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  • Health System Choice: a pilot discrete-choice experiment eliciting the preferences of British and Australian citizens

    Author(s)
    Scuffham, PA
    Whitty, JA
    Taylor, M
    Saxby, RC
    Griffith University Author(s)
    Scuffham, Paul A.
    Year published
    2010
    Metadata
    Show full item record
    Abstract
    Citizen preferences surrounding desirable health system characteristics should be considered when undertaking health system reform. The objective of this study was to pilot test a discrete-choice instrument designed to elicit preference weights surrounding health system attributes. A discrete-choice experiment was designed and administered to two convenience samples (n = 50 each) recruited from the UK and Australia. The impact of eight health system attributes representing level of health, equity, responsiveness and healthcare financing on the choice between hypothetical health systems was analysed utilizing mixed logit ...
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    Citizen preferences surrounding desirable health system characteristics should be considered when undertaking health system reform. The objective of this study was to pilot test a discrete-choice instrument designed to elicit preference weights surrounding health system attributes. A discrete-choice experiment was designed and administered to two convenience samples (n = 50 each) recruited from the UK and Australia. The impact of eight health system attributes representing level of health, equity, responsiveness and healthcare financing on the choice between hypothetical health systems was analysed utilizing mixed logit analysis. All characteristics affected the likelihood a health system would be preferred, with the exception of the additional tax contribution levels required to finance the system. There were very few missing or inconsistent responses. The direction of preferences was consistent with expectations for both samples; that is, an improvement in attributes describing level of health, equity or responsiveness increased the likelihood that a health system would be preferred. A number of potential improvements to the preference instrument are suggested. The discrete-choice technique used in this study offers a feasible method for eliciting health system preferences, and its use in a larger-scale study to elicit and compare the preferences of representative population samples is supported.
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    Journal Title
    Applied Health Economics and Health Policy
    Volume
    8
    Issue
    2
    DOI
    https://doi.org/10.2165/11531170-000000000-00000
    Copyright Statement
    © 2010 Adis Data Information BV. Self-archiving of the author-manuscript version is not yet supported by this publisher. Please refer to the journal link for access to the definitive, published version or contact the authors for more information.
    Subject
    Health and community services
    Applied economics
    Marketing
    Publication URI
    http://hdl.handle.net/10072/32253
    Collection
    • Journal articles

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