Abstract
This paper investigates if respondents’ choice to not consider all characteristics of a multi-attribute health service may represent preferences. Over the last decade, an increasing number of studies account for attribute non-attendance (ANA) when using discrete choice experiments to elicit individual’s preferences. Most studies assume such behaviour is a heuristic and therefore uninformative. This assumption may result in misleading welfare estimates if ANA reflects preferences. This is the first paper to assess if ANA is a heuristic or genuine preference without relying on respondents’ self-stated motivation and the first study to explore this question within a health context. Based on findings from cognitive psychology we expect that familiar respondents are less likely to use a decision heuristic to simplify choices than unfamiliar respondents. We employ a latent class model of discrete choice experiment data concerned with NHS managers’ preferences for support services that assist with performance concerns. We present quantitative and qualitative evidence that in our study ANA mostly represents preferences. We also show that wrong assumptions about ANA result in inadequate welfare measure that can result in suboptimal policy advice. Future research should proceed with caution when assuming that ANA is a heuristic.
Original language | English |
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Pages (from-to) | 157-171 |
Number of pages | 15 |
Journal | Health Economics |
Volume | 27 |
Issue number | 1 |
Early online date | 16 Jun 2017 |
DOIs | |
Publication status | Published - Jan 2018 |
Bibliographical note
Funded by National Clinical Assessment Service (NCAS) and Institute of Applied Health ScienceKeywords
- discrete choice experiment
- attribute non-attendance
- latent class
- heuristic
- thematic analysis
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Euan Phimister
- Business School, Africa-Asia Centre for Sustainability (AACS)
- Centre for Energy Transition
- Business School, Economics - Chair in Economics
- Business School, Aberdeen Centre for Research in Energy Economics and Finance (ACREEF)
- Business School, Centre for Labour Market Research (CeLMR)
Person: Academic
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Mandy Ryan
- School of Medicine, Medical Sciences & Nutrition, Health Economics Research Unit - Director of H E R U
- Institute of Applied Health Sciences
Person: Academic