What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment.
<h4>Background</h4>Follow-up after low-risk basal cell carcinoma (BCC) is being provided more frequently than recommended by guidelines. To design an acceptable strategy to successfully reduce this 'low-value' care, it is important to obtain insights into the preferences of pat...
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Public Library of Science (PLoS)
2021-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249298&type=printable |
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| author | Sven van Egmond Esther de Vries Loes Hollestein Maarten Bastiaens Kees-Peter de Roos Daniëlle Kuijpers Ewout Steyerberg Marlies Wakkee Klara Mosterd Tamar Nijsten Esther W de Bekker-Grob |
| author_facet | Sven van Egmond Esther de Vries Loes Hollestein Maarten Bastiaens Kees-Peter de Roos Daniëlle Kuijpers Ewout Steyerberg Marlies Wakkee Klara Mosterd Tamar Nijsten Esther W de Bekker-Grob |
| author_sort | Sven van Egmond |
| collection | DOAJ |
| description | <h4>Background</h4>Follow-up after low-risk basal cell carcinoma (BCC) is being provided more frequently than recommended by guidelines. To design an acceptable strategy to successfully reduce this 'low-value' care, it is important to obtain insights into the preferences of patients and dermatologists.<h4>Objective</h4>To determine the preferences and needs of patients and dermatologists to reduce low-risk BCC follow-up care, and the trade-offs they are willing to make.<h4>Methods</h4>A questionnaire including a discrete choice experiment was created, containing attributes regarding amount of follow-up, continuity of care, method of providing addition information, type of healthcare provider, duration of follow-up visits and skin examination. In total, 371 BCC patients and all Dutch dermatologists and dermatology residents (n = 620) were invited to complete the questionnaire. A panel latent class model was used for analysis.<h4>Results</h4>Eighty-four dermatologists and 266 BCC patients (21% and 72% response rates respectively) completed the discrete choice experiment. If the post-treatment visit was performed by the same person as treatment provider and a hand-out was provided to patients containing personalised information, the acceptance of having no additional follow-up visits (i.e. following the guidelines) would increase from 55% to 77% by patients. Female patients and older dermatologists, however, are less willing to accept the guidelines and prefer additional follow-up visits.<h4>Limitations</h4>The low response rate of dermatologists.<h4>Conclusion</h4>This discrete choice experiment revealed a feasible strategy to substantially reduce costs, while maintaining quality of care, based on the preferences and needs of BCC patients, which is supported by dermatologists. |
| format | Article |
| id | doaj-art-95f6dc50bb374b7ba6de4c7db32ab464 |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-95f6dc50bb374b7ba6de4c7db32ab4642025-08-20T02:17:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01163e024929810.1371/journal.pone.0249298What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment.Sven van EgmondEsther de VriesLoes HollesteinMaarten BastiaensKees-Peter de RoosDaniëlle KuijpersEwout SteyerbergMarlies WakkeeKlara MosterdTamar NijstenEsther W de Bekker-Grob<h4>Background</h4>Follow-up after low-risk basal cell carcinoma (BCC) is being provided more frequently than recommended by guidelines. To design an acceptable strategy to successfully reduce this 'low-value' care, it is important to obtain insights into the preferences of patients and dermatologists.<h4>Objective</h4>To determine the preferences and needs of patients and dermatologists to reduce low-risk BCC follow-up care, and the trade-offs they are willing to make.<h4>Methods</h4>A questionnaire including a discrete choice experiment was created, containing attributes regarding amount of follow-up, continuity of care, method of providing addition information, type of healthcare provider, duration of follow-up visits and skin examination. In total, 371 BCC patients and all Dutch dermatologists and dermatology residents (n = 620) were invited to complete the questionnaire. A panel latent class model was used for analysis.<h4>Results</h4>Eighty-four dermatologists and 266 BCC patients (21% and 72% response rates respectively) completed the discrete choice experiment. If the post-treatment visit was performed by the same person as treatment provider and a hand-out was provided to patients containing personalised information, the acceptance of having no additional follow-up visits (i.e. following the guidelines) would increase from 55% to 77% by patients. Female patients and older dermatologists, however, are less willing to accept the guidelines and prefer additional follow-up visits.<h4>Limitations</h4>The low response rate of dermatologists.<h4>Conclusion</h4>This discrete choice experiment revealed a feasible strategy to substantially reduce costs, while maintaining quality of care, based on the preferences and needs of BCC patients, which is supported by dermatologists.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249298&type=printable |
| spellingShingle | Sven van Egmond Esther de Vries Loes Hollestein Maarten Bastiaens Kees-Peter de Roos Daniëlle Kuijpers Ewout Steyerberg Marlies Wakkee Klara Mosterd Tamar Nijsten Esther W de Bekker-Grob What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment. PLoS ONE |
| title | What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment. |
| title_full | What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment. |
| title_fullStr | What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment. |
| title_full_unstemmed | What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment. |
| title_short | What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment. |
| title_sort | what do patients and dermatologists prefer regarding low risk basal cell carcinoma follow up care a discrete choice experiment |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249298&type=printable |
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