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Decisions about Pap tests: What influences women and providers?

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Author Info
Denzil Fiebig () (University of NSW)
Marion Haas () (CHERE, University of Technology, Sydney)
Ishrat Hossain () (CHERE, University of Technology, Sydney)
Rosalie Viney () (CHERE, University of Technology, Sydney)

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Abstract

Despite the success internationally of cervical screening programs debate continues about optimal program design. This includes increasing participation rates among under-screened women, reducing unnecessary early re-screening, improving accuracy of and confidence in screening tests, and determining the cost-effectiveness of program parameters, such as type of screening test, screening interval and target group. For all these issues, information about consumer and provider preferences and insight into the potential impact of any change to program design on consumer and provider behaviour are essential inputs into evidence-based health policy decision making. This paper reports the results of discrete choice experiments to investigate women?s choices and providers? recommendations in relation to cervical screening in Australia. Separate experiments were conducted with women and general practitioners, with attributes selected to allow for investigation of interaction between women?s and providers? preferences and to determine how women and general practitioners differ in their preferences for common attributes. The results provide insight into the agency relationship in this context. Our results indicate a considerable commonality in preferences but the alignment was not complete. Women put relatively more weight on cost, chance of a false positive and if the recommended screening interval were changed to one year.

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File URL: http://www.chere.uts.edu.au/pdf/wp2007_11.pdf
File Format: application/pdf
File Function: First version, September 2006 Current version, October 2007
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Publisher Info
Paper provided by CHERE, University of Technology, Sydney in its series Working Papers with number 2007/11.

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Date of creation: Oct 2007
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Handle: RePEc:her:chewps:2007/11

Contact details of provider:
Postal: PO Box 123 Broadway NSW 2007, Level 2, Block D, Building 5, 1-59 Quay Street Haymarket NSW 2000
Phone: 61 2 9514 4720
Fax: 61 2 9514 4730
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Web page: http://www.chere.uts.edu.au
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Related research
Keywords: Cervical Screening Discrete choice experiments Agency relationships Consumer preferences

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Find related papers by JEL classification:
I10 - Health, Education, and Welfare - - Health - - - General

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References listed on IDEAS
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  1. Rochelle Belkar & Denzil G. Fiebig & Marion Haas & Rosalie Viney, 2006. "Why worry about awareness in choice problems? Econometric analysis of screening for cervical cancer," Health Economics, John Wiley & Sons, Ltd., vol. 15(1), pages 33-47. [Downloadable!]
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  2. David Revelt & Kenneth Train, 1998. "Mixed Logit With Repeated Choices: Households' Choices Of Appliance Efficiency Level," The Review of Economics and Statistics, MIT Press, vol. 80(4), pages 647-657, November. [Downloadable!] (restricted)
  3. Daniel McFadden & Kenneth Train, 2000. "Mixed MNL models for discrete response," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 15(5), pages 447-470. [Downloadable!]
  4. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press, vol. 5(1), pages 34-58, Spring.
  5. Hall, Jane & Fiebig, Denzil G. & King, Madeleine T. & Hossain, Ishrat & Louviere, Jordan J., 2006. "What influences participation in genetic carrier testing?: Results from a discrete choice experiment," Journal of Health Economics, Elsevier, vol. 25(3), pages 520-537, May. [Downloadable!] (restricted)
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