Population preferences and choice of primary care models: A discrete choice experiment in Sweden

Examining the attitudes and preferences of health care decision-makers in relation to access, equity and cost-effectiveness: A discrete choice experiment

“…Individuals are asked to choose their preferred scenario from each pair and inferences are drawn about their values based upon the trade-offs made between attributes. DCE studies are increasingly being used to elicit patient and/or general population preferences for alternative health service configurations [3,4]. The technique has also been more rarely but successfully used with health care decision-makers in priority setting for clinical service developments [5] and in the choice of hospital reimbursement scheme [6].…”

A utilização da experiência de escolha discreta na valoração de estados de saúde

“…Fonte: Adaptado de Hjelmgren & Anell (2007). Earl e Kemp (1999) argumentam que a DCE tem por base as teorias da escolha probabilística e da utilidade aleatória, sendo um método compatível com a teoria do consumo e com a economia neoclássica.…”

Competition and integration in Swedish health care

“…Following Hjelmgren and Anell [35], influence over the care received is highly valued by the patients in primary care. Moreover, only a small proportion of patients in Stockholm have used the opportunity to change their choice of care, and, furthermore, if this happens, the patient seldom chooses a provider outside their town district or local area [36].…”

“…In addition, due to choice of care the number of local health care providers has increased; in the County Council of Halland by 15% [13] and in the County Council of Stockholm by 11% [43], which enhances the possibilities for mobile patients to find an accessible alternative. Moreover, all types of choice of care schemes seem to stimulate local health care to shorten the waiting times [44], which is generally appreciated by patients receiving this kind of health care service [35].…”

“…Patients with regular needs to visit local health care, for instance older people and chronically ill, prefer care provider continuity to make this as convenient as possible [35,37]. As a consequence, this group of patients are not likely to frequently change their choice of local health care provision and thereby make it difficult to maintain good interpersonal connections.…”