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A Discrete Choice Experiment to Examine the Preferences of Patients With Cancer and Their Willingness to Pay for Different Types of Health Care Appointments.

Publication ,  Journal Article
Wong, SF; Norman, R; Dunning, TL; Ashley, DM; Khasraw, M; Hayes, TM; Collins, I; Lorgelly, PK
Published in: J Natl Compr Canc Netw
March 2016

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.

Duke Scholars

Published In

J Natl Compr Canc Netw

DOI

EISSN

1540-1413

Publication Date

March 2016

Volume

14

Issue

3

Start / End Page

311 / 319

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Physicians, Primary Care
  • Patient-Centered Care
  • Patient Preference
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wong, S. F., Norman, R., Dunning, T. L., Ashley, D. M., Khasraw, M., Hayes, T. M., … Lorgelly, P. K. (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. J Natl Compr Canc Netw, 14(3), 311–319. https://doi.org/10.6004/jnccn.2016.0036
Wong, Shu Fen, Richard Norman, Trisha Lynette Dunning, David Michael Ashley, Mustafa Khasraw, Theresa Margaret Hayes, Ian Collins, and Paula Kate Lorgelly. “A Discrete Choice Experiment to Examine the Preferences of Patients With Cancer and Their Willingness to Pay for Different Types of Health Care Appointments.J Natl Compr Canc Netw 14, no. 3 (March 2016): 311–19. https://doi.org/10.6004/jnccn.2016.0036.
Wong SF, Norman R, Dunning TL, Ashley DM, Khasraw M, Hayes TM, et al. A Discrete Choice Experiment to Examine the Preferences of Patients With Cancer and Their Willingness to Pay for Different Types of Health Care Appointments. J Natl Compr Canc Netw. 2016 Mar;14(3):311–9.
Wong, Shu Fen, et al. “A Discrete Choice Experiment to Examine the Preferences of Patients With Cancer and Their Willingness to Pay for Different Types of Health Care Appointments.J Natl Compr Canc Netw, vol. 14, no. 3, Mar. 2016, pp. 311–19. Pubmed, doi:10.6004/jnccn.2016.0036.
Wong SF, Norman R, Dunning TL, Ashley DM, Khasraw M, Hayes TM, Collins I, Lorgelly PK. A Discrete Choice Experiment to Examine the Preferences of Patients With Cancer and Their Willingness to Pay for Different Types of Health Care Appointments. J Natl Compr Canc Netw. 2016 Mar;14(3):311–319.

Published In

J Natl Compr Canc Netw

DOI

EISSN

1540-1413

Publication Date

March 2016

Volume

14

Issue

3

Start / End Page

311 / 319

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Physicians, Primary Care
  • Patient-Centered Care
  • Patient Preference
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Logistic Models
  • Humans