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Preferences of Hungarian consumers for quality, access and price attributes of health care services — result of a discrete choice experiment

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  • Petra Baji

    ()
    (Corvinus University of Budapest Health Economics and Health Technology Assessment Research Centre Budapest Hungary
    Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands
    Center for Public Affairs Studies Foundation Budapest Hungary)

  • Milena Pavlova

    (Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands)

  • László Gulácsi

    (Corvinus University of Budapest Health Economics and Health Technology Assessment Research Centre Budapest Hungary
    Center for Public Affairs Studies Foundation Budapest Hungary)

  • Wim Groot

    (Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands
    Maastricht University Topinstitute Evidence-Based Education Research (TIER) Maastricht The Netherlands)

Abstract

In 2010, a household survey was carried out in Hungary among 1037 respondents to study consumer preferences and willingness to pay for health care services. In this paper, we use the data from the discrete choice experiments included in the survey, to elicit the preferences of health care consumers about the choice of health care providers. Regression analysis is used to estimate the effect of the improvement of service attributes (quality, access, and price) on patients’ choice, as well as the differences among the socio-demographic groups. We also estimate the marginal willingness to pay for the improvement in attribute levels by calculating marginal rates of substitution. The results show that respondents from a village or the capital, with low education and bad health status are more driven by the changes in the price attribute when choosing between health care providers. Respondents value the good skills and reputation of the physician and the attitude of the personnel most, followed by modern equipment and maintenance of the office/hospital. Access attributes (travelling and waiting time) are less important. The method of discrete choice experiment is useful to reveal patients’ preferences, and might support the development of an evidence-based and sustainable health policy on patient payments.

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Bibliographic Info

Article provided by Akadémiai Kiadó, Hungary in its journal Society and Economy.

Volume (Year): 34 (2012)
Issue (Month): 2 (June)
Pages: 293-311

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Handle: RePEc:aka:soceco:v:34:y:2012:i:2:p:293-311

Note: The study is financed by the European Commission under the 7th Framework Program, Theme 8 Socio-economic Sciences and Humanities, Project ASSPRO CEE 2007 (Grant Agreement no. 217431). The content of the publication is the sole responsibility of the authors and it in no way represents the views of the Commission or its services.
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Related research

Keywords: discrete choice experiment; service valuation; health care; user fees; Hungary;

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