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Le Stum M, Clave A, Adzinyo Agbemanyole K, Stindel E, Le Goff-Pronost M. A pilot study on preferences from surgeons to deal with an innovative customized and connected knee prosthesis - A discret choice experiment. Heliyon 2024; 10:e30041. [PMID: 38784553 PMCID: PMC11112283 DOI: 10.1016/j.heliyon.2024.e30041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 04/17/2024] [Accepted: 04/18/2024] [Indexed: 05/25/2024] Open
Abstract
Background To address the increasing global demand for Total Knee Arthroplasty and reduce the need for revisions, several technologies combining 3D planning and artificial intelligence have emerged. These innovations aim to enhance customization, improve component positioning accuracy and precision. The integration of these advancements paves the way for the development of personalized and connected knee implant. Questions/purposes These groundbreaking advancements may necessitate changes in surgical practices. Hence, it is important to comprehend surgeons' intentions in integrating these technologies into their routine procedures. Our study aims to assess how surgeons' preferences will affect the acceptability of using this new implant and associated technologies within the entire care chain. Methods We employed a Discrete Choice Experiment, a predictive technique mirroring real-world healthcare decisions, to assess surgeons' trade-off evaluations and preferences. Results A total of 90 experienced surgeons, performing a significant number of procedures annually (mostly over 51) answered. Analysis indicates an affinity for technology but limited interest in integrating digital advancements like preoperative software and robotics. However, they are receptive to practice improvements and considering the adoption of future sensors. Conclusions In conclusion, surgeons prefer customized prostheses via augmented reality, accepting extra cost. Embedded sensor technology is deemed premature by them.
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Affiliation(s)
- Mathieu Le Stum
- Université de Brest, UBO, LATIM, UMR 1101, 22 rue Camille Desmoulins, 29200, Brest, France
- Institut National de la Santé et de la Recherche Médicale, Inserm, LaTIM, UMR 1101, 22 rue Camille Desmoulins, 29200, Brest, France
| | - Arnaud Clave
- Service d'orthopédie, Clinique Saint George, 2 Avenue de Rimiez, 06100, Nice, France
| | - Koffi Adzinyo Agbemanyole
- Institut Mines-Telecom, IMT Atlantique, LATIM, UMR 1101, M@rsouin, 655 Av. du Technopôle, 29280, Plouzané, France
| | - Eric Stindel
- Université de Brest, UBO, LATIM, UMR 1101, 22 rue Camille Desmoulins, 29200, Brest, France
- Centre Hospitalo-Universitaire de Brest, CHU Brest, LATIM, UMR 1101, 2 Avenue Foch, 29200, Brest, France
| | - Myriam Le Goff-Pronost
- Institut Mines-Telecom, IMT Atlantique, LATIM, UMR 1101, M@rsouin, 655 Av. du Technopôle, 29280, Plouzané, France
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Damerval M, Bennani M, Rioufol C, Omrani S, Riboulet M, Etienne-Selloum N, Saint-Ghislain A, Leenhardt F, Schmitt A, Simon N, Clairet AL, Meurisse A, Nerich V. Attributes for a discrete-choice experiment on preferences of patients for oncology pharmacy consultations. Support Care Cancer 2024; 32:318. [PMID: 38687392 DOI: 10.1007/s00520-024-08517-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 04/21/2024] [Indexed: 05/02/2024]
Abstract
PURPOSE To ensure the safe use of oral anticancer drugs, oncology pharmacy consultations (OPCs) have been established in France. They are conditioned by the needs, expectations, and involvement of the patients in their care. Thus, it is essential to elicit their preferences. The discrete-choice experiment (DCE) is a method recommended by the ISPOR for such a task. The "selection and validation of attributes and their values" step is fundamental in this process. In this context, the aim of this study was to present our research approach to identify and validate the attributes that characterize an OPC and their values. METHODS Due to the lack of relevant published data in the literature, the focus-group method was used in accordance with good research practices for the application of conjoint-analysis of the ISPOR. The two-round Delphi method was used to validate the attributes and their values identified by the focus-group method. RESULTS The focus-group method enabled identification of nine attributes. Thirty-seven healthcare professionals at a national level, including 30 pharmacists and seven physicians, were selected to take part in the Delphi procedure. Seven attributes (frequency, planification, operation mode, duration, content, written support, and report) and their values were thus validated. CONCLUSION Based on these results, the next step will be to elicit patient preferences for OPCs and to then shed light on the issues of pharmaceutical support for patients by comparing their preferences with those of informal caregivers and, in particular, those of the healthcare professionals involved in their care.
