The use of conjoint analysis to elicit community preferences in public health research: a case study of hospital services in South Australia

Jan, Stephen; Mooney, Gavin; Ryan, Mandy; Bruggemann, Kay; Alexander, Kathy

doi:10.1111/j.1467-842x.2000.tb00725.x

Cited by 60 publications

(37 citation statements)

References 18 publications

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“…This raises the question of what is the appropriate payment vehicle w hen including a monetary attribute. 23 For example, Jan used changes in the Medicare levy as a proxy for cost 5 and Ryan et al 22 used travelling costs as a pro xy. Another study 20 introduced a time attribute, waiting time, and then used its value to impute an indirect WTP.…”

Section: Discussionmentioning

confidence: 99%

“…5 In public health, DCM has been applied to primary health care services, 6 varicella vaccination, 7 genetic screening, 8 breast cancer screening 9 and the Rotary Bowelscan (a community-based CRC testing program). 10 The aim of this present study was to assess community decisions about CRC screening based on the trial evidence on harms and benef its.…”

Section: Salkeld Et Almentioning

confidence: 99%

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Evidence‐based consumer choice: a case study in colorectal cancer screening

Salkeld

Solomon

Short

et al. 2003

Australian and New Zealand Journal of Public Health

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Objectives: To elicit community preferences for colorectal cancer (CRC) screening by faecal occult blood test (FOBT) using discrete choice modeling (DCM). To provide policymakers with information that would assist them in designing the future national screening program. Research suggests that consumers want more infor mation about their health care options and, for some, a more active role in making decisions about their treatment. 1 The movement towards e vidence-based information and the centrality of individual patient choice and values in decision making has been described as a shift towards 'evidence-based consumer choice'. 1 At the same time, there is growing interest in the use of community preferences to inform health services planning and delivery. 2 Together, evidence-based consumer choice and recognition of community preferences in health planning pose new challenges for population health such as screening for colorectal cancer (CRC). MethodsElsewhere, the General Medical Council in the United Kingdom (UK) has guidelines about information that should be given to people considering screening tests. 3 These guidelines state that information should be provided about the purpose of screening, its uncertainties such as the risks of a f alse positive or false negative result and any significant medical, social and f inancial implications of screening for individuals and their relatives. 3 To our knowledge, there are no similar guidelines in Australia. Yet recent Australian research has shown that women want to be well informed about the possibility of f alse test results when participating in mammography screening and the risks of any adv erse effects of tests. 4 Women repor t receiving information on the benefits of tests and treatments signif icantly more often than they received information on adverse effects. 4 Consumer preferences ought to influence the deliver y of CRC screening. There are a number of ways to elicit consumer preferences, either revealed preferences (based on actual choices) or stated preference (based on hypothetical choices). We used stated preference to assist policymakers in the design of a future national screening program. Stated preference methods include the concept of QALYs (quality adjusted life years), In public health, DCM has been applied to primary health care services, 6 varicella vaccination, 7 genetic screening, 8 breast cancer screening 9 and the Rotary Bowelscan (a community-based CRC testing program). 10 The aim of this present study was to assess community decisions about CRC screening based on the trial evidence on harms and benef its. The community in this study was the eligible CRC screening population, men and women aged 50-70 years, living in central Sydney. We also aimed to provide policy makers with infor mation that would assist them in designing the future national screening program. 11 Article Methods and Concepts MethodsWe followed DCM principles and protocols as follows. 2 Stage 1: Determining attributesThrough informal networks of community ...

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Section: Discussionmentioning

confidence: 99%

Section: Salkeld Et Almentioning

confidence: 99%

Evidence‐based consumer choice: a case study in colorectal cancer screening

Salkeld

Solomon

Short

et al. 2003

Australian and New Zealand Journal of Public Health

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“…What is essential is to get citizens to make informed, resource-constrained choices (thereby avoiding wish-listing). There is Australian evidence, tentative thus far, 7,22,24,25 that this can be done. There is also wider and more substantial international evidence 37 about the feasibility and potential usefulness of such an approach.…”

Section: Mooneymentioning

confidence: 89%

“…In a mailed survey of the South Australian community 23,24 respondents were asked about the principles (including equity) they wished to underpin their health services. One half were randomly given some basic information about Aboriginal health and the other no information.…”

Section: Community Preferences For Equitymentioning

confidence: 99%

Inequity in Australian health care: how do we progress from here?

Mooney

2003

Australian and New Zealand Journal of Public Health

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“…Los experimentos de elección han sido utilizados en la economía de la salud para identificar preferencias frente a determinados programas (Johnson et al, 2000;Ryan y Wordsworth, 2000;Hall et al, 2006;Araña et al, 2008), servicios, (Jan et al, 2000;Morgan et al, 2000;Ryan et al, 2006;Burge et al, 2010;Bansback et al, 2012) o seguros sanitarios (Krueger y Kuziemko, 2013, Loewenstein et al, 2013. También se han publicado estudios en los que se ofrece una mayor información sobre la estimación del valor monetario de reducir el tiempo de espera (Ryan et al, 2005), información sobre las expectativas de aceptación de nuevas políti-cas o productos (Hall et al, 2002;King et al, 2007;Lancsar et al, 2007;Sivey et al, 2012;Kesternich et al, 2012) o la correcta asignación de recursos sanitarios (Lancsar et al, 2011).…”

Section: Experimentos De Elección Discreta En La Economía De Saludunclassified

Economic Valuation of Health Services in the Basque Country

Sigüenza¹,

Mariel²

2013

HPE-RPE

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ResumenEl objetivo de este trabajo ha sido asignar una valoración económica a los servicios sanitarios en la Comunidad Autónoma de País Vasco. Con este fin se ha realizado una encuesta incluyendo un experimento de elección discreta. Para tratar las respuestas y obtener la valoración económica analizada, se ha aplicado un Modelo Logit Mixto. Los resultados indican que el atributo más valorado de la sanidad pública actual es el trato médico y que existe heterogeneidad en las preferencias de los individuos respecto al tiempo de espera para especialista, intervención y confort hospitalario. Los grupos de individuos con preferencias diferentes al resto que se han podido identificar son los autónomos, individuos con estudios universitarios e individuos con ingresos elevados. La aportación principal del trabajo es la cuantificación en unidades monetarias de las preferencias de los individuos con respecto a los servicios sanitarios en la Comunidad Autónoma de País Vasco. Estas valoraciones podrían ser empleadas tanto en el ámbito empresarial como en política de asignación de recursos públicos.Palabras clave: servicios sanitarios, experimento de elección discreta.Clasificación JEL: I11, I18, C35. IntroducciónLa actual situación económica condiciona, entre muchos otros, el mercado de los servicios sanitarios. Los continuos recortes en la sanidad pública y las privatizaciones de la gestión de algunos hospitales, nos hace pensar cada vez más en un modelo de sanidad pública cofinanciada por el estado y por los perceptores de los servicios sanitarios. Un mercado que

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The use of conjoint analysis to elicit community preferences in public health research: a case study of hospital services in South Australia

Abstract: Aims: To demonstrate the use of conjoint analysis (CA) in public health research through a survey of the South Australian community about aspects of their public hospital services.

Cited by 60 publications

References 18 publications

Evidence‐based consumer choice: a case study in colorectal cancer screening

Evidence‐based consumer choice: a case study in colorectal cancer screening

Inequity in Australian health care: how do we progress from here?

Economic Valuation of Health Services in the Basque Country

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