Research on Medical Decision Preferences of Doctors in a Tertiary Grade A Hospital Based on Discrete Choice Experiment
- VernacularTitle:基于离散选择实验的某三级甲等医院医生医疗决策偏好研究
- Author:
Anran WANG
1
;
Yan ZHANG
;
Chang SHU
;
Chenzhou WANG
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北 武汉 430030;湖北省人文社科重点研究基地农村健康服务研究中心 湖北 武汉 430030
- Publication Type:Journal Article
- Keywords:
medical decisions;
physician;
preference;
Discrete Choice Experiment
- From:
Chinese Hospital Management
2025;45(8):42-46,65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the medical decision-making preferences of doctors in tertiary grade A hospitals,providing evidence to promote clinical guidelines and improve healthcare service value.Methods A discrete choice model was constructed using the Delphi method.A total of 106 valid samples were collected via a questionnaire survey.The mixed logit model was used to assess doctors' preferences in medical decision-making across scenarios of hypertension,abdominal infection,and IgA nephropathy,analyzing heterogeneity in decision-making preferences based on doctors' characteristics.Results Overall,treatment efficacy,patient preference,and the value of medical exploration significantly influenced doctors' decision-making preferences(P＜0.05).In hypertension and IgA nephropathy scenarios,adverse reactions had a significant impact on decision-making preferences(P＜0.001).The relative importance of decision-making attributes was treatment efficacy＞adverse reactions＞patient preference＞medical exploration value＞cost control.Doctors with higher education levels valued treatment efficacy more in abdominal infection and IgA nephropathy scenarios(P＜0.05)and adverse reactions more in hypertension scenarios(P＜0.05).Conclusion Treatment efficacy is the primary factor in medical decision-making.Cost control plays a limited role in current decision-making,and preferences vary by disease specificity across different clinical practice scenarios.
