Tailoring chemotherapy supply according to patients’ preferences: a quantitative method in colorectal cancer care

Objectives: The aim of this study was to conduct a discrete choice experiment with patients affected by colorectal cancer to understand their preferences for different attributes of the chemotherapy supply. Our overall goal is to provide evidence on the relative importance of each attribute in order to tailor chemotherapy supply according to patients' priorities in the design or reorganization processes of cancer services. Methods: Focus groups were used to identify the attributes and levels for the discrete choice experiment. The attributes were: continuity of care, understanding, information, treatment choice, and time for therapy. Respondents were asked to choose between two mutually exclusive hypothetical alternatives of chemotherapy supply. Patients completed the discrete choice experiment along with the health-related quality of life and patients’ satisfaction questions. Conditional and mixed logistic models were used to analyses the data. Results: Patients with colorectal cancer treated with chemotherapy (n = 76) completed the survey. The most important aspects of chemotherapy supply were: “Providing detailed and complete information” and “High ability in understanding” patients. Preferences were also influenced by the availability of a trusted doctor. Except for one attribute (waiting time for therapy), all other characteristics significantly influenced respondents’ preferences. Conclusions: Results should support a policy of strengthening medical doctors’ capabilities to communicate with patients, providing them complete information and involving them in the clinical decisions. Specifically, the findings should be used to improve the current provision of cancer care by identifying areas of preferred intervention from the perspectives of patients in order to tailor the service supply accordingly.

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PID https://www.doi.org/10.1080/03007995.2019.1670475
PID pmid:31535573
PID https://www.doi.org/10.6084/m9.figshare.9878915.v1
PID https://www.doi.org/10.6084/m9.figshare.9878915
URL http://dx.doi.org/10.6084/m9.figshare.9878915
URL https://academic.microsoft.com/#/detail/2974797097
URL https://www.ncbi.nlm.nih.gov/pubmed/31535573
URL http://dx.doi.org/10.1080/03007995.2019.1670475
URL http://dx.doi.org/10.6084/m9.figshare.9878915.v1
URL https://www.tandfonline.com/doi/pdf/10.1080/03007995.2019.1670475
URL https://www.tandfonline.com/doi/abs/10.1080/03007995.2019.1670475
URL https://iris.unito.it/bitstream/2318/1715880/1/DCE_Rosato_postrprint.pdf
URL http://hdl.handle.net/2318/1715880
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Access Right Open Access
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Author Rosalba Rosato, 0000-0002-4921-374X
Author Daniela Di Cuonzo
Author Giuliana Ritorto
Author Laura Fanchini
Author Sara Bustreo
Author Patrizia Racca
Author Eva Pagano
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Collected From figshare; Datacite; UnpayWall; Archivio Istituzionale; Crossref; Microsoft Academic Graph
Hosted By figshare; Current Medical Research and Opinion; Archivio Istituzionale
Publication Date 2019-09-19
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Country Italy
Language English
Resource Type Other literature type; Article
keyword chemotherapy; discrete choice experiment; patient preferences; Patient satisfaction
keyword FOS: Sociology
keyword FOS: Biological sciences
system:type publication
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::c06298650e25bfa489ee1e2b6bdb5461
Author jsonws_user
Last Updated 21 December 2020, 17:04 (CET)
Created 21 December 2020, 17:04 (CET)