A discrete choice experiment to examine the preferences of patients with cancer and their willingness to pay for different types of health care appointments

Wong, Shu Fen, Norman, Richard, Dunning, Trisha Lynette, Ashley, David Michael, Khasraw, Mustafa, Hayes, Theresa Margaret, Collins, Ian and Lorgelly, Paula Kate 2016, A discrete choice experiment to examine the preferences of patients with cancer and their willingness to pay for different types of health care appointments, Journal of the national comprehensive cancer network, vol. 14, no. 3, pp. 311-319.

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Title A discrete choice experiment to examine the preferences of patients with cancer and their willingness to pay for different types of health care appointments
Author(s) Wong, Shu Fen
Norman, Richard
Dunning, Trisha LynetteORCID iD for Dunning, Trisha Lynette orcid.org/0000-0002-0284-1706
Ashley, David Michael
Khasraw, MustafaORCID iD for Khasraw, Mustafa orcid.org/0000-0003-3249-9849
Hayes, Theresa Margaret
Collins, IanORCID iD for Collins, Ian orcid.org/0000-0001-6936-0942
Lorgelly, Paula Kate
Journal name Journal of the national comprehensive cancer network
Volume number 14
Issue number 3
Start page 311
End page 319
Total pages 9
Publisher Harborside Press
Place of publication Cold Spring Harbor, N.Y.
Publication date 2016-03
ISSN 1540-1413
Summary BACKGROUND: This study sought to understand the preferences of patients with cancer and the trade-offs between appointment attributes using discrete choice experiment (DCE). METHODS AND STUDY DESIGN: Patients with cancer at 3 hospitals completed a self-administered DCE. Each scenario described 6 attributes: expertise of health care professionals (HCPs), familiarity of doctors with patients' medical history, waiting time, accompaniment by family/friends, travel time, and out-of-pocket costs. Patient preferences were estimated using logistic regression. Willingness to pay (WTP) estimates were derived from regression coefficients. RESULTS: Of 512 patients contacted, 185 returned the questionnaire. The mean age was 61 years, and 60% of respondents were female. The mean time since cancer diagnosis was 34 months, 90% had received treatment; and 61% had early-stage disease. The most important attributes were expertise and familiarity of doctors with patients' medical history; distance traveled was least likely to influence patient preferences. The WTP analysis estimated that patients were willing to pay $680 (95% CI, 470-891) for an appointment with a specialist, $571 (95% CI, 388-754) for doctors familiar with their history, $422 (95% CI, 262-582) for shorter waiting times, $399 (95% CI, 249-549) to be accompanied by family/friends, and $301 (95% CI, 162-441) for shorter traveling times. Male patients had a stronger preference for accompaniment by family/friends. The expertise of HCP was the most important attribute for patients regardless of geographic remoteness. CONCLUSIONS: Our study can assist the development of patient-centered health care models that improve patient access to experienced HCPs, support the role of primary care providers during the cancer journey, and educate patients about the roles of non-oncology HCPs to cope with increasing demand for cancer care.
Language eng
Field of Research 111299 Oncology and Carcinogenesis not elsewhere classified
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Harborside Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082598

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