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Affiliation(s)
| | | | - Catherine Rioufol
- Department of Pharmacy, Hospices Civils de Lyon, UCBL1, EA3738 CICLY, F-69002, Lyon, France
| | - Selim Omrani
- Department of Pharmacy, Hôpital Nord Franche-Comté, Site de Belfort, 90400, Trévenans, France
| | - Margaux Riboulet
- Assistance Pour Le Traitement des Urémiques en Provence-Corse, Centre de Néphrologie Marseille Borde, 13008, Marseille, France
| | - Nelly Etienne-Selloum
- Department of Pharmacy, Institut de Cancérologie Strasbourg Europe, 67200, Strasbourg, France
- Laboratory of Bioimaging and Pathology, University of Strasbourg, UMR7021 CNRS, 67401, Illkirch, France
| | | | - Fanny Leenhardt
- Department of Pharmacy, Institut du Cancer de Montpellier, 34090, Montpellier, France
| | - Antonin Schmitt
- Department of Pharmacy, Centre Georges-François Leclerc, 21000, Dijon, France
| | - Nicolas Simon
- Department of Pharmacy, Centre Hospitalier Universitaire de Lille, 59000, Lille, France
| | - Anne-Laure Clairet
- CHU Besançon, Pôle Pharmacie, 25030, Besançon, France
- Université de Franche-Comté, INSERM, EFS-BFC, UMR 1098, CHU Besançon, Pôle Pharmacie, 25030, Besançon, France
| | - Aurélia Meurisse
- Methodology and Quality of Life in Oncology Unit, Centre Hospitalier Universitaire de Besançon, 25000, Besançon, France
| | - Virginie Nerich
- CHU Besançon, Pôle Pharmacie, 25030, Besançon, France.
- Université de Franche-Comté, INSERM, EFS-BFC, UMR 1098, CHU Besançon, Pôle Pharmacie, 25030, Besançon, France.
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Yé M, Tapsoba C, Zabré P, Diboulo E, Sanou A, Kagoné M, Millogo O, Sié A, Nebié E, Congo C, Soenen C, Zampaligré F. [Determinants of the choice of healthcare worker positions in rural areas in Burkina Faso.]. SANTE PUBLIQUE 2019; S1:113-125. [PMID: 30066538 DOI: 10.3917/spub.180.0113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
INTRODUCTION In 2014, in Burkina Faso, more than 60% of healthcare workers were working in urban areas to the detriment of rural areas. The two largest cities concentrated the majority of healthcare workers, while these cities represent only 10% of the population. This study was designed to identify incentive strategies that could enable more equitable deployment of healthcare workers. METHODS A cross-sectional survey was carried out in 2016 in six health regions in Burkina Faso. Key informant interviews were conducted to determine the factors influencing the choice of jobs. The results were used to construct job packages useful for the discrete choice experiment survey.Levels of preferences for 1,173 health workers for incentive packages linked to the job were explored by means of electronic questionnaire data collection.Sawtooth software was used to develop and randomize job pairing preferences proposed to healthcare workers. STATA14 software was used for mixed-logit analysis. RESULTS The determinants to promote more equitable deployment and maintenance of health workers in their workplace include access to good accommodation, on-job training, responsibility, and improved salaries.In terms of acceptability of deployment, more than 75% (p-value < 0.001) of workers would agree to be redeployed in rural areas if the above conditions were met. CONCLUSION Adequate and sustainable human resource development strategies should be set up by policymakers in order to improve the maintenance of healthcare workers in rural areas.
