ArticleBMC health services research2026
Coronary artery bypass grafting patients' preferences and willingness to pay for remote cardiac rehabilitation: discrete choice experiment study.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCardiac rehabilitation (CR) uptake among coronary artery bypass grafting (CABG) patients in China is extremely low. Remote cardiac rehabilitation (RCR) offers a promising alternative, but its design must be informed by patient's preferences to ensure adoption. This study aimed to quantify CABG patients' preferences and willingness-to-pay (WTP) for key RCR attributes to inform patient-centered service design.
methodsA discrete choice experiment was administered to CABG patients, assessing preferences across six RCR attributes: service content, service provider, degree of personalization, monitoring method, content model, and cost. Data were analyzed using a mixed logit model to estimate preferences, WTP, and relative importance (RI). Subgroup analyses by gender and age were performed.
resultsA total of 343 CABG patients participated in the study, of whom 69.39% were male, with a mean age of 61.69 (SD = 10.33) years. Within the present DCE model, service provider emerged as the most critical attribute (RI = 45.54). Patients strongly preferred services led by multidisciplinary teams (β = 1.70
conclusionsCABG patients prioritize professional, integrated support and convenient technology in RCR. Program development should emphasize multidisciplinary teams, wearable devices, and video content. These patient-informed strategies are essential to enhance engagement and address the low CR uptake.
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