obstetrical outcome valuations by patients, professionals, and laypersons differences within and between groups using three valuation methods产科的估值结果由病人、专业人士和门外汉群体之间的差异和使用三种估值方法.pdfVIP

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obstetrical outcome valuations by patients, professionals, and laypersons differences within and between groups using three valuation methods产科的估值结果由病人、专业人士和门外汉群体之间的差异和使用三种估值方法.pdf

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obstetrical outcome valuations by patients, professionals, and laypersons differences within and between groups using three valuation methods产科的估值结果由病人、专业人士和门外汉群体之间的差异和使用三种估值方法

Bijlenga et al. BMC Pregnancy and Childbirth 2011, 11:93 /1471-2393/11/93 RESEARCH ARTICLE Open Access Obstetrical outcome valuations by patients, professionals, and laypersons: differences within and between groups using three valuation methods 1* 2 3 4 Denise Bijlenga , Erwin Birnie , Ben WJ Mol and Gouke J Bonsel Abstract Background: Decision-making can be based on treatment preferences of the patient, the doctor, or by guidelines based on lay people’s preferences. We compared valuations assigned by three groups: patients, obstetrical care professionals, and laypersons, for health states involving both mother and (unborn) child. Our aim was to compare the valuations of different groups using different valuation methods and complex obstetric health outcome vignettes that involve both maternal and neonatal outcomes. Methods: Patients (n = 24), professionals (n = 30), and laypersons (n = 27) valued the vignettes using three valuation methods: visual analogue scale (VAS), time trade-off (TTO), and discrete choice experimentation (DCE). Each vignette covered five health attributes: maternal health ante partum, time between diagnosis and delivery, process of delivery, maternal outcome, and neonatal outcome. We used feasibility questionnaires, Generalization theory, test-retest reliability and within-group reliability to compare the valuation patterns between groups and methods. We assessed relative weights from each valuation method to test for consistency across groups. Results: Test-retest reliability was equal across groups, but different across methods: highest for VAS (ICC = 0.61- 0.73), intermediate for TTO (ICC = 0.24-0.74) and lowest for DCE (kappa = 0.15-0.37). Within-group reliability was highest in all groups with VAS (ICC