scholarly journals Eliciting Preferences in Dentistry with Multiattribute Stated Preference Methods: A Systematic Review

2018 ◽  
Vol 3 (4) ◽  
pp. 326-335 ◽  
Author(s):  
S. Barber ◽  
S. Pavitt ◽  
B. Khambay ◽  
H. Bekker ◽  
D. Meads

Background: Preference experiments are used to understand how patients and stakeholders value aspects of health care. These methods are gaining popularity in dentistry, but quality and breadth of use have not been evaluated. Objectives: To describe multiattribute stated preference experiment use in dentistry through illustration and critique of existing studies. Data Sources: Systematic literature search of PubMed, Econlit and Ovid for Medline, Embase, PsychINFO, PsychARTICLES, and All EBM Reviews, as well as gray literature. Study Eligibility: Multiattribute stated preference experiments eliciting preferences for dental service delivery, treatments, and oral health states from the perspective of patients, the public, and dental professionals. Outcomes of interest were preference weights and marginal rates of substitution. Study selection was independently performed by 2 reviewers. Appraisal: Ten-point checklist published by the International Society of Pharmacoeconomics and Outcomes Research was used for quality assessment. Synthesis: Descriptive analysis. Results: Searches identified 12 records published between 1999 and 2015, mostly in nondental academic journals. Studies were undertaken in high-income countries in Europe and the United States. The studies aimed to elicit preference for service delivery, treatment, or oral health states from the perspective of the patients, dentists, or the public via discrete choice experiment methods. The quality scores for the studies ranged from 53% to 100%. Limitations: A detailed description and critique of stated preference methods are provided, but it was not possible to provide synthesized preference data. Conclusions: Multiattribute stated preference experiments are increasingly popular, but understanding the methods and outputs is essential for designing and interpreting preference studies to improve patient care. Patient preferences highlight important considerations for decision making during treatment planning. Valuation of health states and estimation of willingness-to-pay are important for resource planning and allocation and economic evaluation. Preference estimates and relative value of attributes for interventions and service delivery inform development and selection of treatments and services (PROSPERO 21.3.17: CRD42017059859). Knowledge Transfer Statement: Understanding patient, professional, and public preferences is fundamental for evidence-based decision making and treatment delivery. Preference elicitation methods can be used to estimate the value given to health states, service delivery, individual treatments, and health outcomes. By describing and appraising the methodology and application of multiattribute stated preference experiments in dentistry, this review provides an essential first step to wider use of well-designed, high-quality preference elicitation methods.

2016 ◽  
Vol 45 (2) ◽  
pp. 246-269 ◽  
Author(s):  
Gregory L. Poe

A growing body of literature demonstrates that many behavioral anomalies observed in stated-preference elicitation methods such as the contingent valuation method are also observed in actual choices and vice versa. This presentation furthers the argument that such parallel behaviors should be viewed as a strength of stated-preference methods. Three well-known anomalies observed in both stated preferences and actual choices are first reviewed to lay the foundation for this argument. A number of lesser-known anomalies are then presented to demonstrate the wider prevalence of parallel anomalies in stated preferences and actual choices.


2016 ◽  
Vol 37 (3) ◽  
pp. 314-326 ◽  
Author(s):  
R. Trafford Crump ◽  
Lauren M. Beverung ◽  
Ryan Lau ◽  
Rita Sieracki ◽  
Mateo Nicholson

Background. Children’s preferences for health states represent an important perspective when comparing the value of alternative health care interventions related to pediatric medicine, and are fundamental to comparative effectiveness research. However, there is debate over whether these preference data can be collected and used. Purpose. The purpose of this study was to establish psychometric properties of eliciting preferences for health states from children using direct methods. Data Sources. Ovid Medline, PsycINFO, Scopus, EconLit. Study Selection. English studies, published after 1990, were identified using Medical Subject Headings or keywords. Results were reviewed to confirm that the study was based on: 1) a sample of children, and 2) preferences for health states. Data Extraction. Standardized data collection forms were used to record the preference elicitation method used, and any reported evidence regarding the validity, reliability, or feasibility of the method. Data Synthesis. Twenty-six studies were ultimately included in the analysis. The standard gamble and time tradeoff were the most commonly reported direct preference elicitation methods. Seven studies reported validity, four reported reliability, and nine reported feasibility. Of the validity reports, construct validity was assessed most often. Reliability reports typically involved interclass correlation coefficient. For feasibility, four studies reported completion rates. Limitations. The search was limited to four databases and restricted to English studies published after 1990. Only evidence available in published studies were considered; measurement properties may have been tested in pilot or pre-studies but were not published, and are not included in this review. Conclusion. The few studies found through this systematic review demonstrate that there is little empirical evidence on which to judge the use of direct preference elicitation methods with children regarding health states.


