Preferences for managing symptoms of differing severity: A discrete choice experiment

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Abstract

Background: To design cost-effective health services it is important to understand why people adopt particular symptom management strategies. Aim: To establish the relative importance of factors that influence decision-making when managing symptoms of differing severity, how people trade between these factors, and to estimate the monetary value placed on different management-types. Design: Discrete choice experiment. Setting: UK online research panel.

Method: Successive members of an online panel were invited to participate until 480 discrete choice experiment questionnaires were completed. Relative preferences for managing three symptom scenarios of varying severity were measured. Symptom management was described by three characteristics (management-type, availability and cost). Preferences for ways of managing symptoms were measured using conditional logit analysis.

Results: A total of 98.5% of completed questionnaires were valid (473/480 respondents). People preferred to manage minor symptoms by self-care or by visiting a pharmacy, and were willing to pay £21.58 and £19.06 respectively to do so. For managing moderately severe symptoms people preferred to consult a GP and were willing to pay £34.86 for this option. People preferred to manage potentially very severe symptoms by consulting a GP and were willing to pay £73.08 to do so. Respondents were willing to trade between management-types; options less preferred became more attractive when waiting time and cost were reduced.

Conclusion: People value self-care, supported self-care and GP consultation differently depending on type of symptom. Manipulating costs to users and waiting times for different services could allow policy makers to influence the services people choose when managing symptoms.
Original languageEnglish
Pages (from-to)1069-1076
Number of pages8
JournalValue in Health
Volume15
Issue number8
DOIs
Publication statusPublished - Dec 2012

Keywords

  • primary health care
  • discrete choice experiment
  • symptom management
  • willingness to pay
  • health care costs

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