Tools
Tools
Harris, Paul, Whitty, Jennifer A. 
ORCID: https://orcid.org/0000-0002-5886-1933, Kendall, Elizabeth, Ratcliffe, Julie, Wilson, Andrew, Littlejohns, Peter and Scuffham, Paul A.
(2018)
The importance of population differences: Influence of individual characteristics on the Australian public’s preferences for emergency care.
Health Policy, 122 (2).
pp. 115-125.
ISSN 0168-8510
Preview |
PDF (Accepted manuscript)
- Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (321kB) | Preview |
Abstract
A better understanding of the public’s preferences and what factors influence them is required if they are to be used to drive decision-making in health. This is particularly the case for service areas undergoing continual reform such as emergency and primary care. Accordingly, this study sought to determine if attitudes, socio-demographic characteristics and healthcare experiences influence the public’s intentions to access care and their preferences for hypothetical emergency care alternatives. A discrete choice experiment was used to elicit the preferences of Australian adults (n = 1529). Mixed logit regression analyses revealed the influence of a range of individual characteristics on preferences and service uptake choices across three different presenting scenarios. Age was associated with service uptake choices in all contexts, whilst the impact of other sociodemographics, health experience and attitudinal factors varied by context. The improvements in explanatory power observed from including these factors in the models highlight the need to further clarify their influence with larger populations and other presenting contexts, and to identify other determinants of preference heterogeneity. The results suggest social marketing programs undertaken as part of demand management efforts need to be better targeted if decision-makers are seeking to increase community acceptance of emerging service models and alternatives. Other implications for health policy, service planning and research, including for workforce planning and the possible introduction of a system of co-payments are discussed.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | health care preferences,emergency care,discrete choice experiments,service access,preference heterogeity,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Groups > Respiratory and Airways Group Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) |
| Depositing User: | Pure Connector |
| Date Deposited: | 14 Oct 2017 05:06 |
| Last Modified: | 21 Oct 2022 16:33 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/65131 |
| DOI: | 10.1016/j.healthpol.2017.11.006 |
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |