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dc.contributor.authorO'Hara, L.M.en_US
dc.contributor.authorCaturegli, I.en_US
dc.contributor.authorO'Hara, N.N.en_US
dc.date.accessioned2019-09-13T17:02:33Z
dc.date.available2019-09-13T17:02:33Z
dc.date.issued2019
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85065992978&doi=10.1136%2fbmjopen-2018-028202&partnerID=40&md5=7a3d826972721effd9d38e5af91d0428
dc.identifier.urihttp://hdl.handle.net/10713/10818
dc.description.abstractObjective To quantify which publicly reported hospital quality metrics have the greatest impact on a patient's simulated hospital selection for hip or knee arthroplasty. Design Discrete choice experiment. Setting Two university-affiliated orthopaedic clinics in the greater Baltimore area, Maryland, USA. Participants One hundred and twenty-eight patients who were candidates for total hip or knee arthroplasty. Primary and secondary outcome measures The effect and magnitude of acceptable trade-offs between publicly reported hospital quality parameters on patients' decision-making strategies using a Hierarchical Bayes model. Results Publicly reported information on patient perceptions of attention to alleviation of postoperative pain had the most influence on simulated hospital choice (20.7%), followed by methicillin-resistant Staphylococcus aureus (MRSA) rates (18.8%). The understandability of the discharge instructions was deemed the least important attribute with a relative importance of 6.9%. Stratification of these results by insurance status and duration of pain prior to surgery revealed that patient demographics and clinical presentation affect the decision-making paradigm. Conclusions Publicly available information regarding hospital performance is of interest to hip and knee arthroplasty patients. Patients are willing to accept suboptimal understanding of discharge instructions, lower hospital ratings and suboptimal cleanliness in exchange for better postoperative pain management, lower MRSA rates, and lower complication rates. Copyright Author(s) (or their employer(s)) 2019.en_US
dc.description.sponsorshipThis work was supported by 5K24AI079040-05 (ADH) from the National Institutes of Health (NIH), and the Banting Postdoctoral Fellowship Program administered by the Government of Canada (LMO).en_US
dc.description.urihttps://doi.org/10.1136/bmjopen-2018-028202en_US
dc.language.isoen-USen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofBMJ Open
dc.subjectdiscrete choice experimenten_US
dc.subjecthospital quality metricsen_US
dc.subjectPatient preferencesen_US
dc.subjecttotal hip and knee arthroplastyen_US
dc.titleWhat publicly available quality metrics do hip and knee arthroplasty patients care about most when selecting a hospital in Maryland: A discrete choice experimenten_US
dc.typeArticleen_US
dc.identifier.doi10.1136/bmjopen-2018-028202
dc.identifier.pmid31110108


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