Reviewing emergency care systems 2: measuring patient preferences using a discrete choice experiment
Reviewing emergency care systems 2: measuring patient preferences using a discrete choice experiment
Objective: To investigate patients’ strength of preferences for attributes associated with modernising delivery of out of hours emergency care services in Nottingham.
Methods: A discrete choice experiment was applied to quantify preferences for key attributes of out of hours emergency care. The attributes reflected the findings of previous research, current policy initiatives, and discussions with local key stakeholders. A self complete questionnaire was administered to NHS Direct callers and adults attending accident and emergency, GP services and NHS walk-in centre. Regression analysis was used to estimate the relative importance of the different attributes.
Results: Response was 74% (n = 457) although 61% (n = 378) were useable. All attributes were statistically significant. Being consulted by a doctor was the most important attribute. This was followed by being consulted by a nurse, being kept informed about waiting time, and quality of the consultation. Respondents were prepared to wait an extra 2 hours 20 minutes to be consulted by a doctor. There were no measurable preference differences between patients surveyed at different NHS entry points. Younger respondents preferred single telephone call access to health care out of hours. Although having services provided close to home and making contact in person were generally preferred, they were less important than others, suggesting that a range of service locations may be acceptable to patients.
Conclusions: This study showed that local solutions for reforming emergency out of hours care should take account of the strength of patient preferences. The method was acceptable and the results have directly informed the development of a local service framework for emergency care.
preference elicitation, out of hours care, discrete choice experiments, patient preference
692-697
Gerard, K.
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Lattimer, V.
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Turnbull, J.
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Smith, H.
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George, S.
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Brailsford, S.
634585ff-c828-46ca-b33d-7ac017dda04f
Maslin-Prothero, S.
bc19ef08-bde4-4cef-a278-6744baf4670b
November 2004
Gerard, K.
ce7b5859-1c5f-4e9f-b5ba-acbd68d0f90e
Lattimer, V.
5aa2c9a5-13cb-4776-9b0d-c618e6913f5b
Turnbull, J.
cd1f8462-d698-4a90-af82-46c39536694b
Smith, H.
cc42a332-71ec-436f-8207-9151275a92d8
George, S.
bdfc752b-f67e-4490-8dc0-99bfaeb046ca
Brailsford, S.
634585ff-c828-46ca-b33d-7ac017dda04f
Maslin-Prothero, S.
bc19ef08-bde4-4cef-a278-6744baf4670b
Gerard, K., Lattimer, V., Turnbull, J., Smith, H., George, S., Brailsford, S. and Maslin-Prothero, S.
(2004)
Reviewing emergency care systems 2: measuring patient preferences using a discrete choice experiment.
Emergency Medicine Journal, 21 (6), .
(doi:10.1136/emj.2002.003707).
Abstract
Objective: To investigate patients’ strength of preferences for attributes associated with modernising delivery of out of hours emergency care services in Nottingham.
Methods: A discrete choice experiment was applied to quantify preferences for key attributes of out of hours emergency care. The attributes reflected the findings of previous research, current policy initiatives, and discussions with local key stakeholders. A self complete questionnaire was administered to NHS Direct callers and adults attending accident and emergency, GP services and NHS walk-in centre. Regression analysis was used to estimate the relative importance of the different attributes.
Results: Response was 74% (n = 457) although 61% (n = 378) were useable. All attributes were statistically significant. Being consulted by a doctor was the most important attribute. This was followed by being consulted by a nurse, being kept informed about waiting time, and quality of the consultation. Respondents were prepared to wait an extra 2 hours 20 minutes to be consulted by a doctor. There were no measurable preference differences between patients surveyed at different NHS entry points. Younger respondents preferred single telephone call access to health care out of hours. Although having services provided close to home and making contact in person were generally preferred, they were less important than others, suggesting that a range of service locations may be acceptable to patients.
Conclusions: This study showed that local solutions for reforming emergency out of hours care should take account of the strength of patient preferences. The method was acceptable and the results have directly informed the development of a local service framework for emergency care.
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Published date: November 2004
Keywords:
preference elicitation, out of hours care, discrete choice experiments, patient preference
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Local EPrints ID: 24341
URI: http://eprints.soton.ac.uk/id/eprint/24341
ISSN: 1472-0205
PURE UUID: edb39928-09ed-47a1-aa25-df1ede506976
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Date deposited: 30 Mar 2006
Last modified: 16 Mar 2024 02:55
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Author:
K. Gerard
Author:
V. Lattimer
Author:
H. Smith
Author:
S. George
Author:
S. Maslin-Prothero
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