IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v27y2007i4p387-394.html
   My bibliography  Save this article

Relative Influence of Antibiotic Therapy Attributes on Physician Choice in Treating Acute Uncomplicated Pyelonephritis

Author

Listed:
  • Jessina C. McGregor

    (Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, mcgregoj@ohsu.edu)

  • Anthony D. Harris

    (Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore)

  • Jon P. Furuno

    (Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore)

  • Douglas D. Bradham

    (Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, VA Maryland Healthcare System, Baltimore)

  • Eli N. Perencevich

    (Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, VA Maryland Healthcare System, Baltimore)

Abstract

Background. Reducing excess duration of antibiotic therapy is a strategy for limiting the spread of antibiotic resistance, but altering physician practice to accomplish this requires knowledge of the factors that influence physician antibiotic choice. The authors aimed to quantify physician willingness to trade between 4 attributes of antibiotic therapies: different therapy durations, failure rates, dosing frequencies, and days of diarrhea as a side effect when treating acute uncomplicated pyelonephritis. Methods. The authors distributed conjoint analysis questionnaires to physicians enrolling patients in a randomized trial comparing 2 antibiotics in pyelonephritis treatment. For each question, respondents were required to select 1 of 2 antibiotics based on the values of the 4 attributes. Proportional hazards regression was used to model predictors of physician choice. Results. Eighty-seven of 88 physicians completed the questionnaire. Duration of therapy, days of diarrhea, and failure rate were significant predictors of choice (P

