Originales
Priorización de pacientes en lista de espera para cirugía de cataratas: diferencias en las preferencias entre ciudadanos
Prioritizing patients on waiting list for cataract surgery:preference differences among citizens
Laura Sampietro-Coloma,b,
, Mireia Espallarguesa, Mercè Comasc, Eva Rodríguezd, Xavier Castellsc, José Luis Pintoe
Autor para correspondencia
lsampietro@catsalut.net
Correspondencia: Laura Sampietro-Colom. Travessera de les Corts, 131-159. Edifici Olimpia. 08028 Barcelona. España.
Correspondencia: Laura Sampietro-Colom. Travessera de les Corts, 131-159. Edifici Olimpia. 08028 Barcelona. España.
a Agencia de Evaluación de Tecnología e Investigación Médicas, España
b Dirección de Planificación y Evaluación, Departamento de Salud,Generalidad de Cataluña, Barcelona, España
c Servicio de Evaluación y Epidemiología Clínica, Instituto Municipal de Asistencia Sanitaria, España
d Departamento de Economía Aplicada, Universidad de Vigo, Vigo, Pontevedra, España
e Centro de Investigación en Economía y Salud, Universidad Pompeu Fabra, Barcelona, España
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Travessera de les Corts, 131-159. Edifici Olimpia. 08028 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prioritizing patients on waiting list for cataract surgery:preference differences among citizens" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-11-09" "fechaAceptado" => "2005-10-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec14147" "palabras" => array:6 [ 0 => "Establecimiento de prioridades" 1 => "Cirugía electiva" 2 => "Cataratas" 3 => "Análisis de conjunto" 4 => "Preferencias" 5 => "Participación social" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec14148" "palabras" => array:6 [ 0 => "Priority setting" 1 => "Elective surgery" 2 => "Cataract" 3 => "Conjoint analysis" 4 => "Preferences" 5 => "Social participation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Estimar y comparar las preferencias de los ciudadanos sobre la priorización de pacientes en lista de espera para cirugía de cataratas.</p> <span class="elsevierStyleSectionTitle">Método</span><p class="elsevierStyleSimplePara elsevierViewall">Análisis de conjunto. Identificación y selección de criterios de priorización: 4 grupos focales/nominales de población general, pacientes/familiares, profesionales relacionados, y especialistas de Catalunya (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>36). Estimación de las preferencias (puntuaciones de los criterios): entrevista a una muestra representativa de los 4 grupos (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>771) y aplicación del modelo del <span class="elsevierStyleItalic">rank-ordered logit</span>. Las diferencias se estudiaron mediante análisis separado por grupo y su comparación.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Los criterios seleccionados y su importancia relative fueron: incapacidad visual (45%), limitación de las actividades (15%), limitación para trabajar (14%), tener alguna persona que le cuide (11%), ser cuidador (8%) y probabilidad de recuperación (7%). Existieron diferencias entre grupos en la puntuación de los criterios. La población general y los pacientes/familiares valoraron más la incapacidad visual que los otros grupos (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001). A su vez, estos dos grupos valoraron menos la limitación de las actividades (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001). La probabilidad de recuperación fue uno de los menos valorados por todos los grupos. Aunque las correlaciones de las ordenaciones de pacientes hipotéticos entre grupos fueron altas (r<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>0,9), la ordenación final de éstos en la lista de espera podia variar hasta 27 posiciones al aplicar las preferencias obtenidas de un grupo o de otro.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se consideró relevantes los criterios clínicos y los sociales. La existencia de diferencias sobre cómo deberían priorizarse los pacientes en espera recomienda tener en cuenta las preferencias de todas las partes afectadas.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To estimate and compare citizen preferences regarding patient prioritization for cataract surgery.</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">A conjoint analysis was performed. Priority criteria were identified and selected using 4 focus/nominal groups consisting of the general public, patients/relatives, allied healthprofessionals and specialists from Catalonia (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>36). Preferences elicitation (score of criteria): representative sample survey of the above mentioned groups (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>771) and rank-ordered logit model application. Differences were assessed by group analysis and their comparison.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The criteria selected and their relative importance were: visual impairment (45%), difficulty in performing activities of daily living (ADL) (15%), limitation of ability to work (14%), being looked after by someone (11%), being a caregiver (8%), and recovery probability (7%). Differences in scores were observed among groups. Visual impairment was scored more highly by the general public and patients/relatives than by other groups (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001). These two groups also assigned less importance to difficulty in performing ADL (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001). The probability of recovery was the least scored criterion by most groups. Correlations among the order of hypothetical patient scenarios were high (r<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>0.9). However, the final order of patients on the waiting list could differ by up to 27 positions when different group scores were applied.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Social and clinical criteria were considered important. 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Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13093201
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