Preferences for a third-trimester ultrasound scan in a low-risk obstetric population: a discrete choice experiment
Data(s) |
01/10/2015
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Resumo |
Objective: Establish maternal preferences for a third-trimester ultrasound scan in a healthy, low-risk pregnant population. <br/><br/>Design: Cross-sectional study incorporating a discrete choice experiment. <br/><br/>Setting: A large, urban maternity hospital in Northern Ireland. <br/><br/>Participants: One hundred and forty-six women in their second trimester of pregnancy. <br/><br/>Methods: A discrete choice experiment was designed to elicit preferences for four attributes of a third-trimester ultrasound scan: health-care professional conducting the scan, detection rate for abnormal foetal growth, provision of non-medical information, cost. Additional data collected included age, marital status, socio-economic status, obstetric history, pregnancy-specific stress levels, perceived health and whether pregnancy was planned. Analysis was undertaken using a mixed logit model with interaction effects. <br/><br/>Main outcome measures: Women's preferences for, and trade-offs between, the attributes of a hypothetical scan and indirect willingness-to-pay estimates. <br/><br/>Results: Women had significant positive preference for higher rate of detection, lower cost and provision of non-medical information, with no significant value placed on scan operator. Interaction effects revealed subgroups that valued the scan most: women experiencing their first pregnancy, women reporting higher levels of stress, an adverse obstetric history and older women. <br/><br/>Conclusions: Women were able to trade on aspects of care and place relative importance on clinical, non-clinical outcomes and processes of service delivery, thus highlighting the potential of using health utilities in the development of services from a clinical, economic and social perspective. Specifically, maternal preferences exhibited provide valuable information for designing a randomized trial of effectiveness and insight for clinical and policy decision makers to inform woman-centred care. |
Formato |
application/pdf |
Identificador |
http://dx.doi.org/10.1111/hex.12062 http://pure.qub.ac.uk/ws/files/35844296/Womens_preferences_for_3rd_trimester_scans.pdf http://www.scopus.com/inward/record.url?scp=84942295605&partnerID=8YFLogxK |
Idioma(s) |
eng |
Direitos |
info:eu-repo/semantics/restrictedAccess |
Fonte |
Lynn , F A , Crealey , G E , Alderdice , F A & Mcelnay , J C 2015 , ' Preferences for a third-trimester ultrasound scan in a low-risk obstetric population: a discrete choice experiment ' Health expectations : an international journal of public participation in health care and health policy , vol 18 , no. 5 , pp. 892-903 . DOI: 10.1111/hex.12062 |
Palavras-Chave | #Discrete choice experiment #Pregnancy #Ultrasound scan #Women's preferences #/dk/atira/pure/subjectarea/asjc/2700/2739 #Public Health, Environmental and Occupational Health |
Tipo |
article |