Unravelling the concept of consumer preference: Implications for health policy and optimal planning in primary care

Foster, Michele; Earl, Peter E.; Haines, Terrence Peter; Mitchell, G.

doi:10.1016/j.healthpol.2010.04.005

Cited by 26 publications

(22 citation statements)

References 42 publications

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“…For patients to be able to choose as this assumes, they need complete information, unrestricted cognitive abilities, consistent preferences, willpower and the ability to foresee their needs [88]. However, several studies suggest that these conditions are rarely satisfied [88-90] and most patients are consequently unable to make a completely rational choice [38,63,88,91-93]. This results in choices based on only some of the provider characteristics and/or irrelevant factors such as their current mood [31,63,88-91] and often to no choice at all [88,93,94].…”

Section: Resultsmentioning

confidence: 99%

“…However, several studies suggest that these conditions are rarely satisfied [88-90] and most patients are consequently unable to make a completely rational choice [38,63,88,91-93]. This results in choices based on only some of the provider characteristics and/or irrelevant factors such as their current mood [31,63,88-91] and often to no choice at all [88,93,94]. According to several studies, the degree to which patients are capable of processing the information rationally is influenced by their health literacy (the degree to which they have the capacity to obtain, process and understand the basic health information needed to make appropriate health decisions) and their numeracy (the ability to apply numbers as needed to manage your health) [60,92,95-97].…”

Section: Resultsmentioning

confidence: 99%

“…personal finance, which school to attend) [133-137]. Instead, choices are based on only some of the provider characteristics [31,63,88-91] and patients choose a provider that is good enough, or make no active choice at all [88,93,94]. Furthermore, their degree of activation [42,62,64,76,86,98], the information sources they use and how systematically they compare the information about the characteristics of the various providers also differ [31].…”

Section: Discussionmentioning

confidence: 99%

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Determinants of patient choice of healthcare providers: a scoping review

Victoor

Delnoij

Friele

et al. 2012

BMC Health Serv Res

394

393

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BackgroundIn several northwest European countries, a demand-driven healthcare system has been implemented that stresses the importance of patient healthcare provider choice. In this study, we are conducting a scoping review aiming to map out what is known about the determinants of patient choice of a wide range of healthcare providers. As far as we know, not many studies are currently available that attempt to draw a general picture of how patients choose a healthcare provider and of the status of research on this subject. This study is therefore a valuable contribution to the growing amount of literature about patient choice.MethodsWe carried out a specific type of literature review known as a scoping review. Scoping reviews try to examine the breadth of knowledge that is available about a particular topic and therefore do not make selections or apply quality constraints. Firstly, we defined our research questions and searched the literature in Embase, Medline and PubMed. Secondly, we selected the literature, and finally we analysed and summarized the information.ResultsOur review shows that patients’ choices are determined by a complex interplay between patient and provider characteristics. A variety of patient characteristics determines whether patients make choices, are willing and able to choose, and how they choose. Patients take account of a variety of structural, process and outcome characteristics of providers, differing in the relative importance they attach to these characteristics.ConclusionsThere is no such thing as the typical patient: different patients make different choices in different situations. Comparative information seems to have a relatively limited influence on the choices made by many patients and patients base their decisions on a variety of provider characteristics instead of solely on outcome characteristics. The assumptions made in health policy about patient choice may therefore be an oversimplification of reality. Several knowledge gaps were identified that need follow-up research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Determinants of patient choice of healthcare providers: a scoping review

Victoor

Delnoij

Friele

et al. 2012

BMC Health Serv Res

394

393

View full text Add to dashboard Cite

show abstract

“…Several hypotheses related to period differences have been put forward to explain why CAM use may be growing, including the rise of the consumer movement in healthcare since the 1970’s and the growing use of the Internet [17–19]. The consumer movement has empowered individuals and encouraged them to take a proactive role towards healthcare decisions and selection of services [18, 20, 21]. Additionally, as health information becomes more readily available online, more individuals are seeking and finding information about CAM treatments, which they may incorporate into their general healthcare practices [19].…”

Section: Introductionmentioning

confidence: 99%

Changes in the use practitioner-based complementary and alternative medicine over time in Canada: Cohort and period effects

et al. 2017

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BackgroundThe use of complementary and alternative medicine (CAM) is growing. However the factors contributing to changes over time and to birth cohort differences in CAM use are not well understood.SettingWe used data from 10186 participants, who were aged 20–69 years at the first cycle of data collection in the longitudinal component of the Canadian National Population Health Survey (1994/95-2010/11). We examined chiropractic and other practitioner-based CAM use with a focus on five birth cohorts: pre-World War II (born 1925–1934); World War II (born 1935–1944); older baby boomers (born 1945–1954); younger baby boomers (born 1955–1964); and Gen Xers (born 1965–1974). The survey collected data every two years on predisposing (e.g., sex, education), enabling (e.g., income), behavior-related factors (e.g., obesity), need (e.g., chronic conditions), and use of conventional care (primary care and specialists).ResultsThe findings suggest that, at corresponding ages, more recent cohorts reported greater CAM (OR = 25.9, 95% CI: 20.0; 33.6 for Gen Xers vs. pre-World War) and chiropractic use than their predecessors (OR = 2.2, 95% CI: 1.7; 2.8 for Gen Xers vs. pre-World War). There was also a secular trend of increasing CAM use, but not chiropractic use, over time (period effect) across all ages. Factors associated with cohort differences were different for CAM and chiropractic use. Cohort differences in CAM use were partially related to a period effect of increasing CAM use over time across all ages while cohort differences in chiropractic use were related to the higher prevalence of chronic conditions among recent cohorts. The use of conventional care was positively related to greater CAM use (OR = 1.8, 95% CI: 1.6; 2.0) and chiropractic use (OR = 1.2, 95% CI: 1.1; 1.4) but did not contribute to changes over time or to cohort differences in CAM and chiropractic use.ConclusionThe higher CAM use over time and in recent cohorts could reflect how recent generations are approaching their healthcare needs by expanding conventional care to include CAM therapies and practice for treatment and health promotion. The findings also underscore the importance of doctors discussing CAM use with their patients.

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“…Further studies point out that waiting times also have a positive impact on patient's hospital choices. Other studies show that most patients are unable to make a completely rational choice [26][27][28][29]. This highlights the importance of hospital convenience, especially for patients with chronic diseases, as most of them are elderly and find it difficult to search out and effectively use potentially helpful information.…”

Section: Hospital Conveniencementioning

confidence: 99%