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Preferences of older patients and choice of treatment location in the UK: A binary choice experiment

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  • Lim, Jennifer N.W.
  • Edlin, Richard

Abstract

Current National Health Service (NHS) policy places importance on allowing patients to choose the time and location of their treatment. However, existing evidence suggests that older people have distinct needs and preferences from those of the general population. This study aimed to elicit preferences over cataract surgery from older people using a stated preference experiment. In order to reduce the cognitive load of the experiment, a binary choice format (accept treatment, reject treatment) was used. Analysis suggests that the strongest determinant of whether or not to accept treatment may be whether or not a consultant performs the operation. In monetary equivalents, a one mile increase in travel and a 1 week increase in waiting time are both valued at approximately £2, whilst consultant-led care is valued at approximately £25. Whilst the majority of our sample ultimately selected the closest treatment location available the results here suggest that older people are able to make trade-offs between pertinent attributes of choice. Here, the closest treatment location may simply be the one that best reflects their preferences.

Suggested Citation

  • Lim, Jennifer N.W. & Edlin, Richard, 2009. "Preferences of older patients and choice of treatment location in the UK: A binary choice experiment," Health Policy, Elsevier, vol. 91(3), pages 252-257, August.
    • Handle: RePEc:eee:hepoli:v:91:y:2009:i:3:p:252-257
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    1. Cairns, John & van der Pol, Marjon, 2004. "Repeated follow-up as a method for reducing non-trading behaviour in discrete choice experiments," Social Science & Medicine, Elsevier, vol. 58(11), pages 2211-2218, June.
    2. Blanchard, Christina G. & Labrecque, Mark S. & Ruckdeschel, John C. & Blanchard, Edward B., 1988. "Information and decision-making preferences of hospitalized adult cancer patients," Social Science & Medicine, Elsevier, vol. 27(11), pages 1139-1145, January.
    3. Guadagnoli, Edward & Ward, Patricia, 1998. "Patient participation in decision-making," Social Science & Medicine, Elsevier, vol. 47(3), pages 329-339, August.
    4. Fernando San Miguel & Mandy Ryan & Emma McIntosh, 2000. "Applying conjoint analysis in economic evaluations: an application to menorrhagia," Applied Economics, Taylor & Francis Journals, vol. 32(7), pages 823-833.
    5. Fotaki, Marianna, 1999. "The impact of market oriented reforms on choice and information: a case study of cataract surgery in outer London and Stockholm," Social Science & Medicine, Elsevier, vol. 48(10), pages 1415-1432, May.
    6. Vrangbaek, Karsten & Bech, Mickael, 2004. "County level responses to the introduction of DRG rates for "extended choice" hospital patients in Denmark," Health Policy, Elsevier, vol. 67(1), pages 25-37, January.
    7. Anell, Anders, 1996. "The monopolistic integrated model and health care reform: the Swedish experience," Health Policy, Elsevier, vol. 37(1), pages 19-33, July.
    8. Schwappach, David L.B. & Strasmann, Thomas J., 2006. ""Quick and dirty numbers"?: The reliability of a stated-preference technique for the measurement of preferences for resource allocation," Journal of Health Economics, Elsevier, vol. 25(3), pages 432-448, May.
    9. Anell, Anders & Rosen, Per & Hjortsberg, Catharina, 1997. "Choice and participation in the health services: a survey of preferences among swedish residents," Health Policy, Elsevier, vol. 40(2), pages 157-168, May.
    10. Stirling Bryan & Lisa Gold & Rob Sheldon & Martin Buxton, 2000. "Preference measurement using conjoint methods: an empirical investigation of reliability," Health Economics, John Wiley & Sons, Ltd., vol. 9(5), pages 385-395, July.
    11. Scott, Anthony, 2002. "Identifying and analysing dominant preferences in discrete choice experiments: An application in health care," Journal of Economic Psychology, Elsevier, vol. 23(3), pages 383-398, June.
    12. Rosen, Per & Anell, Anders & Hjortsberg, Catharina, 2001. "Patient views on choice and participation in primary health care," Health Policy, Elsevier, vol. 55(2), pages 121-128, February.
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    1. Caroline Vass & Dan Rigby & Katherine Payne, 2017. "The Role of Qualitative Research Methods in Discrete Choice Experiments," Medical Decision Making, , vol. 37(3), pages 298-313, April.
    2. Honora Smith & Christine Currie & Pornpimol Chaiwuttisak & Andreas Kyprianou, 2018. "Patient choice modelling: how do patients choose their hospitals?," Health Care Management Science, Springer, vol. 21(2), pages 259-268, June.

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