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TREATMENT AFTER ACUTE CORONARY SYNDROME: ANALYSIS OF PATIENT'S PRIORITIES WITH ANALYTIC HIERARCHY PROCESS

Part of: Special Collection - Methods

Published online by Cambridge University Press:  18 October 2016

Axel C. Mühlbacher ,
Susanne Bethge  and
Anika Kaczynski
Axel C. Mühlbacher
Affiliation:
Hochschule Neubrandenburg, Neubrandenburg, GermanyCommonwealth Fund Harkness Fellow, Duke University, Durham, USAmuehlbacher@hs-nb.de
Susanne Bethge
Affiliation:
Hochschule Neubrandenburg, Neubrandenburg, Germany
Anika Kaczynski
Affiliation:
Hochschule Neubrandenburg, Neubrandenburg, Germany
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Abstract

Background: Cardiovascular disease is one of the most common causes of death worldwide, with many individuals having experienced acute coronary syndrome (ACS). How patients with a history of ACS value aspects of their medical treatment have been evaluated rarely. The aim of this study was to determine patient priorities for long-term drug therapy after experiencing ACS.

Methods: To identify patient-relevant treatment characteristics, a systematic literature review and qualitative patient interviews were conducted. A questionnaire was developed to elicit patient's priorities for different characteristics of ACS treatment using Analytic Hierarchy Process (AHP). To evaluate the patient-relevant outcomes, the eigenvector method was applied.

Results: Six-hundred twenty-three patients participated in the computer-assisted personal interviews and were included in the final analysis. Patients showed a clear priority for the attribute “reduction of mortality risk” (weight: 0.402). The second most preferred attribute was the “prevention of a new myocardial infarction” (weight: 0.272), followed by “side effect: dyspnea” (weight: 0.165) and “side effect: bleeding” (weight: 0.117). The “frequency of intake” was the least important attribute (weight: 0.044).

Conclusion: In conclusion, this study shows that patients strongly value a reduction of the mortality risk in post-ACS treatment. Formal consideration of patient preferences and priorities can help to inform a patient-centered approach, clinical practice, development of future effective therapies, and health policy for decision makers that best represents the needs and goals of the patient.

Keywords

Acute coronary syndromeAnalytic hierarchy processPatient priorities
Type
Methods
Information
International Journal of Technology Assessment in Health Care , Volume 32 , Issue 4 , 2016 , pp. 284 - 291
Copyright
Copyright © Cambridge University Press 2016 

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