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Decision-making criteria among European patients: exploring patient preferences for primary care services

Tinelli, Michela ORCID: 0000-0002-8816-4389, Nikoloski, Zlatko, Kumpunen, Stephanie, Knai, Cecile, Pribakovic Brinovec, Radivoje, Warren, Emily, Wittgens, Katharina and Dickmann, Petra (2014) Decision-making criteria among European patients: exploring patient preferences for primary care services. European Journal of Public Health, 25 (1). pp. 3-9. ISSN 1101-1262

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Identification Number: 10.1093/eurpub/cku082


Background: Health economics preference-based techniques, such as discrete choice experiments (DCEs), are often used to inform public health policy on patients’ priorities when choosing health care. Although there is general evidence about patients’ satisfaction with general-practice (GP) care in Europe, to our knowledge no comparisons are available that measure patients’ preferences in different European countries, and use patients’ priorities to propose policy changes. Methods: A DCE was designed and used to capture patients’ preferences for GP care in Germany, England and Slovenia. In the three countries, 841 eligible patients were identified across nine GP practices. The DCE questions compared multiple health-care practices (including their ‘current GP practice’), described by the following attributes: ‘information’ received from the GP, ‘booking time’, ‘waiting time’ in the GP practice, ‘listened to’, as well as being able to receive the ‘best care’ available for their condition. Results were compared across countries looking at the attributes’ importance and rankings, patients’ willingness-to-wait for unit changes to the attributes’ levels and changes in policy. Results: A total of 692 respondents (75% response rate) returned questionnaires suitable for analysis. In England and Slovenia, patients were satisfied with their ‘current practice’, but they valued changes to alternative practices. All attributes influenced decision-making, and ‘best care’ or ‘information’ were more valued than others. In Germany, almost all respondents constantly preferred their ‘current practice’, and other factors did not change their preference. Conclusion: European patients have strong preference for their ‘status quo’, but alternative GP practices could compensate for it and offer more valued care.

Item Type: Article
Official URL:
Additional Information: © 2014 The Authors
Divisions: Social Policy
LSE Health
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 30 Sep 2014 11:19
Last Modified: 20 Oct 2021 02:12
Projects: 242058
Funders: European Union 7th Framework Programme EU Cross Border Care Collaboration (EUCBCC; ECAB)

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