Diabetes technology

Diabetes patient preferences for glucose-monitoring technologies: results from a discrete choice experiment in Poland and the Netherlands

BMJ Open Diabetes Res CarePublished Discrete choice experiment

Authors' conclusion

Costs are the primary concern of patients in both countries when choosing a glucose monitor and would likely hamper real-world uptake. The costs-benefit profiles of such devices should be critically reviewed.

Study context

Population
Adults with T1D or T2D from the Netherlands and Poland choosing between hypothetical glucose monitors described by 7 attributes (precision, effort to check, finger pricks, skin irritation risk, information, alarm, out-of-pocket costs)
Participants
226 vs 261
Comparison
Dutch vs Polish adults with diabetes
  • Netherlandsn = 226
  • Polandn = 261
Outcome
Relative value (importance) adults with diabetes assign to glucose-monitoring device attributes
Methodological detailsonline, panel mixed logit models
  • Online
  • Panel mixed logit models

Main finding

As reported in the abstract

Attribute relative importance, expected uptake and WTP
  • Most important attribute in both countries: monthly out-of-pocket costs
  • Polish respondents more likely than Dutch to choose a glucose-monitoring device over standard finger prick, with higher willingness to pay (WTP) for a device
  • Dutch respondents had higher WTP for device improvements in effort to check and fewer finger pricks required

Original publication

Diabetes patient preferences for glucose-monitoring technologies: results from a discrete choice experiment in Poland and the Netherlands. BMJ Open Diabetes Res Care. Published 17 January 2023. doi:10.1136/bmjdrc-2022-003025

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