Patient preferences for management of high blood pressure in the UK: a discrete choice experiment
<p><strong>Background:</strong> With a variety of potentially effective hypertension management options, it is important to determine how patients value different models of care, and the relative importance of factors in their decision-making process.</p> <p><strong...
| Główni autorzy: | , , , |
|---|---|
| Format: | Journal article |
| Język: | English |
| Wydane: |
Royal College of General Practitioners
2019
|
| _version_ | 1826268039298940928 |
|---|---|
| author | Fletcher, B Hinton, L McManus, R Rivero Arias, O |
| author_facet | Fletcher, B Hinton, L McManus, R Rivero Arias, O |
| author_sort | Fletcher, B |
| collection | OXFORD |
| description | <p><strong>Background:</strong> With a variety of potentially effective hypertension management options, it is important to determine how patients value different models of care, and the relative importance of factors in their decision-making process.</p>
<p><strong>Aim:</strong> To explore patient preferences for the management of hypertension in the UK.</p>
<p><strong>Design and setting:</strong> Online survey of patients who have hypertension in the UK including an unlabelled discrete choice experiment (DCE).</p>
<p><strong>Method:</strong> A DCE was developed to assess patient preferences for the management of hypertension based on four attributes: model of care, frequency of blood pressure (BP) measurement, reduction in 5-year cardiovascular risk, and costs to the NHS. A mixed logit model was used to estimate preferences, willingness-to-pay was modelled, and a scenario analysis was conducted to evaluate the impact of changes in attribute levels on the uptake of different models of care.</p>
<p><strong>Results:</strong> One hundred and sixty-seven participants completed the DCE (aged 61.4 years, 45.0% female, 82.0% >5 years since diagnosis). All four attributes were significant in choice (P<0.05). Reduction in 5-year cardiovascular risk was the main driver of patient preference as evidenced in the scenario and willingness-to-pay analyses. GP management was significantly preferred over self-management. Patients preferred scenarios with more frequent BP measurement, and lower costs to the NHS.</p>
<p><strong>Conclusion:</strong> Participants had similar preferences for GP management, pharmacist management, and telehealth, but a negative preference for self-management. When introducing new models of care for hypertension to patients, discussion of the potential benefits in terms of risk reduction should be prioritised to maximise uptake.</p> |
| first_indexed | 2024-03-06T21:03:29Z |
| format | Journal article |
| id | oxford-uuid:3baa3428-bfa8-4c45-a5b1-870858c49d72 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T21:03:29Z |
| publishDate | 2019 |
| publisher | Royal College of General Practitioners |
| record_format | dspace |
| spelling | oxford-uuid:3baa3428-bfa8-4c45-a5b1-870858c49d722022-03-26T14:08:56ZPatient preferences for management of high blood pressure in the UK: a discrete choice experimentJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3baa3428-bfa8-4c45-a5b1-870858c49d72EnglishSymplectic Elements at OxfordRoyal College of General Practitioners2019Fletcher, BHinton, LMcManus, RRivero Arias, O<p><strong>Background:</strong> With a variety of potentially effective hypertension management options, it is important to determine how patients value different models of care, and the relative importance of factors in their decision-making process.</p> <p><strong>Aim:</strong> To explore patient preferences for the management of hypertension in the UK.</p> <p><strong>Design and setting:</strong> Online survey of patients who have hypertension in the UK including an unlabelled discrete choice experiment (DCE).</p> <p><strong>Method:</strong> A DCE was developed to assess patient preferences for the management of hypertension based on four attributes: model of care, frequency of blood pressure (BP) measurement, reduction in 5-year cardiovascular risk, and costs to the NHS. A mixed logit model was used to estimate preferences, willingness-to-pay was modelled, and a scenario analysis was conducted to evaluate the impact of changes in attribute levels on the uptake of different models of care.</p> <p><strong>Results:</strong> One hundred and sixty-seven participants completed the DCE (aged 61.4 years, 45.0% female, 82.0% >5 years since diagnosis). All four attributes were significant in choice (P<0.05). Reduction in 5-year cardiovascular risk was the main driver of patient preference as evidenced in the scenario and willingness-to-pay analyses. GP management was significantly preferred over self-management. Patients preferred scenarios with more frequent BP measurement, and lower costs to the NHS.</p> <p><strong>Conclusion:</strong> Participants had similar preferences for GP management, pharmacist management, and telehealth, but a negative preference for self-management. When introducing new models of care for hypertension to patients, discussion of the potential benefits in terms of risk reduction should be prioritised to maximise uptake.</p> |
| spellingShingle | Fletcher, B Hinton, L McManus, R Rivero Arias, O Patient preferences for management of high blood pressure in the UK: a discrete choice experiment |
| title | Patient preferences for management of high blood pressure in the UK: a discrete choice experiment |
| title_full | Patient preferences for management of high blood pressure in the UK: a discrete choice experiment |
| title_fullStr | Patient preferences for management of high blood pressure in the UK: a discrete choice experiment |
| title_full_unstemmed | Patient preferences for management of high blood pressure in the UK: a discrete choice experiment |
| title_short | Patient preferences for management of high blood pressure in the UK: a discrete choice experiment |
| title_sort | patient preferences for management of high blood pressure in the uk a discrete choice experiment |
| work_keys_str_mv | AT fletcherb patientpreferencesformanagementofhighbloodpressureintheukadiscretechoiceexperiment AT hintonl patientpreferencesformanagementofhighbloodpressureintheukadiscretechoiceexperiment AT mcmanusr patientpreferencesformanagementofhighbloodpressureintheukadiscretechoiceexperiment AT riveroariaso patientpreferencesformanagementofhighbloodpressureintheukadiscretechoiceexperiment |