Präferenzen von Patienten, pflegenden Angehörigen, Leistungserbringern, Kostenträgern und politischen Entscheidungsträgern bei der integrierten Versorgung in Deutschland: Ein Discrete Choice Experiment

2021 ◽  
Author(s):  
Verena Struckmann ◽  
Verena Vogt ◽  
Julia Köppen ◽  
Theresa Meier ◽  
Maaike Hoedemakers ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Choice Experiments ◽  
Discrete Choice Experiments ◽  
Pflegende Angehörige ◽  
Triple Aim ◽  
Körperliche Funktionsfähigkeit

Zusammenfassung Ziel Ziel dieser Studie ist Präferenzen zu erheben, die multimorbide Patienten, pflegende Angehörige, Leistungserbringer, Kostenträger oder politische Entscheidungsträger verschiedenen Endpunkten von integrierten Versorgungsprogrammen (IV-Programmen) in Deutschland beimessen und diese zu vergleichen. Methodik Mit Hilfe eines Discrete Choice Experiments (DCE) wurden die Präferenzen der Befragten für die Endpunkte von zwei IV-Programmen ermittelt. Jedes IV-Programm wurde anhand von Attributen, bzw.Endpunkten präsentiert, die das „Triple Aim“ abbilden. Sie waren in die Endpunkte Wohlbefinden, Erfahrung mit Versorgung und Kosten unterteilt, mit insgesamt acht Attributen und jeweils drei Ausprägungen. Ergebnisse Die Ergebnisse von 676 Fragebögen zeigen, dass die Attribute „Lebensfreude“ und „Kontinuität der Versorgung“ interessengruppenübergreifend die höchsten Bewertungen erhalten. Am geringsten blieben die relativen Bewertungen für alle Interessengruppen bei dem Attribut „Kosten“. Die Präferenzen der Leistungserbringer und pflegenden Angehörigen unterschieden sich am deutlichsten von denen der Patienten. Diese Unterschiede betrafen meist die „körperliche Funktionsfähigkeit“, die von Patienten am höchsten bewertet wurde, die „Personenzentrierung“ und „Kontinuität der Versorgung“, die die höchsten Bewertungen von den Leistungserbringern erhielten. Schlussfolgerung Die identifizierten Präferenzheterogenitäten in Bezug auf die Endpunkte von IV-Programmen zwischen den Interessengruppen verdeutlichen, wie wichtig es für eine optimale Ausgestaltung von IV-Programmen ist, Vertreter der Praxis und politische Entscheidungsträger über die unterschiedlichen Perspektiven zu informieren. Die Ergebnisse unterstreichen zudem die Relevanz von gemeinsamen Entscheidungsfindungs- und Abstimmungsprozessen zwischen Leistungserbringern, pflegenden Angehörigen und Patienten.

scholarly journals The impact of health vs. non-health goals on individuals’ lifestyle program choices: a discrete choice experiment approach

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tim M. Benning ◽  
Benedict G. C. Dellaert ◽  
Theo A. Arentze
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Choice Experiments ◽  
Discrete Choice Experiments ◽  
Experimental Conditions ◽  
Health Goals ◽  
Health Goal ◽  
Lifestyle Program ◽  
The Impact

Abstract Background Goals play an important role in the choices that individuals make. Yet, there is no clear approach of how to incorporate goals in discrete choice experiments. In this paper, we present such an approach and illustrate it in the context of lifestyle programs. Furthermore, we investigate how non-health vs. health goals affect individuals’ choices via non-goal attributes. Methods We used an unlabeled discrete choice experiment about lifestyle programs based on two experimental conditions in which either a non-health goal (i.e., looking better) or a health goal (i.e., increasing life expectancy) was presented to respondents as a fixed attribute level for the goal attribute. Respondents were randomly distributed over the experimental conditions. Eventually, we used data from 407 Dutch adults who reported to be overweight (n = 212 for the non-health goal, and n = 195 for the health goal). Results Random parameter logit model estimates show that the type of goal significantly (p < 0.05) moderates the effect that the attribute diet has on lifestyle program choice, but that this is not the case for the attributes exercise per week and expected weight loss. Conclusions A flexible diet is more important for individuals with a non-health goal than for individuals with a health goal. Therefore, we advise policy makers to use information on goal interactions for developing new policies and communication strategies to target population segments that have different goals. Furthermore, we recommend researchers to consider the impact of goals when designing discrete choice experiments.

