Decisions about Pap tests: What influences women and providers?
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.
|Date of creation:||Oct 2007|
|Contact details of provider:|| Postal: Level 4, 645 Harris Street, Ultimo, NSW 2007|
Phone: +61 2 9514 9799
Fax: 61 2 9514 4730
Web page: http://www.chere.uts.edu.au
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Bush, Judith, 2000. ""It's just part of being a woman": cervical screening, the body and femininity," Social Science & Medicine, Elsevier, vol. 50(3), pages 429-444, February.
- Vick, Sandra & Scott, Anthony, 1998. "Agency in health care. Examining patients' preferences for attributes of the doctor-patient relationship," Journal of Health Economics, Elsevier, vol. 17(5), pages 587-605, October.
- 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.
- Araña, Jorge E. & León, Carmelo J. & Quevedo, Jose L., 2006. "The effect of medical experience on the economic evaluation of health policies. A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 63(2), pages 512-524, July.
- Rochelle Belkar & Denzil G. Fiebig & Marion Haas & Rosalie Viney, 2006.
"Why worry about awareness in choice problems? Econometric analysis of screening for cervical cancer,"
John Wiley & Sons, Ltd., vol. 15(1), pages 33-47.
- Rosalie Viney & Marion Haas & Rochelle Belkar & Denzil G. Fiebig, 2004. "Why worry about awareness in choice problems? Econometric analysis of screening for cervical cancer," Econometric Society 2004 Australasian Meetings 109, Econometric Society.
- Train,Kenneth E., 2009.
"Discrete Choice Methods with Simulation,"
Cambridge University Press, number 9780521747387, December.
- 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.
- Robert Bartels & Denzil Fiebig & Arthur Soest, 2006.
"Consumers and experts: an econometric analysis of the demand for water heaters,"
Springer, vol. 31(2), pages 369-391, June.
- Bartels, R. & Fiebig, D.G. & van Soest, A.H.O., 2003. "Consumers and Experts : An Econometric Analysis of the Demand for Water Heaters," Discussion Paper 2003-26, Tilburg University, Center for Economic Research.
- Andrews, Donald W. K., 1998.
"Hypothesis testing with a restricted parameter space,"
Journal of Econometrics,
Elsevier, vol. 84(1), pages 155-199, May.
- Donald W.K. Andrews, 1994. "Hypothesis Testing with a Restricted Parameter Space," Cowles Foundation Discussion Papers 1060R, Cowles Foundation for Research in Economics, Yale University.
- 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.
- Leonie Burgess & Deborah J. Street & Rosalie Viney & Jordan Louviere, 2006.
"Design of Choice Experiments in Health Economics,"
in: The Elgar Companion to Health Economics, chapter 39
Edward Elgar Publishing.
- 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.
When requesting a correction, please mention this item's handle: RePEc:her:chewps:2007/11. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Liz Chinchen)
If references are entirely missing, you can add them using this form.