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
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||Discrete choice experiment, Health services research, Patient preferences, Quality assurance, Quality indicators|
|Persistent URL||dx.doi.org/10.1111/1475-6773.12306, hdl.handle.net/1765/78364|
|Journal||Health Services Research|
Groenewoud, A.S, van Exel, N.J.A, Bobinac, A, Berg, M, Huijsman, R, & Stolk, E.A. (2015). What Influences Patients' Decisions When Choosing a Health Care Provider?. Health Services Research. doi:10.1111/1475-6773.12306