Eliciting patients' preferences for outpatient treatment of febrile neutropenia: A discrete choice experiment

Nina Lathia, Pierre K. Isogai, Scott E. Walker, Carlo De Angelis, Matthew C. Cheung, Jeffrey S Hoch, Nicole Mittmann

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Studies have demonstrated that patients at low risk for febrile neutropenia (FN) complications can be treated safely and effectively at home. Information on patient preferences for outpatient treatment of this condition will help to optimize health care delivery to these patients. The purpose of this study was to elicit non-Hodgkin lymphoma patients' preferences on attributes related to outpatient treatment of FN. Methods: We used a self-administered discrete choice experiment questionnaire based on the attributes of out-of-pocket costs, unpaid caregiver time required daily, and probability of return to the hospital. Ten paired scenarios in which levels of the attributes were varied were presented to study patients. For each pair, patients indicated the scenario they preferred. Adjusted odds ratios (ORs) of accepting a scenario that described outpatient care for FN were estimated. Results: Eighty-eight patients completed the questionnaire. Adjusted ORs [95 % confidence intervals] of accepting outpatient care for FN were 0.84 [0.75, 0.95] for each $10 increase in out-of-pocket cost; 0.82 [0.68, 0.99] for each 1 h increase in daily unpaid caregiver time; and 0.53 [0.50, 0.57] for each 5 % increase in probability of return to the hospital. Conclusions: Probability of return to the hospital was the most important attribute to patients when considering home-based care for FN. Patients considered out-of-pocket costs and unpaid caregiver time to be less important than probability of return to the hospital. This study identifies factors that could be incorporated into outpatient delivery systems for FN care to ensure adequate patient uptake and satisfaction with such programs.

Original languageEnglish (US)
Pages (from-to)245-251
Number of pages7
JournalSupportive Care in Cancer
Volume21
Issue number1
DOIs
StatePublished - Jan 2013
Externally publishedYes

Fingerprint

Febrile Neutropenia
Patient Preference
Outpatients
Health Expenditures
Caregivers
Ambulatory Care
Therapeutics
Odds Ratio
Home Care Services
Patient Satisfaction
Non-Hodgkin's Lymphoma
Confidence Intervals
Delivery of Health Care

Keywords

  • Discrete choice experiment
  • Febrile neutropenia
  • Health services research
  • Preferences

ASJC Scopus subject areas

  • Oncology

Cite this

Eliciting patients' preferences for outpatient treatment of febrile neutropenia : A discrete choice experiment. / Lathia, Nina; Isogai, Pierre K.; Walker, Scott E.; De Angelis, Carlo; Cheung, Matthew C.; Hoch, Jeffrey S; Mittmann, Nicole.

In: Supportive Care in Cancer, Vol. 21, No. 1, 01.2013, p. 245-251.

Research output: Contribution to journalArticle

Lathia, Nina ; Isogai, Pierre K. ; Walker, Scott E. ; De Angelis, Carlo ; Cheung, Matthew C. ; Hoch, Jeffrey S ; Mittmann, Nicole. / Eliciting patients' preferences for outpatient treatment of febrile neutropenia : A discrete choice experiment. In: Supportive Care in Cancer. 2013 ; Vol. 21, No. 1. pp. 245-251.
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abstract = "Background: Studies have demonstrated that patients at low risk for febrile neutropenia (FN) complications can be treated safely and effectively at home. Information on patient preferences for outpatient treatment of this condition will help to optimize health care delivery to these patients. The purpose of this study was to elicit non-Hodgkin lymphoma patients' preferences on attributes related to outpatient treatment of FN. Methods: We used a self-administered discrete choice experiment questionnaire based on the attributes of out-of-pocket costs, unpaid caregiver time required daily, and probability of return to the hospital. Ten paired scenarios in which levels of the attributes were varied were presented to study patients. For each pair, patients indicated the scenario they preferred. Adjusted odds ratios (ORs) of accepting a scenario that described outpatient care for FN were estimated. Results: Eighty-eight patients completed the questionnaire. Adjusted ORs [95 {\%} confidence intervals] of accepting outpatient care for FN were 0.84 [0.75, 0.95] for each $10 increase in out-of-pocket cost; 0.82 [0.68, 0.99] for each 1 h increase in daily unpaid caregiver time; and 0.53 [0.50, 0.57] for each 5 {\%} increase in probability of return to the hospital. Conclusions: Probability of return to the hospital was the most important attribute to patients when considering home-based care for FN. Patients considered out-of-pocket costs and unpaid caregiver time to be less important than probability of return to the hospital. This study identifies factors that could be incorporated into outpatient delivery systems for FN care to ensure adequate patient uptake and satisfaction with such programs.",
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N2 - Background: Studies have demonstrated that patients at low risk for febrile neutropenia (FN) complications can be treated safely and effectively at home. Information on patient preferences for outpatient treatment of this condition will help to optimize health care delivery to these patients. The purpose of this study was to elicit non-Hodgkin lymphoma patients' preferences on attributes related to outpatient treatment of FN. Methods: We used a self-administered discrete choice experiment questionnaire based on the attributes of out-of-pocket costs, unpaid caregiver time required daily, and probability of return to the hospital. Ten paired scenarios in which levels of the attributes were varied were presented to study patients. For each pair, patients indicated the scenario they preferred. Adjusted odds ratios (ORs) of accepting a scenario that described outpatient care for FN were estimated. Results: Eighty-eight patients completed the questionnaire. Adjusted ORs [95 % confidence intervals] of accepting outpatient care for FN were 0.84 [0.75, 0.95] for each $10 increase in out-of-pocket cost; 0.82 [0.68, 0.99] for each 1 h increase in daily unpaid caregiver time; and 0.53 [0.50, 0.57] for each 5 % increase in probability of return to the hospital. Conclusions: Probability of return to the hospital was the most important attribute to patients when considering home-based care for FN. Patients considered out-of-pocket costs and unpaid caregiver time to be less important than probability of return to the hospital. This study identifies factors that could be incorporated into outpatient delivery systems for FN care to ensure adequate patient uptake and satisfaction with such programs.

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