Public preferences for prioritizing preventive and curative health care interventions: a discrete choice experiment

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Jeroen LuytenPhilippe Beutels

Abstract

Setting fair health care priorities counts among the most difficult ethical challenges our societies are facing. To elicit through a discrete choice experiment the Belgian adult population's (18-75 years; N = 750) preferences for prioritizing health care and investigate whether these preferences are different for prevention versus cure. We used a Bayesian D-efficient design with partial profiles, which enables considering a large number of attributes and interaction effects. We included the following attributes: 1) type of intervention (cure vs. prevention), 2) effectiveness, 3) risk of adverse effects, 4) severity of illness, 5) link between the illness and patient's health-related lifestyle, 6) time span between intervention and effect, and 7) patient's age group. All attributes were statistically significant contributors to the social value of a health care program, with patient's lifestyle and age being the most influential ones. Interaction effects were found, showing that prevention was preferred to cure for disease in young adults, as well as for severe and lethal disease in people of any age. However, substantial differences were found in the preferences of respondents from different age groups, with different lifestyle...Continue Reading

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Citations

May 2, 2017·Molecular Human Reproduction·S HendriksS Repping
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Nov 1, 2020·Vaccines·Jeroen LuytenPhilippe Beutels
Jan 13, 2021·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Lieven AnnemansSteven Simoens
Jan 13, 2021·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Jeroen Luyten, Albert Jan van Hoek
Mar 9, 2021·Applied Health Economics and Health Policy·James BuchananSarah Wordsworth
May 22, 2021·Journal of Health Organization and Management·Micaela Pinho

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