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Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models

OBJECTIVES: The shift toward more innovative and sustainable primary care models in Italy leads policy makers and clinicians to face difficult decisions between options that are all regarded as potentially beneficial. In this study, patient preferences for different primary care models in the Tuscan...

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Autores principales: Seghieri, Chiara, Mengoni, Alessandro, Nuti, Sabina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145207/
https://www.ncbi.nlm.nih.gov/pubmed/24241816
http://dx.doi.org/10.1007/s10198-013-0542-8
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author Seghieri, Chiara
Mengoni, Alessandro
Nuti, Sabina
author_facet Seghieri, Chiara
Mengoni, Alessandro
Nuti, Sabina
author_sort Seghieri, Chiara
collection PubMed
description OBJECTIVES: The shift toward more innovative and sustainable primary care models in Italy leads policy makers and clinicians to face difficult decisions between options that are all regarded as potentially beneficial. In this study, patient preferences for different primary care models in the Tuscany region of Italy were elicited. The relative importance of different attributes to the surveyed respondents was then examined, as well as the rate at which individuals trade between attributes and the relative value of different service configurations. METHODS: A discrete choice experiment survey explored the following attributes in a stratified random sample of 6,970 adults: primary care provider, diagnostic facilities and waiting time for the visit. RESULTS: Respondents (3,263) were likely to prefer a consultation by their own general practitioner (GP) and a practice with many diagnostic facilities. The predicted utilities of different service configurations have shown that a “primary care centre” with many diagnostic facilities was preferable to a “solo GP” model or a “group general practice”. CONCLUSIONS: The study demonstrated how a patient choice model could be used by decision makers for developing successful policies that takes into account different healthcare needs, balancing responsiveness with care continuity, equity and appropriateness. Considering that a primary care centre would perform better than a “solo GP”, especially for younger respondents and for those with minor healthcare needs, for a more rapid diffusion of this model policymakers and managers could direct the care of primary care centres towards these targeted subgroups, at least in the first phase.
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spelling pubmed-41452072014-08-28 Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models Seghieri, Chiara Mengoni, Alessandro Nuti, Sabina Eur J Health Econ Original Paper OBJECTIVES: The shift toward more innovative and sustainable primary care models in Italy leads policy makers and clinicians to face difficult decisions between options that are all regarded as potentially beneficial. In this study, patient preferences for different primary care models in the Tuscany region of Italy were elicited. The relative importance of different attributes to the surveyed respondents was then examined, as well as the rate at which individuals trade between attributes and the relative value of different service configurations. METHODS: A discrete choice experiment survey explored the following attributes in a stratified random sample of 6,970 adults: primary care provider, diagnostic facilities and waiting time for the visit. RESULTS: Respondents (3,263) were likely to prefer a consultation by their own general practitioner (GP) and a practice with many diagnostic facilities. The predicted utilities of different service configurations have shown that a “primary care centre” with many diagnostic facilities was preferable to a “solo GP” model or a “group general practice”. CONCLUSIONS: The study demonstrated how a patient choice model could be used by decision makers for developing successful policies that takes into account different healthcare needs, balancing responsiveness with care continuity, equity and appropriateness. Considering that a primary care centre would perform better than a “solo GP”, especially for younger respondents and for those with minor healthcare needs, for a more rapid diffusion of this model policymakers and managers could direct the care of primary care centres towards these targeted subgroups, at least in the first phase. Springer Berlin Heidelberg 2013-11-15 2014 /pmc/articles/PMC4145207/ /pubmed/24241816 http://dx.doi.org/10.1007/s10198-013-0542-8 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Paper
Seghieri, Chiara
Mengoni, Alessandro
Nuti, Sabina
Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models
title Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models
title_full Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models
title_fullStr Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models
title_full_unstemmed Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models
title_short Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models
title_sort applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145207/
https://www.ncbi.nlm.nih.gov/pubmed/24241816
http://dx.doi.org/10.1007/s10198-013-0542-8
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