A query theory account of a discrete choice experiment under oath

2019 ◽  
Vol 47 (3) ◽  
pp. 1133-1172
Author(s):  
Nathan P Kemper ◽  
Jennie S Popp ◽  
Rodolfo M Nayga
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Stated Preference ◽  
Choice Experiments ◽  
Hypothetical Bias ◽  
Discrete Choice Experiments ◽  
Thought Processes ◽  
Stated Preference Methods ◽  
Ex Ante

Abstract One limitation of stated-preference methods is the formation of hypothetical bias. To address this, the honesty oath has been used as an ex ante technique to reduce hypothetical bias. Our study provides a query account of the honesty oath in a discrete-choice experiment setting by using Query Theory to examine the mechanism behind the effectiveness of the honesty oath. Our results show that the honesty oath can change the content and order of queries; potentially reducing hypothetical bias in discrete choice experiments. The study suggests the potential usefulness of Query Theory in examining thought processes of respondents in valuation studies.

scholarly journals Improving the demand for birth registration: a discrete choice experiment in Ethiopia

2020 ◽  
Vol 5 (5) ◽  
pp. e002209 ◽  
Author(s):  
Mahari Yihdego ◽  
Ayanaw Amogne ◽  
Selamawit Desta ◽  
Yoonjoung Choi ◽  
Solomon Shiferaw ◽  
...  
Keyword(s):  
Willingness To Pay ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Urban Areas ◽  
Choice Experiment ◽  
Addis Ababa ◽  
Discrete Choice Experiments ◽  
Birth Certificates ◽  
Significant Heterogeneity ◽  
Birth Registration

IntroductionBirth registration remains limited in most low and middle-income countries. We investigated which characteristics of birth registration facilities might determine caregivers’ decisions to register children in Ethiopia.MethodsWe conducted a discrete choice experiment in randomly selected households in Addis Ababa and the Southern Nations, Nationalities, and People’s Region. We interviewed caregivers of children 0–5 years old. We asked participants to make eight choices between pairs of hypothetical registration facilities. These facilities were characterised by six attributes selected through a literature review and consultations with local stakeholders. Levels of these attributes were assigned at random using a fractional design. We analysed the choice data using mixed logit models that account for heterogeneity in preferences across respondents. We calculated respondents’ willingness to pay to access registration facilities with specific attributes. We analysed all data separately by place of residence (urban vs rural).ResultsSeven hundred and five respondents made 5614 choices. They exhibited preferences for registration facilities that charged lower fees for birth certificates, that required shorter waiting time to complete procedures and that were located closer to their residence. Respondents preferred registration facilities that were open on weekends, and where they could complete procedures in a single visit. In urban areas, respondents also favoured registration facilities that remained open for extended hours on weekdays, and where the presence of only one of the parents was required for registration. There was significant heterogeneity between respondents in the utility derived from several attributes of registration facilities. Willingness to pay for access to registration facilities with particular attributes was larger in urban than rural areas.ConclusionIn these regions of Ethiopia, changes to the operating schedule of registration facilities and to application procedures might help improve registration rates. Discrete choice experiments can help orient initiatives aimed at improving birth registration.

scholarly journals Prostate cancer survivors’ preferences on the delivery of diet and lifestyle advice: a pilot best-worst discrete choice experiment

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Luke A. Robles ◽  
Stuart J. Wright ◽  
Lucy Hackshaw-McGeagh ◽  
Ellie Shingler ◽  
Constance Shiridzinomwa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Discrete Choice Experiments ◽  
Face To Face ◽  
Physical Activity Advice ◽  
Diet And Physical Activity ◽  
One To One

Abstract Background Lifestyle factors, including diet and physical activity, are associated with prostate cancer progression and mortality. However, it is unclear how men would like lifestyle information to be delivered following primary treatment. This study aimed to identify men’s preferences for receiving lifestyle information. Methods We conducted a cross-sectional pilot best-worst discrete choice experiment which was nested within a feasibility randomised controlled trial. Our aim was to explore men’s preferences of receiving diet and physical activity advice following surgery for localised prostate cancer. Thirty-eight men with a mean age of 65 years completed best-worst scenarios based on four attributes: (1) how information is provided; (2) where information is provided; (3) who provides information; and (4) the indirect cost of receiving information. Data was analysed using conditional logistic regression. Men’s willingness to pay (WTP) for aspects of the service was calculated using an out-of-pocket cost attribute. Results The combined best-worst analysis suggested that men preferred information through one-to-one discussion β = 1.07, CI = 0.88 to 1.26) and not by email (β = − 1.02, CI = − 1.23 to − 0.80). They preferred information provided by specialist nurses followed by dietitians (β = 0.76, CI = 0.63 to 0.90 and − 0.16, CI = − 0.27 to − 0.05 respectively) then general nurses (β = − 0.60, CI = − 0.73 to − 0.48). Three groups were identified based on their preferences. The largest group preferred information through individual face-to-face or group discussions (β = 1.35, CI = 1.05 to 1.63 and 0.70, CI = 0.38 to 1.03 respectively). The second group wanted information via one-to-one discussions or telephone calls (β = 1.89, CI = 1.41 to 2.37 and 1.03, CI = 0.58 to 1.48 respectively), and did not want information at community centres (β = − 0.50, CI = − 0.88 to − 0.13). The final group preferred individual face-to-face discussions (β = 0.45, CI = 0.03 to 0.88) but had a lower WTP value (£17). Conclusions Men mostly valued personalised methods of receiving diet and physical activity information over impersonal methods. The out-of-pocket value of receiving lifestyle information was important to some men. These findings could help inform future interventions using tailored dietary and physical activity advice given to men by clinicians following treatment for prostate cancer, such as mode of delivery, context, and person delivering the intervention. Future studies should consider using discrete choice experiments to examine information delivery to cancer survivor populations.