Suggested Citation

  • Jessina C. McGregor & Anthony D. Harris & Jon P. Furuno & Douglas D. Bradham & Eli N. Perencevich, 2007. "Relative Influence of Antibiotic Therapy Attributes on Physician Choice in Treating Acute Uncomplicated Pyelonephritis," Medical Decision Making, , vol. 27(4), pages 387-394, July.
    • Handle: RePEc:sae:medema:v:27:y:2007:i:4:p:387-394
    DOI: 10.1177/0272989X07302556
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X07302556
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X07302556?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ryan, Mandy, 1999. "Using conjoint analysis to take account of patient preferences and go beyond health outcomes: an application to in vitro fertilisation," Social Science & Medicine, Elsevier, vol. 48(4), pages 535-546, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alessandro Mengoni & Chiara Seghieri & Sabina Nuti, 2013. "The application of discrete choice experiments in health economics: a systematic review of the literature," Working Papers 201301, Scuola Superiore Sant'Anna of Pisa, Istituto di Management.
    2. Charles Cunningham & Ken Deal & Heather Rimas & Heather Campbell & Ann Russell & Jennifer Henderson & Anne Matheson & Blake Melnick, 2008. "Using Conjoint Analysis to Model the Preferences of Different Patient Segments for Attributes of Patient-Centered Care," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(4), pages 317-330, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Charles Cunningham & Ken Deal & Yvonne Chen, 2010. "Adaptive Choice-Based Conjoint Analysis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 3(4), pages 257-273, December.
    2. Tappenden, P & Brazier, J & Ratcliffe, J, 2006. "Does the National Institute for Health and Clinical Excellence take account of factors such as uncertainty and equity as well as incremental cost-effectiveness in commissioning health care services? A," MPRA Paper 29772, University Library of Munich, Germany.
    3. Lancsar, Emily & Louviere, Jordan & Flynn, Terry, 2007. "Several methods to investigate relative attribute impact in stated preference experiments," Social Science & Medicine, Elsevier, vol. 64(8), pages 1738-1753, April.
    4. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    5. Line Bjørnskov Pedersen & Astrid Kiil & Trine Kjær, 2011. "Soccer Attendees’ Preferences for Facilities at the Fionia Park Stadium: An Application of the Discrete Choice Experiment," Journal of Sports Economics, , vol. 12(2), pages 179-199, April.
    6. Mooney, Gavin, 2005. "Communitarian claims and community capabilities: furthering priority setting?," Social Science & Medicine, Elsevier, vol. 60(2), pages 247-255, January.
    7. Kettlewell, Nathan & Walker, Matthew J. & Yoo, Hong Il, 2024. "Alternative Models of Preference Heterogeneity for Elicited Choice Probabilities," IZA Discussion Papers 16821, Institute of Labor Economics (IZA).
    8. Poulos, Christine & Yang, Jui-Chen & Levin, Carol & Van Minh, Hoang & Giang, Kim Bao & Nguyen, Diep, 2011. "Mothers' preferences and willingness to pay for HPV vaccines in Vinh Long Province, Vietnam," Social Science & Medicine, Elsevier, vol. 73(2), pages 226-234, July.
    9. Mandy Ryan & Angela Bate, 2001. "Testing the assumptions of rationality, continuity and symmetry when applying discrete choice experiments in health care," Applied Economics Letters, Taylor & Francis Journals, vol. 8(1), pages 59-63.
    10. Milena Pavlova & Wim Groot & Godefridus Merode, 2005. "An Application of Rating Conjoint Analysis to Study the Importance of Quality-, Access- and Price-attributes to Health Care Consumers," Economic Change and Restructuring, Springer, vol. 37(3), pages 267-286, September.
    11. Alessandro Mengoni & Chiara Seghieri & Sabina Nuti, 2013. "The application of discrete choice experiments in health economics: a systematic review of the literature," Working Papers 201301, Scuola Superiore Sant'Anna of Pisa, Istituto di Management.
    12. Brent Opmeer & Corianne Borgie & Ben Mol & Patrick Bossuyt, 2010. "Assessing Preferences Regarding Healthcare Interventions that Involve Non-Health Outcomes," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 3(1), pages 1-10, March.
    13. Kim, Doha & Song, Yeosol & Kim, Songyie & Lee, Sewang & Wu, Yanqin & Shin, Jungwoo & Lee, Daeho, 2023. "How should the results of artificial intelligence be explained to users? - Research on consumer preferences in user-centered explainable artificial intelligence," Technological Forecasting and Social Change, Elsevier, vol. 188(C).
    14. Anna Alberini, 2017. "Measuring the economic value of the effects of chemicals on ecological systems and human health," OECD Environment Working Papers 116, OECD Publishing.
    15. Dorte Gyrd‐Hansen, 2003. "Willingness to pay for a QALY," Health Economics, John Wiley & Sons, Ltd., vol. 12(12), pages 1049-1060, December.
    16. Kirsten Howard & Glenn Salkeld & Kirsten McCaffery & Les Irwig, 2008. "HPV triage testing or repeat Pap smear for the management of atypical squamous cells (ASCUS) on Pap smear: is there evidence of process utility?," Health Economics, John Wiley & Sons, Ltd., vol. 17(5), pages 593-605, May.
    17. Xuan Yu & Cheng Li & Jin Zhang & Xianzhi Zhang & Min Yu, 2010. "Pharmacists’ preferences and choice of essential drugs: An application of the discrete choice experiment," Modern Applied Science, Canadian Center of Science and Education, vol. 4(4), pages 1-29, April.
    18. Mataria, Awad & Giacaman, Rita & Khatib, Rana & Moatti, Jean-Paul, 2006. "Impoverishment and patients' "willingness" and "ability" to pay for improving the quality of health care in Palestine: An assessment using the contingent valuation method," Health Policy, Elsevier, vol. 75(3), pages 312-328, February.
    19. Esther W. de Bekker‐Grob & Mandy Ryan & Karen Gerard, 2012. "Discrete choice experiments in health economics: a review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 21(2), pages 145-172, February.
    20. Karen Gerard & Marian Shanahan & Jordan Louviere, 2003. "Using stated preference discrete choice modelling to inform health care decision-making: A pilot study of breast screening participation," Applied Economics, Taylor & Francis Journals, vol. 35(9), pages 1073-1085.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:27:y:2007:i:4:p:387-394. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.