Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study
Background: Traditional Chinese Medicine (TCM), integrating patient preferences into decision-making process, has been widely used in the multimodality therapy of lung cancer. This study aimed to estimate patient preferences for treatment and shared decision-making (SDM) modes concerning inpatient T...
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| Language: | English |
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Elsevier
2023-09-01
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| Series: | Integrative Medicine Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422023000483 |
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| author | Yue Teng Yan Wei Yingyao Chen Juntao Yan Shimeng Liu Fuming Li Shiyi Bao Yanfeng Ren Liu Liu Yi Yang |
| author_facet | Yue Teng Yan Wei Yingyao Chen Juntao Yan Shimeng Liu Fuming Li Shiyi Bao Yanfeng Ren Liu Liu Yi Yang |
| author_sort | Yue Teng |
| collection | DOAJ |
| description | Background: Traditional Chinese Medicine (TCM), integrating patient preferences into decision-making process, has been widely used in the multimodality therapy of lung cancer. This study aimed to estimate patient preferences for treatment and shared decision-making (SDM) modes concerning inpatient TCM treatment of lung cancer in Shanghai in order to provide a basis for clinical decision-making process on TCM therapy for lung cancer. Methods: This study was conducted among patients (n = 347) from nine tertiary hospitals in Shanghai by discrete-choice experiment (DCE) survey and Shared Decision-Making Questionnaire-patient version (SDM-Q-9) survey. The DCE was developed with the inclusion of the most relevant attributes at appropriate levels for the TCM treatment of lung cancer. The empirical data analyses of patients were performed using mixed logit models. Additionally, subgroup analysis was conducted. Results: In total, 347 respondents completed the questionnaire. All attributes’ coefficients were statistically significant for patients’ preferences. Patients showed strong preferences for increasing disease control rate, relieving nausea and vomiting, reducing the risk of side effects, and were concerned about monthly out-of-pocket costs. Subgroup analysis indicated that patients with a lower SDM-Q-9 score and those who were satisfied with medical services emphasized more importance of higher disease control rate. Furthermore, most of the patients (90.20%) self-reported a high willingness to use SDM during the decision-making process. Conclusion: In Shanghai, patients mainly preferred SDM and considered disease control rate as the most essential attribute in the TCM treatment of lung cancer. The study findings could underscore the importance of considering patients’ preferences and promote SDM. |
| format | Article |
| id | doaj-art-5b3a66b5c8b44bd49d96fb8c913f9e4a |
| institution | Kabale University |
| issn | 2213-4220 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj-art-5b3a66b5c8b44bd49d96fb8c913f9e4a2025-08-20T03:26:29ZengElsevierIntegrative Medicine Research2213-42202023-09-0112310096910.1016/j.imr.2023.100969Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment studyYue Teng0Yan Wei1Yingyao Chen2Juntao Yan3Shimeng Liu4Fuming Li5Shiyi Bao6Yanfeng Ren7Liu Liu8Yi Yang9School of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China; Corresponding authors at: National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, No.138, Yi Xue Yuan Road, Shanghai 200032, China.School of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China; Corresponding authors at: National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, No.138, Yi Xue Yuan Road, Shanghai 200032, China.School of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, China; National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, ChinaBackground: Traditional Chinese Medicine (TCM), integrating patient preferences into decision-making process, has been widely used in the multimodality therapy of lung cancer. This study aimed to estimate patient preferences for treatment and shared decision-making (SDM) modes concerning inpatient TCM treatment of lung cancer in Shanghai in order to provide a basis for clinical decision-making process on TCM therapy for lung cancer. Methods: This study was conducted among patients (n = 347) from nine tertiary hospitals in Shanghai by discrete-choice experiment (DCE) survey and Shared Decision-Making Questionnaire-patient version (SDM-Q-9) survey. The DCE was developed with the inclusion of the most relevant attributes at appropriate levels for the TCM treatment of lung cancer. The empirical data analyses of patients were performed using mixed logit models. Additionally, subgroup analysis was conducted. Results: In total, 347 respondents completed the questionnaire. All attributes’ coefficients were statistically significant for patients’ preferences. Patients showed strong preferences for increasing disease control rate, relieving nausea and vomiting, reducing the risk of side effects, and were concerned about monthly out-of-pocket costs. Subgroup analysis indicated that patients with a lower SDM-Q-9 score and those who were satisfied with medical services emphasized more importance of higher disease control rate. Furthermore, most of the patients (90.20%) self-reported a high willingness to use SDM during the decision-making process. Conclusion: In Shanghai, patients mainly preferred SDM and considered disease control rate as the most essential attribute in the TCM treatment of lung cancer. The study findings could underscore the importance of considering patients’ preferences and promote SDM.http://www.sciencedirect.com/science/article/pii/S2213422023000483Lung cancerPatient preferenceDiscrete choice experimentShared decision makingTraditional Chinese medicine |
| spellingShingle | Yue Teng Yan Wei Yingyao Chen Juntao Yan Shimeng Liu Fuming Li Shiyi Bao Yanfeng Ren Liu Liu Yi Yang Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study Integrative Medicine Research Lung cancer Patient preference Discrete choice experiment Shared decision making Traditional Chinese medicine |
| title | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
| title_full | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
| title_fullStr | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
| title_full_unstemmed | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
| title_short | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
| title_sort | patient preferences and shared decision making for the traditional chinese medicine treatment of lung cancer a discrete choice experiment study |
| topic | Lung cancer Patient preference Discrete choice experiment Shared decision making Traditional Chinese medicine |
| url | http://www.sciencedirect.com/science/article/pii/S2213422023000483 |
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