Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction

doi:10.3390/ijerph182111081

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23880

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23880

Title:	Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
Authors:	Chang, DH;Wang, YH;Hsieh, CY;Chang, CW;Chang, KC;Chen, YS
Keywords:	conjoint analysis;patient preference;hand reconstruction;decision-making
Date:	2021
Issue Date:	2022-08-05T09:44:23Z (UTC)
Publisher:	MDPI
Abstract:	Background: Few studies have addressed patient preferences in emergent surgical decision making. Aim of the study: Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model. Methods: A conjoint analysis survey was developed with Sawtooth Software. Three common flaps-i.e., a cross-finger flap (CFF), a dorsal metacarpal artery perforator flap (DMAPF), and an arterialized venous flap (AVF)-were listed as treatment alternatives. Five attributes corresponding to these flaps were recovery time, total procedure, postoperative care methods, postoperative scar condition, and complication rate. Utility and importance scores were generated from the software, and preference characteristics were evaluated using cluster analysis. Results: The survey was completed by 197 participants with hand trauma. Complication risk received the highest importance score (42.87%), followed by scar condition (21.55%). Cluster analysis classified the participants as conservative, practical, and dual-concern . The dual-concern and conservative groups had more foreign laborers and highly educated participants, respectively, than the other groups. Most participants in the conservative and practical groups preferred DMAPF, whereas those in the dual-concern group favored CFF. Our proposed model consisted of shared decision-making and treatment recommendation pathways. Conclusion: Incorporating patient preferences into the decision-making model can strengthen patient-centered care. Further research on the applications of the proposed model is warranted.
URI:	http://dx.doi.org/10.3390/ijerph182111081 https://www.webofscience.com/wos/woscc/full-record/WOS:000723296600001 https://ir.csmu.edu.tw:8080/handle/310902500/23880
Relation:	INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH ,2021,v18,issue 21
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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