scholarly journals Collecting the Data

2020 ◽  
pp. 51-59
Author(s):  
Petr Mariel ◽  
David Hoyos ◽  
Jürgen Meyerhoff ◽  
Mikolaj Czajkowski ◽  
Thijs Dekker ◽  
...  
Keyword(s):  
Data Collection ◽  
Sample Size ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Planning Process ◽  
Choice Experiments ◽  
Discrete Choice Experiments ◽  
Web Surveys ◽  
Survey Mode ◽  
Face To Face

AbstractThis chapter discusses aspects related to data collection. It focuses, firstly, on sampling issues and, secondly, on the survey mode. Sampling issues include sample size and the type of sampling that enable precise estimates to be obtained. Regarding the survey mode, discrete choice experiments can be implemented by mail, telephone, face-to-face or web surveys. Each of these survey modes has its advantages and shortcomings. They are described and compared in the course of this chapter, addressing an important decision in the planning process of a discrete choice experiment.

Design of Discrete Choice Experiments

2019 ◽  
Author(s):  
Deborah J. Street ◽  
Rosalie Viney
Keyword(s):  
Discrete Choice ◽  
Choice Experiment ◽  
Stated Preference ◽  
Choice Experiments ◽  
Individual Characteristics ◽  
Discrete Choice Experiments ◽  
Random Component ◽  
Choice Sets ◽  
Attribute Levels ◽  
Choice Set

Discrete choice experiments are a popular stated preference tool in health economics and have been used to address policy questions, establish consumer preferences for health and healthcare, and value health states, among other applications. They are particularly useful when revealed preference data are not available. Most commonly in choice experiments respondents are presented with a situation in which a choice must be made and with a a set of possible options. The options are described by a number of attributes, each of which takes a particular level for each option. The set of possible options is called a “choice set,” and a set of choice sets comprises the choice experiment. The attributes and levels are chosen by the analyst to allow modeling of the underlying preferences of respondents. Respondents are assumed to make utility-maximizing decisions, and the goal of the choice experiment is to estimate how the attribute levels affect the utility of the individual. Utility is assumed to have a systematic component (related to the attributes and levels) and a random component (which may relate to unobserved determinants of utility, individual characteristics or random variation in choices), and an assumption must be made about the distribution of the random component. The structure of the set of choice sets, from the universe of possible choice sets represented by the attributes and levels, that is shown to respondents determines which models can be fitted to the observed choice data and how accurately the effect of the attribute levels can be estimated. Important structural issues include the number of options in each choice set and whether or not options in the same choice set have common attribute levels. Two broad approaches to constructing the set of choice sets that make up a DCE exist—theoretical and algorithmic—and no consensus exists about which approach consistently delivers better designs, although simulation studies and in-field comparisons of designs constructed by both approaches exist.

scholarly journals Penentuan Kriteria Pengunjung dalam Pemilihan Green Hotel di Kota Bandung Menggunakan Metode Discrete Choice Experiment dengan Desain Choice Sets Kombinatorial

2021 ◽  
Vol 1 (1) ◽  
pp. 1-9
Author(s):  
Sheila Ghazia Shofwani ◽  
Abdul Kudus
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Green Building ◽  
Preference Assessment ◽  
The United States ◽  
Fractional Factorial ◽  
Discrete Choice Experiments ◽  
Green Hotel ◽  
Choice Sets

