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Public preferences for prioritizing preventive and curative health care interventions: A discrete choice experiment

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  • LUYTEN, Jeroen
  • KESSELS, Roselinde
  • GOOS, Peter
  • BEUTELS, Philippe

Abstract

Through a discrete choice experiment we elicited the Belgian adult population’s (18-75y; N = 750) preferences for prioritizing health care. We used a Bayesian D-efficient design with partial profiles, which enables considering a large number of attributes and interaction effects. We included the attributes (i) type of intervention (cure versus prevention), (ii) effectiveness, (iii) risk of adverse effects, (iv) severity of illness, (v) link between the illness and patient’s health-related lifestyle, (vi) timespan between intervention and effect and (vii) patient’s age group. All attributes were significant, with patient’s lifestyle and age being the most influential. Interaction effects were found, showing that prevention was preferred to cure for disease in young adults, as well as for severe and lethal disease in people of any age. Substantial preference heterogeneity exists between respondents from different age groups, with different lifestyles and different health states.

Suggested Citation

  • LUYTEN, Jeroen & KESSELS, Roselinde & GOOS, Peter & BEUTELS, Philippe, 2013. "Public preferences for prioritizing preventive and curative health care interventions: A discrete choice experiment," Working Papers 2013032, University of Antwerp, Faculty of Applied Economics.
  • Handle: RePEc:ant:wpaper:2013032
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    References listed on IDEAS

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    1. repec:eee:trapol:v:63:y:2018:i:c:p:98-107 is not listed on IDEAS
    2. LUYTEN, Jeroen & DESMET, Pieter & KESSELS, Roselinde & GOOS, Peter & BEUTELS, Philippe, 2015. "The future’s so bright, I gotta wear sunscreen: Dispositional optimism and preferences for prioritizing health care," Working Papers 2015015, University of Antwerp, Faculty of Applied Economics.
    3. Fraeyman, Jessica & Symons, Linda & De Loof, Hans & De Meyer, Guido R.Y. & Remmen, Roy & Beutels, Philippe & Van Hal, Guido, 2015. "Medicine price awareness in chronic patients in Belgium," Health Policy, Elsevier, vol. 119(2), pages 217-223.

    More about this item

    Keywords

    Efficiency; Equity; Distribution; QALY; Treatment; Prevention;

    JEL classification:

    • C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I10 - Health, Education, and Welfare - - Health - - - General

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