Details

Autor(en) / Beteiligte

• Burton, Christopher D
• Entwistle, Vikki A
• Elliott, Alison M
• Krucien, Nicolas
• Porteous, Terry
• Ryan, Mandy

Titel

The value of different aspects of person-centred care: a series of discrete choice experiments in people with long-term conditions

Ist Teil von

• BMJ open, 2017-04, Vol.7 (4), p.e015689-e015689

Ort / Verlag

England: BMJ Publishing Group LTD

Erscheinungsjahr

2017

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• ObjectiveTo measure the value the patients place on different aspects of person-centred care.DesignWe systematically identified four attributes of person-centred care. We then measured their value to 923 people with either chronic pain or chronic lung disease over three discrete choice experiments (DCEs) about services to support self-management. We calculated the value of each attribute for all respondents and identified groups of people with similar preferences using latent class modelling.SettingDCEs conducted online via a commercial survey company.ParticipantsAdults with either chronic pain (two DCEs, n=517 and 206, respectively) or breathlessness due to chronic respiratory disease (n=200).ResultsParticipants were more likely to choose services with higher level person-centred attributes. They most valued services that took account of a person’s current situation likelihood of selection increased by 16.9% (95% CI=15.4 to 18.3) and worked with the person on what they wanted to get from life (15.8%; 14.5 to 17.1). More personally relevant information was valued less than these (12.3%; 11.0 to 13.6). A friendly and personal communicative style was valued least (3.8%; 2.7 to 4.8). Latent class models indicated that a substantial minority of participants valued personally relevant information over the other attributes.ConclusionThis is the first study to measure the value patients place on different aspects of person-centred care. Professional training needs to emphasise the substance of clinical communication—working responsively with individuals on what matters to them—as well as the style of its delivery.