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Vigneau C, Choukroun G, Isnard-Bagnis C, Pau D, Sinnasse-Raymond G, Pibre S, Moranne O. "Doctor, can I have less frequent injection with highly efficient treatment?" A patient centered study using an electronic choice-based conjoint analysis (ePRO) to assess real world preferences regarding erythropoiesis stimulating agent to treat anaemia in chronic kidney disease (PERCEPOLIS study). Nephrol Ther 2019; 15:152-161. [PMID: 30962139 DOI: 10.1016/j.nephro.2018.11.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Revised: 11/06/2018] [Accepted: 11/10/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Patient's perception analysis appears recently in numerous studies. Conjoint analysis has been used extensively by market researchers for studying how people value the characteristics of products and services. This technique was used in a clinical study to describe perceptions and preferences of anaemic patients suffering from chronic kidney disease not on dialysis (CKDnd), regarding erythropoietin stimulating agents (ESA). METHODS PERCEPOLIS was a French multicenter prospective non-interventional study designed to describe the relative importance of ESA attributes according to CKDnD patients. Patients fulfilled questionnaires using an electronic device (digital tablet) at baseline and after 6 months under continuous erythropoietin receptor activator (CERA) treatment. Choice-based conjoint (CBC) questionnaires were developed with multiple components: 7 ESA attributes (2 or 3 levels per attribute), 2 partial profiles per task (2 out of the 7 attributes), and 7 tasks per questionnaire. Analyses were performed according to previous ESA treatment or not. RESULTS From 789 analyzed patients, 433 non ESA-naive patients were more than 80% to declare treatment efficacy as the most important expectative in ESA choice process (direct question) but CBC analyses revealed that frequency of injections was more crucial (relative mean weight: ∼30% versus ∼20% for efficacy). Pain at injection site and haemoglobin not exceeding the recommended target were confirmed as important criteria for patients (relative mean weights: ∼15%). No new or unexplained safety signals were noted. CONCLUSIONS Using CBC design for the first time in a non-interventional ESA study with an electronic Patient Reported Outcome (ePRO) in an elderly population, these data showed that monthly injections and treatment efficacy were key patients' expectations relative to ESAs. CERA efficacy to maintain stable haemoglobin within the recommended range was confirmed in real-life conditions.
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Affiliation(s)
- Cécile Vigneau
- Nephrology unit, Rennes University Hospital, 35000 Rennes, France.
| | - Gabriel Choukroun
- Inserm UMR 1088, Nephrology, dialysis, transplantation department, University of Picardie Jules-Verne, Amiens University hospital, 80025 Amiens, France
| | | | - David Pau
- Medical department, 92000 Roche-Boulogne-Billancourt, France
| | | | - Sophie Pibre
- Medical department, 92000 Roche-Boulogne-Billancourt, France
| | - Olivier Moranne
- Nephrology unit, Nîmes University Hospital, 30029 Nîmes, France
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Chanu A, Caron A, Ficheur G, Berkhout C, Duhamel A, Rochoy M. [Preferences of general practitioners in metropolitan France with regard to the delegation of medico-administrative tasks to secretaries assisting medico-social workers: Study in conjoint analysis]. Rev Epidemiol Sante Publique 2018; 66:171-180. [PMID: 29661651 DOI: 10.1016/j.respe.2018.03.132] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 03/04/2018] [Accepted: 03/09/2018] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND A general practitioner's office is an economic unit where task delegation is an essential component in improving the quality and performance of work. AIM To classify the preferences of general practitioners regarding the delegation of medical-administrative tasks to assistant medical-social secretaries. METHOD Conjoint analysis was applied to a random sample of 175 general practitioners working in metropolitan France. Ten scenarios were constructed based on seven attributes: training for medical secretaries, logistical support during the consultation, delegation of management planning, medical records, accounting, maintenance, and taking initiative on the telephone. A factorial design was used to reduce the number of scenarios. Physicians' socio-demographic variables were collected. RESULTS One hundred and three physicians responded and the analysis included 90 respondents respecting the transitivity of preferences hypothesis. Perceived difficulty was scored 2.8 out of 5. The high rates of respondents (59%; 95% CI [51.7-66.3]) and transitivity (87.5%; 95% CI [81.1-93.9]) showed physicians' interest in this topic. Delegation of tasks concerning management planning (OR=2.91; 95% CI [2.40-13.52]) and medical records (OR=1.88; 95% CI [1.56-2.27]) were the two most important attributes for physicians. The only variable for which the choice of a secretary was not taken into account was logistical support. CONCLUSION This is a first study examining the choices of general practitioners concerning the delegation of tasks to assistants. These findings are helpful to better understand the determinants of practitioners' choices in delegating certain tasks or not. They reveal doctors' desire to limit their ancillary tasks in order to favor better use of time for "medical" tasks. They also expose interest for training medical secretaries and widening their field of competence, suggesting the emergence of a new professional occupation that could be called "medical assistant".
