The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

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
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
1472-0205
692-697
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.
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), 692-697. (doi:10.1136/emj.2002.003707).

Record type: Article

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.

Text
69_EMJ_2004_21_692.pdf - Other
Restricted to Repository staff only
Request a copy

More information

Published date: November 2004
Keywords: preference elicitation, out of hours care, discrete choice experiments, patient preference

Identifiers

Local EPrints ID: 24341
URI: http://eprints.soton.ac.uk/id/eprint/24341
ISSN: 1472-0205
PURE UUID: edb39928-09ed-47a1-aa25-df1ede506976
ORCID for J. Turnbull: ORCID iD orcid.org/0000-0002-5006-4438
ORCID for S. Brailsford: ORCID iD orcid.org/0000-0002-6665-8230

Catalogue record

Date deposited: 30 Mar 2006
Last modified: 09 Jan 2022 02:52

Export record

Altmetrics

Contributors

Author: K. Gerard
Author: V. Lattimer
Author: J. Turnbull ORCID iD
Author: H. Smith
Author: S. George
Author: S. Brailsford ORCID iD
Author: S. Maslin-Prothero

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×