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Eliciting preferences for outpatient care experiences in Hungary: A discrete choice experiment with a national representative sample

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  • Óscar Brito Fernandes
  • Márta Péntek
  • Dionne Kringos
  • Niek Klazinga
  • László Gulácsi
  • Petra Baji

Abstract

Introduction: Patient-reported experience measures (PREMs) are central to inform on the responsiveness of health systems to citizens’ health care needs and expectations. At their current form, PREMs do not reflect the weights that patients assign to varying aspects of the care experience. We aimed to investigate patients’ preferences and willingness to pay (WTP) for attributes of the care experience in outpatient settings. Methods: A discrete choice experiment was conducted among a representative sample of the general adult population of Hungary (n = 1000). Choice set attributes and levels were defined based on OECD’s standardized PREMs (e.g. a doctor spending enough time in consultation, providing easy to understand explanations, giving opportunity to ask questions, and involving in decision making) and a price attribute. Conditional and mixed logit analyses were conducted. WTP estimates were computed in preference and WTP space. Results: The respondents most preferred attribute was that of a doctor spending enough time in consultation, followed by involvement in decision making. Moreover, waiting times had a less important effect on respondents’ choice preference compared with aspects of the doctor-patient relationship. Estimates in the WTP space varied from €4.38 (2.85–5.90) for waiting an hour less at a doctor’s office to €36.13 (32.07–40.18) for a consultation where a doctor spends enough time with a patient relative to a consultation where a doctor does not. Conclusions: A preference-based PREMs approach provide insight on the value patients assign to different aspects of their care experience. This can inform the decisions of policy-makers and other stakeholders to coordinate efforts and resource allocation in a more targeted manner, by acting on attributes of the care experience that have a greater impact on the implementation of patient-centered care.

Suggested Citation

  • Óscar Brito Fernandes & Márta Péntek & Dionne Kringos & Niek Klazinga & László Gulácsi & Petra Baji, 2020. "Eliciting preferences for outpatient care experiences in Hungary: A discrete choice experiment with a national representative sample," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-15, July.
  • Handle: RePEc:plo:pone00:0235165
    DOI: 10.1371/journal.pone.0235165
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    References listed on IDEAS

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    1. Vikas Soekhai & Esther W. Bekker-Grob & Alan R. Ellis & Caroline M. Vass, 2019. "Discrete Choice Experiments in Health Economics: Past, Present and Future," PharmacoEconomics, Springer, vol. 37(2), pages 201-226, February.
    2. Arne Hole & Julie Kolstad, 2012. "Mixed logit estimation of willingness to pay distributions: a comparison of models in preference and WTP space using data from a health-related choice experiment," Empirical Economics, Springer, vol. 42(2), pages 445-469, April.
    3. Arne Risa Hole, 2007. "Fitting mixed logit models by using maximum simulated likelihood," Stata Journal, StataCorp LP, vol. 7(3), pages 388-401, September.
    4. Thijs Schoot & Milena Pavlova & Elka Atanasova & Wim Groot, 2017. "Preferences of Bulgarian consumers for quality, access and price attributes of healthcare services—result of a discrete choice experiment," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(1), pages 47-71, January.
    5. Rie Fujisawa & Nicolaas S. Klazinga, 2017. "Measuring patient experiences (PREMS): Progress made by the OECD and its member countries between 2006 and 2016," OECD Health Working Papers 102, OECD Publishing.
    6. Óscar Brito Fernandes & Petra Baji & Dionne Kringos & Niek Klazinga & László Gulácsi & Armin Lucevic & Imre Boncz & Márta Péntek, 2019. "Patient experiences with outpatient care in Hungary: results of an online population survey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 79-90, June.
    7. Zsombor Zrubka & Ottó Hajdu & Fanni Rencz & Petra Baji & László Gulácsi & Márta Péntek, 2019. "Psychometric properties of the Hungarian version of the eHealth Literacy Scale," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 57-69, June.
    8. Jorien Veldwijk & Mattijs S Lambooij & Esther W de Bekker-Grob & Henriëtte A Smit & G Ardine de Wit, 2014. "The Effect of Including an Opt-Out Option in Discrete Choice Experiments," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-9, November.
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    1. Óscar Brito Fernandes & Armin Lucevic & Márta Péntek & Dionne Kringos & Niek Klazinga & László Gulácsi & Zsombor Zrubka & Petra Baji, 2021. "Self-Reported Waiting Times for Outpatient Health Care Services in Hungary: Results of a Cross-Sectional Survey on a National Representative Sample," IJERPH, MDPI, vol. 18(5), pages 1-14, February.
    2. Jamieson Gilmore, Kendall & Corazza, Ilaria & Coletta, Lucrezia & Allin, Sara, 2023. "The uses of Patient Reported Experience Measures in health systems: A systematic narrative review," Health Policy, Elsevier, vol. 128(C), pages 1-10.

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