Z Orthop Unfall
DOI: 10.1055/a-0965-7720
Original Article/Originalarbeit
Georg Thieme Verlag KG Stuttgart · New York

Patient Preferences between Minimum Volume Thresholds and Nationwide Healthcare Provision: the Example of Total Knee Arthroplasty

Article in several languages: English | deutsch
Jasper Burkamp
1  Medical Faculty of the University of Cologne, Institute of Health Economics and Clinical Epidemiology at the University of Cologne
2  Institute for Research in Operative Medicine, Witten/Herdecke University
,
Stefanie Bühn
2  Institute for Research in Operative Medicine, Witten/Herdecke University
,
Dawid Pieper
2  Institute for Research in Operative Medicine, Witten/Herdecke University
› Author Affiliations
Further Information

Publication History

Publication Date:
16 September 2019 (eFirst)

Abstract

Objective The aim of this study is to investigate, whether patients in Germany are willing to travel a longer time to a certain hospital in order to receive a better treatment (lower 90-days mortality, lower risk of revision) in elective total knee arthroplasty. In addition, we analyzed which characteristics determined patient preference.

Methods The participants were recruited via random samples of registration offices and hospitals. All have undergone discrete choice experiments for the outcomes mortality and revision. Descriptive statistics were used to analyze the patientʼs preference. Logistic regression models were applied to identify characteristics that influence decision making.

Results 71.7% (mortality) and 85.6% (revision) of the respondents are willing to travel a longer time in order to lower their surgical risk. The amount of people that are willing to do so is even larger in the subgroup recruited in the hospital (78.5% respectively 90.7%).

Conclusion The majority of the participants are willing to travel longer to lower their surgical risk for elective knee arthroplasty. It has to be considered, that the population under study might not be representative. Patientʼs preferences corresponds with the aim of introducing minimum volume thresholds. Future studies should focus on other indications and outcomes.