2011 ◽  
pp. 2943-2965
Author(s):  
Margherita Pagani ◽  
Chiara Pasinetti

This chapter examines the reasons why individuals would choose electronic self-service delivery methods over more traditional methods of service delivery for government services. The chapter tests the concepts of technical quality (what is delivered) and functional quality (how the service is being delivered) in the development of t-government services. The study investigates, from the business-side and consumer-side, the factors related to decision making when people consider and evaluate the usage of an online TV government delivery mechanism. The approach taken was based on a combination of attitudinal technology adoption models and the service quality concept, with data gathered via two quantitative surveys. Accessibility, usability, and functionality of the systems are the most critical variables that service providers need to consider. The chapter identi?es some guiding lines in the design of the new services broadcast by digital television and the most important indicators to be used in order to guarantee an adequate interface to the citizens. The results are signi?cant to the public service manager who needs to consider both barriers and bene?ts of adoption if they are to develop plans to increase the take-up of their electronic services.


2005 ◽  
pp. 43-61 ◽  
Author(s):  
Tony Bovaird

This chapter suggests that e-government and e-governance initiatives can potentially have major organizational impacts through three mechanisms: improved decision-making, more intensive and productive use of databases, and better communications. These mechanisms impact on both the internal organization of public agencies and their configuration of networks and partnerships. E-enablement therefore makes obsolete many existing organizational structures and processes and offers the prospect of transformation in both service delivery and public governance arrangements. However, the organizational changes which can be effected through the e-revolution are only just beginning to become evident. While it seems likely that existing organizational configurations in the public sector will not be sustainable, the most appropriate ways forward will only be uncovered through much experimentation within e-government and e-governance programmes. In the nature of experimentation, many of these initiatives will turn out to be unproductive or cost-ineffective, but that is perhaps the necessary price to pay for the level of public sector transformation which now appears to be in prospect.


1999 ◽  
Vol 49 (7) ◽  
pp. 943-950 ◽  
Author(s):  
Xavier Badia ◽  
Monserrat Roset ◽  
Michael Herdman

2010 ◽  
pp. 329-347
Author(s):  
Margherita Pagani ◽  
Chiara Pasinetti

This chapter examines the reasons why individuals would choose electronic self-service delivery methods over more traditional methods of service delivery for government services. The chapter tests the concepts of technical quality (what is delivered) and functional quality (how the service is being delivered) in the development of t-government services. The study investigates, from the business-side and consumer-side, the factors related to decision making when people consider and evaluate the usage of an online TV government delivery mechanism. The approach taken was based on a combination of attitudinal technology adoption models and the service quality concept, with data gathered via two quantitative surveys. Accessibility, usability, and functionality of the systems are the most critical variables that service providers need to consider. The chapter identi?es some guiding lines in the design of the new services broadcast by digital television and the most important indicators to be used in order to guarantee an adequate interface to the citizens. The results are signi?cant to the public service manager who needs to consider both barriers and bene?ts of adoption if they are to develop plans to increase the take-up of their electronic services.


2019 ◽  
Vol 7 ◽  
pp. 205031211985698 ◽  
Author(s):  
Bryan N Patenaude ◽  
Till Bärnighausen

Objectives: The purpose of this research is to understand the thought processes that underpin responses to stated preference approaches for eliciting quality of life, in particular the standard gamble. Methods: We utilize standard gamble preference elicitation survey techniques to elicit quality-adjusted life year weights for two reduced health states: chronic severe depression and total blindness. After the survey, we conduct open-ended qualitative interviews with respondents to determine their thought processes while taking the surveys and to shed light on what their quality-adjusted life year weight is capturing. Survey responses were coded and analyzed for themes in NVivo, the results of which were then formalized in the terminology of decision sciences. Results: The qualitative results of the cognitive interviews present systematic evidence for a type of cognitive bias present in standard gamble quality-adjusted life year weight elicitation, which has not been previously highlighted and which we call treatment bias. We define this treatment bias as the consideration of salient treatment alternatives correlated with a reduced health state, when these alternatives are not explicitly posed in the question. Our formalization of this cognitive behavior demonstrates that treatment bias will always bias the elicited health state utility of treating the illness in question downward. Conclusion: The treatment bias highlighted in this study has implications for economic evaluation when comparing treatment for illnesses where alternative treatments are widely publicized versus those that are not. For example, comparing the effectiveness of treating depression versus arthritis may be biased against depression if advertisements for anti-depressants are more widely viewed by survey respondents than advertisements for arthritis treatments. We propose a statement to be imbedded in all questionnaires regarding stated preference elicitation of quality-adjusted life year weights in order to correct for this bias in future stated preference surveys.


2015 ◽  
Vol 36 (2) ◽  
pp. 242-252 ◽  
Author(s):  
Mônica Viegas Andrade ◽  
Kenya Noronha ◽  
Paul Kind ◽  
Carla de Barros Reis ◽  
Lucas Resende de Carvalho

2019 ◽  
Vol 8 (3) ◽  
pp. 8237-8241

The technique of Data Envelopment Analysis originated with the publication of a seminal paper Measurement of efficiency of decision making units (Charnes et al, 1978). Since then several models and methods are devised over the years and the technique has been used in varied fields and different applications both in the private and the public sectors. This paper surveys the various literature published in the field in the areas of a) various models and methods and b) various application procedures in applying the technique in various fields.The paper demonstrates the use of the method with a practical example of service delivery of Veterinary Districts of Odisha using CCR Output oriented model. The results produced include average efficiencies and projections for achieving efficiency.


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