Abstract. This research discusses about planning of guest formulation in the selection of environmentally green hotels by using a 2k-p factorial fractional design and combinatorial choice sets on the Discrete Choice Experiment method. Discrete Choice Experiments is a quantitative method for survey-based respondents' preference assessment. This method asks respondents to choose the preferred choice from several alternative choices provided. With this method the authors will apply to the case of green hotel selection, because currently in the United States, investors are beginning to look at green building opportunities as a long-term investment in accordance with the operational costs of green buildings that are more efficient than conventional buildings. The concept of green building is one of the efforts to save energy that can be applied to a building. The material of this study is primary data by distributing questionnaires to respondents using voluntary sampling techniques. In this study, there are 8 independent variables consisting of 5 attribute variables and 3 respondent identity variables. This study aims to determine the criteria for visitors in choosing the most desirable green hotel. The results of this study are the results of green hotel research that is most sought after by visitors, namely hotels with quality luxury rooms, toiletries provided, visitors are required to improve the environment, there is the practice of using plastic on product packaging, and there is the use of lamps as well as energy-saving equipment. After further analysis of the demographics of respondents regarding the preference of the selected green hotel criteria for each respondent, and the results obtained at the time, gender, occupation and experience of staying in a green hotel together are not related to the involvement of the selected green hotel criteria chosen from each respondent. Abstrak. Skripsi ini membahas mengenai penentuan rancangan kriteria pengunjung dalam pemilihan hotel ramah lingkungan (green hotel) dengan menggunakan desain fractional factorial 2k-p dan choice sets kombinatorial pada metode Discrete Choice Experiment. Discrete Choice Experiment merupakan metode kuantitatif untuk menilai suatu preferensi seorang responden yang berbasis survei. Metode ini meminta responden untuk memilih pilihan yang diminati dari beberapa alternatif pilihan yang disediakan. Dengan metode ini penulis akan melakukan penerapan pada kasus pemilihan kriteria green hotel, karena saat ini di Amerika Serikat, para investor mulai melirik peluang green building sebagai investasi jangka panjang dikarenakan biaya operasional green building yang lebih hemat dibandingkan bangunan konvensional. Konsep green building merupakan salah satu upaya penghematan energi yang dapat diterapkan pada suatu gedung. Bahan dari penelitian ini merupakan data primer dengan melakukan penyebaran kuesioner kepada responden dengan menggunakan teknik sampling sukarela. Pada penelitian ini, terdapat 8 variabel independen yang terdiri dari 5 variabel atribut dan  3 variabel identitas responden. Penelitian ini bertujuan untuk mengetahui kriteria pengunjung dalam memilih green hotel yang paling diminati. Hasil dari penelitian ini adalah didapatkan kriteria green hotel yang paling diminati oleh pengunjung yaitu hotel dengan kualitas kamar mewah, perlengkapan mandi disediakan, pengunjung diwajibkan untuk menjaga lingkungan, ada praktik penggunaan plastik pada kemasan produk, dan ada penggunaan lampu juga peralatan hemat energi. Setelah itu dilakukan analisis lanjutan mengenai pengaruh dari demografi responden terhadap banyaknya keterpilihan kriteria green hotel terpilih pada setiap responden, dan diperoleh hasil bahwa usia, jenis kelamin, pekerjaan dan pengalaman menginap di green hotel secara bersama-sama tidak berpengaruh terhadap banyaknya keterpilihan kriteria green hotel terpilih dari setiap responden.

scholarly journals Tasty or Sustainable? The Effect of Product Sensory Experience on a Sustainable New Food Product: An Application of Discrete Choice Experiments on Chianina Tinned Beef

2018 ◽  
Vol 10 (8) ◽  
pp. 2795 ◽  
Author(s):  
Biancamaria Torquati ◽  
Tiziano Tempesta ◽  
Daniel Vecchiato ◽  
Sonia Venanzi
Keyword(s):  
Willingness To Pay ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Food Product ◽  
Food Products ◽  
Rural Landscape ◽  
The Other ◽  
Discrete Choice Experiments ◽  
Organic Breeding

This study aims to contribute to the existing literature by verifying whether the degree of liking of a new food product influences people’s preferences and willingness to pay from a discrete choice experiment when dealing with sustainable food products. To this purpose, we considered the case study of the introduction into the Italian market of a new food product: tinned Chianina meat. Among the attributes considered for this new product, two in particular were related to sustainability: organic breeding and the preservation of a traditional rural landscape. Half of the respondents underwent a sensory test before taking part in the hypothetical market (discrete choice experiment), while the remaining were administered the tests in reverse order. Tasting the product before the discrete choice experiment did not produce different willingness to pay (WTP) parameters as estimated by a taste factor interaction. However, separating the respondents into those who liked or disliked the product in the tasting condition revealed differences in willingness to pay results. The preferences are different for more than 50% of the attributes considered, and the magnitude of this difference is quite relevant. The WTP for one well known and certified sustainability related attribute—organic breeding—was not affected by the liking, while, for the other—the preservation of a traditional rural landscape—the effect of liking decreases the WTP. As a consequence, we suggest that tasting and liking studies should be routinely coupled with discrete choice studies when analyzing the introduction of new food products, especially when considering sustainable attributes in the experimental design. In the case of organic products where the expectations about taste are higher, neglecting to consider their sensory perception, along with the other discrete choice experiment attributes, could seriously undermine their long lasting success on the market.

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