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Affiliation(s)
- A Chanu
- Département de médecine générale, université de Lille,20, rue André-Pantigny, 62230 Outreau, France
| | - A Caron
- EA 2694 Santé publique : épidémiologie et qualité des soins, université de Lille, CHU de Lille, 59000 Lille, France
| | - G Ficheur
- EA 2694 Santé publique : épidémiologie et qualité des soins, université de Lille, CHU de Lille, 59000 Lille, France
| | - C Berkhout
- Département de médecine générale, université de Lille,20, rue André-Pantigny, 62230 Outreau, France
| | - A Duhamel
- EA 2694 Santé publique : épidémiologie et qualité des soins, université de Lille, CHU de Lille, 59000 Lille, France
| | - M Rochoy
- Département de médecine générale, université de Lille,20, rue André-Pantigny, 62230 Outreau, France; EA 2694 Santé publique : épidémiologie et qualité des soins, université de Lille, CHU de Lille, 59000 Lille, France.
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Papin-Lefebvre F, Guillaume E, Moutel G, Launoy G, Berchi C. General practitioners’ preferences with regard to colorectal cancer screening organisation Colon cancer screening medico-legal aspects. Health Policy 2017; 121:1079-1084. [DOI: 10.1016/j.healthpol.2017.08.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Revised: 08/21/2017] [Accepted: 08/30/2017] [Indexed: 12/01/2022]
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Kamran S, Conti F, Pomey MP, Baron G, Calmus Y, Vidal-Trecan G. Patients’ preferences in transplantation from marginal donors: results of a discrete choice experiment. Transpl Int 2017; 30:589-602. [DOI: 10.1111/tri.12944] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Revised: 09/08/2016] [Accepted: 02/20/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Sara Kamran
- Public Health Ward: Quality and Risk Management; Paris left University Hospitals; Assistance Publique - Hôpitaux de Paris; Paris France
- Doctoral School of Public Health (EDSP); Paris France
| | - Filomena Conti
- Centre de Transplantation Hépatique; Pitié Salpêtrière Hospital; Assistance Publique - Hôpitaux de Paris; Paris France
| | - Marie-Pascale Pomey
- Department of Health Administration; Institut de Recherche en Santé Publique; Université de Montréal; Montréal QC Canada
| | - Gabriel Baron
- UMR 1153 Epidemiology and Statistics Sorbonne Paris Cité left (CRESS); METHODS Team; INSERM; Paris France
- Centre d’Épidémiologie Clinique; Hôpital Hôtel Dieu; Assistance Publique des Hôpitaux de Paris; Paris France
| | - Yvon Calmus
- Centre de Transplantation Hépatique; Pitié Salpêtrière Hospital; Assistance Publique - Hôpitaux de Paris; Paris France
| | - Gwenaëlle Vidal-Trecan
- Public Health Ward: Quality and Risk Management; Paris left University Hospitals; Assistance Publique - Hôpitaux de Paris; Paris France
- UMR 1153 Epidemiology and Statistics Sorbonne Paris Cité left (CRESS); METHODS Team; INSERM; Paris France
- Department of Public Health; Medical School; Paris Descartes University; Paris France
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Benjamin L, Cotté FE, Philippe C, Mercier F, Bachelot T, Vidal-Trécan G. Physicians’ preferences for prescribing oral and intravenous anticancer drugs: A Discrete Choice Experiment. Eur J Cancer 2012; 48:912-20. [DOI: 10.1016/j.ejca.2011.09.019] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2011] [Revised: 08/30/2011] [Accepted: 09/09/2011] [Indexed: 10/16/2022]
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