Preference between medical outcomes and travel times: an analysis of liver transplantation
- Background: There is evidence of a volume outcome relationship for liver transplantation. In Germany, there is a minimum volume threshold of 20 transplantations per year for each center. Thresholds potentially lead to centralization of the healthcare supply, generating longer travel times. Objective: This study assessed whether patients are willing to travel longer times to transplantation centers for better outcomes (lower hospital mortality and higher 3-year survival) and identified patient characteristics influencing their choices. Methods: Participants were recruited in hospitals and via random samples at registration offices. Discrete choice experiments were used to identify trade-offs in their choices between local and regional centers. Descriptive statistics and logistic regression models were used to measure patients’ preferences and quantify potentially influencing characteristics. Results: Overall, 82.22% (in-hospital mortality) and 84.44% (3-year survival) of the participants opted to accept a longer travel time in order to receive a liver transplantation with better outcomes. Conclusion: Most participants were willing to trade shorter travel times for lower mortality risks and higher 3-year survival in cases of liver transplantation.
Author: | Jasper Richard BurkampORCiD, Stefanie Bühn, Andreas SchnitzbauerORCiDGND, Dawid Aleksander PieperORCiDGND |
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URN: | urn:nbn:de:hebis:30:3-636252 |
DOI: | https://doi.org/10.1007/s00423-021-02258-x |
ISSN: | 1435-2451 |
Parent Title (English): | Langenbeck's archives of surgery |
Publisher: | Springer |
Place of publication: | Berlin ; Heidelberg |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2021/07/29 |
Date of first Publication: | 2021/07/29 |
Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
Release Date: | 2022/07/11 |
Tag: | 3-year survival; Liver Transplantation; Mortality; Patient preference; Transplantation Centers; Travel times |
Volume: | 407.2021 |
Issue: | 2 |
Page Number: | 10 |
First Page: | 707 |
Last Page: | 716 |
Note: | Open Access funding enabled and organized by Projekt DEAL. This study was financed by Witten/Herdecke University. |
HeBIS-PPN: | 502123974 |
Institutes: | Medizin |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Sammlungen: | Universitätspublikationen |
Licence (German): | Creative Commons - Namensnennung 4.0 |