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. 2015 Dec;50(6):1941-72.
doi: 10.1111/1475-6773.12306. Epub 2015 Apr 9.

What Influences Patients' Decisions When Choosing a Health Care Provider? Measuring Preferences of Patients with Knee Arthrosis, Chronic Depression, or Alzheimer's Disease, Using Discrete Choice Experiments

Stef Groenewoud  1 , N Job A Van Exel  2 , Ana Bobinac  2   3 , Marc Berg  4 , Robbert Huijsman  2 , Elly A Stolk  2
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What Influences Patients' Decisions When Choosing a Health Care Provider? Measuring Preferences of Patients with Knee Arthrosis, Chronic Depression, or Alzheimer's Disease, Using Discrete Choice Experiments

Stef Groenewoud et al. Health Serv Res. 2015 Dec.

Abstract

Objective: To investigate what influences patients' health care decisions and what the implications are for the provision of information on the quality of health care providers to patients.

Data sources/study setting: Dutch patient samples between November 2006 and February 2007.

Study design: Discrete choice experiments were conducted in three patient groups to explore what influences choice for health care providers.

Data collection: Data were obtained from 616 patients with knee arthrosis, 368 patients with chronic depression, and 421 representatives of patients with Alzheimer's disease.

Principal findings: The three patients groups chose health care providers on a different basis. The most valued attributes were effectiveness and safety (knee arthrosis); continuity of care and relationship with the therapist (chronic depression); and expertise (Alzheimer's disease). Preferences differed between subgroups, mainly in relation to patients' choice profiles, severity of disease, and some background characteristics.

Conclusions: This study showed that there is substantial room for (quality) information about health care providers in patients' decision processes. This information should be tailor-made, targeting specific patient segments, because different actors and factors play a part in their search and selection process.

Keywords: Quality indicators; discrete choice experiment; health services research; patient preferences; quality assurance.

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Figures

Figure 1
Figure 1
A Pair of Scenarios
Figure 2
Figure 2
Comparison of the Model Outcomes for Different Subgroups (Numbers correspond to text and Table 5)
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