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Patient Preferences for Long-Term Implant Care in Cochlear, Glaucoma and Cardiovascular Diseases

Author

Listed:
  • Sabine Schulz

    (Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health (CERES), University of Cologne and University Hospital of Cologne, Universitätsstraße 91, 50931 Cologne, Germany)

  • Laura Harzheim

    (Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health (CERES), University of Cologne and University Hospital of Cologne, Universitätsstraße 91, 50931 Cologne, Germany)

  • Constanze Hübner

    (Center for Life Ethics, University of Bonn, 53113 Bonn, Germany)

  • Mariya Lorke

    (Faculty of Engineering and Mathematics, University of Applied Sciences and Arts (HSBI), 33619 Bielefeld, Germany)

  • Saskia Jünger

    (Department of Community Health, University of Applied Health Sciences Bochum, Gesundheitscampus 6-8, 44801 Bochum, Germany)

  • Annika Buchholz

    (Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany)

  • Stefanie Frech

    (Department of Ophthalmology, Rostock University Medical Center, Doberaner Str. 140, 18057 Rostock, Germany)

  • Melanie Steffens

    (Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany)

  • Christiane Woopen

    (Center for Life Ethics, University of Bonn, 53113 Bonn, Germany)

Abstract

In the process of developing and implementing innovative implant technologies the consideration of patient preferences can be beneficial for patients, doctors and developers. Nevertheless, in existing literature, there is still scarce knowledge of patients’ perspectives on long-term implant care. In this study, three discrete choice experiments (DCEs) were conducted in the context of cochlear implants (CI, n = 92), glaucoma implants (GI, n = 21) and cardiovascular implants (CVI, n = 23), examining the relative importance of attributes of long-term implant care from the patients’ perspective. The participants chose between differently shaped options for implant-related care. The attributes of these care options were generated and selected based on previous literature reviews, group discussions and a diary study with patients. The choice data were analyzed via binary logit regression. In CI-DCE, the technological compatibility of the implant with newer implant models, accessories or devices from other manufacturers was highly valued by participants, whereas in GI-DCE the (in)dependency on glaucoma medication post-implantation had the greatest influence on participants’ choice behavior. In CVI-DCE, the attribute with the highest relative importance related to the means of securing long-term treatment success. In all three DCE, shared decision making was relatively important for participants. Our results emphasized the importance of an adequate transfer of technological advancements in implant care for promoting patient benefits, such as the availability of comprehensible, understandable, high-quality information about current developments. Similarly, promoting technological health literacy and further pushing the technological compatibility, durability and safety of implants are directions for future implant development in accordance with patients’ preferences. Therefore, the participation of implant wearers in the development process is encouraged.

Suggested Citation

  • Sabine Schulz & Laura Harzheim & Constanze Hübner & Mariya Lorke & Saskia Jünger & Annika Buchholz & Stefanie Frech & Melanie Steffens & Christiane Woopen, 2023. "Patient Preferences for Long-Term Implant Care in Cochlear, Glaucoma and Cardiovascular Diseases," IJERPH, MDPI, vol. 20(14), pages 1-19, July.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:14:p:6358-:d:1193060
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    References listed on IDEAS

    as
    1. Emily Lancsar & Jordan Louviere, 2008. "Conducting Discrete Choice Experiments to Inform Healthcare Decision Making," PharmacoEconomics, Springer, vol. 26(8), pages 661-677, August.
    2. Vikas Soekhai & Esther W. Bekker-Grob & Alan R. Ellis & Caroline M. Vass, 2019. "Discrete Choice Experiments in Health Economics: Past, Present and Future," PharmacoEconomics, Springer, vol. 37(2), pages 201-226, February.
    3. 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.
    4. Constanze Hübner & Mariya Lorke & Annika Buchholz & Stefanie Frech & Laura Harzheim & Sabine Schulz & Saskia Jünger & Christiane Woopen, 2022. "Health Literacy in the Context of Implant Care—Perspectives of (Prospective) Implant Wearers on Individual and Organisational Factors," IJERPH, MDPI, vol. 19(12), pages 1-36, June.
    5. Louviere, Jordan J. & Lancsar, Emily, 2009. "Choice experiments in health: the good, the bad, the ugly and toward a brighter future," Health Economics, Policy and Law, Cambridge University Press, vol. 4(4), pages 527-546, October.
    6. Stefanie Frech & Daniel Kreft & Rudolf F Guthoff & Gabriele Doblhammer, 2018. "Pharmacoepidemiological assessment of adherence and influencing co-factors among primary open-angle glaucoma patients—An observational cohort study," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-14, January.
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