint Analysis," Medical Decision Making, , vol. 28(4), pages 554-566, July.
    • Handle: RePEc:sae:medema:v:28:y:2008:i:4:p:554-566
    DOI: 10.1177/0272989X08315235
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    References listed on IDEAS

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    2. Álvarez, Begoña & Rodríguez-Míguez, Eva, 2011. "Patients' self-interested preferences: Empirical evidence from a priority setting experiment," Social Science & Medicine, Elsevier, vol. 72(8), pages 1317-1324, April.
    3. Solans-Domènech, Maite & Adam, Paula & Tebé, Cristian & Espallargues, Mireia, 2013. "Developing a universal tool for the prioritization of patients waiting for elective surgery," Health Policy, Elsevier, vol. 113(1), pages 118-126.

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