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- Title
Preference between medical outcomes and travel times: an analysis of liver transplantation.
- Authors
Burkamp, Jasper Richard; Bühn, Stefanie; Schnitzbauer, Andreas; Pieper, Dawid
- Abstract
Background: There is evidence of a volume outcome relationship for liver transplantation. In Germany, there is a minimum volume threshold of 20 transplantations per year for each center. Thresholds potentially lead to centralization of the healthcare supply, generating longer travel times. Objective: This study assessed whether patients are willing to travel longer times to transplantation centers for better outcomes (lower hospital mortality and higher 3-year survival) and identified patient characteristics influencing their choices. Methods: Participants were recruited in hospitals and via random samples at registration offices. Discrete choice experiments were used to identify trade-offs in their choices between local and regional centers. Descriptive statistics and logistic regression models were used to measure patients' preferences and quantify potentially influencing characteristics. Results: Overall, 82.22% (in-hospital mortality) and 84.44% (3-year survival) of the participants opted to accept a longer travel time in order to receive a liver transplantation with better outcomes. Conclusion: Most participants were willing to trade shorter travel times for lower mortality risks and higher 3-year survival in cases of liver transplantation.
- Subjects
GERMANY; LIVER transplantation; TIME travel; LIVER analysis; PATIENT preferences; HOSPITAL mortality
- Publication
Langenbeck's Archives of Surgery, 2022, Vol 407, Issue 2, p707
- ISSN
1435-2443
- Publication type
Article
- DOI
10.1007/s00423-021-02258-x