Preferences of people with diabetes for diabetes care in Germany: a discrete choice experiment.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Expert Review of Pharmacoeconomics & Outcomes Research Pub Date : 2024-10-01 Epub Date: 2024-06-21 DOI:10.1080/14737167.2024.2369293

Markus Vomhof, Anna C Boersma, Dorijn F L Hertroijs, Matthias Kaltheuner, Michael Krichbaum, Bernhard Kulzer, Andrea Icks, Mickael Hiligsmann

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Abstract

Objectives: The objective of this study is to elicit health care preferences of people with diabetes and identify classes of people with different preferences.

Methods: A discrete choice experiment was conducted among people with diabetes in Germany comprising attributes of role division in daily diabetes care planning, type of lifestyle education, support for correct medication intake, consultation frequency, emotional support, and time spent on self-management. A conditional logit model and a latent class model were used to elicit preferences toward diabetes care and analyze preference heterogeneity.

Results: A total of 76 people with diabetes, recruited in two specialized diabetes care centers in Germany (mean age 51.9 years, 37.3% women, 49.1% type 2 diabetes mellitus, 50.9% type 1 diabetes mellitus), completed the discrete choice experiment. The most important attributes were consultation frequency, division in daily diabetes care planning, and correct medication intake. The latent class model detected preference heterogeneity by identifying two latent classes which differ mainly with respect to lifestyle education and medication intake.

Conclusion: While the majority of people with diabetes showed preferences in line with current health care provision in Germany, a relevant subgroup wished to strengthen lifestyle education and medication intake support with an aid or website.

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德国糖尿病患者对糖尿病护理的偏好：离散选择实验。

研究目的本研究旨在了解糖尿病患者对医疗保健的偏好，并确定具有不同偏好的人群类别：在德国的糖尿病患者中进行了离散选择实验，实验内容包括糖尿病日常护理计划中的角色分工、生活方式教育类型、对正确服药的支持、咨询频率、情感支持以及用于自我管理的时间。研究采用条件对数模型和潜类模型来激发糖尿病患者对糖尿病护理的偏好，并分析偏好的异质性：德国两家专业糖尿病护理中心共招募了 76 名糖尿病患者（平均年龄 51.9 岁，37.3% 为女性，49.1% 为 2 型糖尿病患者，50.9% 为 1 型糖尿病患者），他们完成了离散选择实验。最重要的属性是咨询频率、日常糖尿病护理计划中的分工以及正确的药物摄入量。潜类模型通过识别两个潜类来检测偏好异质性，这两个潜类主要在生活方式教育和药物摄入方面存在差异：结论：虽然大多数糖尿病患者的偏好与德国目前的医疗保健服务一致，但也有一部分人希望通过辅助工具或网站加强生活方式教育和药物摄入支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Pharmacoeconomics & Outcomes Research HEALTH CARE SCIENCES & SERVICES-PHARMACOLOGY & PHARMACY

CiteScore

4.00

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Expert Review of Pharmacoeconomics & Outcomes Research (ISSN 1473-7167) provides expert reviews on cost-benefit and pharmacoeconomic issues relating to the clinical use of drugs and therapeutic approaches. Coverage includes pharmacoeconomics and quality-of-life research, therapeutic outcomes, evidence-based medicine and cost-benefit research. All articles are subject to rigorous peer-review. The journal adopts the unique Expert Review article format, offering a complete overview of current thinking in a key technology area, research or clinical practice, augmented by the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points.