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Decisions about Pap tests: What influences women and providers?

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  • Fiebig, Denzil G.
  • Haas, Marion
  • Hossain, Ishrat
  • Street, Deborah J.
  • Viney, Rosalie

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 how women and general practitioners differ in their preferences for attributes of screening programs. 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.

Suggested Citation

  • Fiebig, Denzil G. & Haas, Marion & Hossain, Ishrat & Street, Deborah J. & Viney, Rosalie, 2009. "Decisions about Pap tests: What influences women and providers?," Social Science & Medicine, Elsevier, vol. 68(10), pages 1766-1774, May.
  • Handle: RePEc:eee:socmed:v:68:y:2009:i:10:p:1766-1774
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    References listed on IDEAS

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    Cited by:

    1. Brown, Paul & Panattoni, Laura & Cameron, Linda & Knox, Stephanie & Ashton, Toni & Tenbensel, Tim & Windsor, John, 2015. "Hospital sector choice and support for public hospital care in New Zealand: Results from a labeled discrete choice survey," Journal of Health Economics, Elsevier, vol. 43(C), pages 118-127.
    2. Emily Lancsar & Joffre Swait, 2014. "Reconceptualising the External Validity of Discrete Choice Experiments," PharmacoEconomics, Springer, vol. 32(10), pages 951-965, October.
    3. Meliyanni Johar & Denzil Fiebig & Marion Haas & Rosalie Viney, 2009. "Evaluating changes in women's attitudes towards cervical screening following a screening promotion campaign and a free vaccination program. CHERE Working Paper 2009/3," Working Papers 2009/3, CHERE, University of Technology, Sydney.
    4. Stephanie Knox & Rosalie Viney & Deborah Street & Marion Haas & Denzil Fiebig & Edith Weisberg & Deborah Bateson, 2012. "What’s Good and Bad About Contraceptive Products?," PharmacoEconomics, Springer, vol. 30(12), pages 1187-1202, December.
    5. Christine Michaels-Igbokwe & Mylene Lagarde & John Cairns & Fern Terris-Prestholt, 2015. "Designing a package of sexual and reproductive health and HIV outreach services to meet the heterogeneous preferences of young people in Malawi: results from a discrete choice experiment," Health Economics Review, Springer, vol. 5(1), pages 1-19, December.
    6. Leonie Burgess & Deborah J. Street & Rosalie Viney & Jordan Louviere, 2012. "Design of Choice Experiments in Health Economics," Chapters,in: The Elgar Companion to Health Economics, Second Edition, chapter 42 Edward Elgar Publishing.
    7. Alessandro Mengoni & Chiara Seghieri & Sabina Nuti, 2013. "The application of discrete choice experiments in health economics: a systematic review of the literature," Working Papers 201301, Scuola Superiore Sant'Anna of Pisa, Istituto di Management.
    8. Emily Lancsar & Peter Burge, 2014. "Choice modelling research in health economics," Chapters,in: Handbook of Choice Modelling, chapter 28, pages 675-687 Edward Elgar Publishing.
    9. Axel Mühlbacher & Christin Juhnke, 2013. "Patient Preferences Versus Physicians’ Judgement: Does it Make a Difference in Healthcare Decision Making?," Applied Health Economics and Health Policy, Springer, vol. 11(3), pages 163-180, June.

    More about this item

    Keywords

    Australia Cervical screening Discrete choice experiments Consumer and provider preferences Women;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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