Abstract:
:There is an increasing use of the discrete choice experiment (DCE) method in health care to estimate preferences of individuals and the public for different services. Despite this increasing use, there are few studies that investigate the validity of the DCE in health. This study investigates the external validity of DCE by comparing the predicted treatment choices from the DCE to the actual treatment choices made by the same respondents using a decision board (DB) approach. The sample includes 140 patients who came for a sleep apnea routine visit in a hospital setting. Each respondent answered 10 DCE tasks and 1 DB task. The preferences were estimated with a generalized multinomial logit model and the predicted and actual treatment choices were compared both at the sample and individual levels. The results raise questions about the external validity of DCE in health. At the sample level, the comparison showed large but not significant differences between the two methods. This can be explained in part by the aggregation process that obscures variability in the individuals' preferences. At the individual level, the comparison showed that the two methods led to significantly different patterns of choices.
journal_name
Health Econjournal_title
Health economicsauthors
Krucien N,Gafni A,Pelletier-Fleury Ndoi
10.1002/hec.3076subject
Has Abstractpub_date
2015-08-01 00:00:00pages
951-65issue
8eissn
1057-9230issn
1099-1050journal_volume
24pub_type
杂志文章相关文献
HEALTH ECONOMICS文献大全abstract::The Affordable Care Act (ACA) has provided millions of Americans with medical insurance but may have led to an increase in retirement among older individuals who are utilizing the newly available coverage options as a substitute for employer-provided insurance. Using data from the American Community Survey from 2009-2...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3959
更新日期:2019-12-01 00:00:00
abstract::This paper applies the inverse probability weighted (IPW) least-squares method to estimate the effects of treatment on total medical cost, subject to censoring, in a panel-data setting. IPW pooled ordinary-least squares (POLS) and IPW random effects (RE) models are used. Because total medical cost might not be indepen...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1087
更新日期:2006-05-01 00:00:00
abstract::This paper focuses on the effects of a 2005 health insurance reform in Vietnam. Through this reform, public health insurance was newly offered to nonpoor children under 6 years old, but it required the use of community health facilities. This requirement potentially limited the value of the insurance. Employing differ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3980
更新日期:2020-03-01 00:00:00
abstract::Prior studies have consistently found the incidence and persistence of depression to be higher among persons with low incomes, but causal mechanisms for this relationship are not well understood. This study uses the National Longitudinal Survey of Youth 1979 cohort to test several hypotheses about the robustness of th...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1011
更新日期:2005-12-01 00:00:00
abstract::Senegal is the only African country where sex work is legal and regulated by a health policy. Senegalese female sex workers (FSWs) are required to register with a health facility and to attend monthly routine health checks aimed at testing and treating sexually transmitted infections (STIs). Compliance to those routin...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3791
更新日期:2018-11-01 00:00:00
abstract::We study horizontal inequity in home care use in the Netherlands, where a social insurance scheme aims to allocate long-term care according to care needs. Whether the system reaches its goal depends not only on whether eligible individuals have equal access to care but also on whether entitlements for care reflect nee...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4126
更新日期:2020-10-01 00:00:00
abstract::The number of undocumented migrants in high-income countries has increased in recent decades, imposing considerable political, fiscal, and social pressures on governments. This has fostered discussions on whether and to what extent undocumented migrants should get access to public programs and public benefits. Looking...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4115
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:This study explores the relationship between the employment status of human immunodeficiency virus (HIV)-positive individuals and socioeconomic and health characteristics in Spain. METHODS:Data were obtained from four waves of the HIV/AIDS Hospital Survey from the period 2001 to 2004. The sample was composed...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1487
更新日期:2010-04-01 00:00:00
abstract::The British Columbia Ministry of Health provides enhanced prescription drug insurance coverage to residents aged 65 and older. This exogenous change in the effective price of prescription drugs is used to investigate aspects of the drug use by seniors. Three sets of issues are of interest. First, what is the effect of...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/(sici)1099-1050(199707)6:4<365::aid-hec279
更新日期:1997-07-01 00:00:00
abstract::We estimated lifetime costs of publicly funded social care, covering services such as residential and nursing care homes, domiciliary care and meals. Like previous studies, we constructed microsimulation models. However, our transition probabilities were estimated from longitudinal, linked administrative health and so...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3110
更新日期:2015-12-01 00:00:00
abstract::Research assessing the relationship between government health expenditure and development assistance for health channeled to governments (DAHG) has not considered that this relationship may depend on whether DAHG is increasing or decreasing. We explore this issue using general method of moments estimation and a panel ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3016
更新日期:2014-02-01 00:00:00
abstract::In the last few years, the price of cigarettes has increased considerably in the USA. In addition, a number of states have also imposed smoking bans. These increases in the cost and barriers to smoking have created a natural experiment to study relationships between smoking and drinking behaviors. In this study, we em...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.930
更新日期:2004-10-01 00:00:00
abstract::This study exploits a natural experiment in the province of Ontario, Canada, to identify the impact of pay-for-performance (P4P) incentives on the provision of targeted primary care services and whether physicians' responses differ by age, size of patient population, and baseline compliance level. We use administrativ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2971
更新日期:2014-08-01 00:00:00
abstract::Since 1988, the minimum legal drinking age (MLDA) has been 21 years for all 50 US states. The increasing prevalence of teenagers driving under the influence (DUI) of alcohol and the resulting traffic accidents were two main reasons for raising the MLDA to 21 years. Following the passage of this legislation, several pu...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1126
更新日期:2006-12-01 00:00:00
abstract::This paper estimates treatment effects of managed care plans on the utilization of health care services using data from two contemporaneous, nationally representative household surveys from the USA. The paper exploits recent advances in simulation-based econometrics to take the endogeneity of enrollment into managed c...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1096
更新日期:2006-07-01 00:00:00
abstract::In health economics, the use of patient recall of health care utilisation information is common, including in national health surveys. However, the types and magnitude of measurement error that relate to different recall periods are not well understood. This study assessed the accuracy of recalled doctor visits over 2...
journal_title:Health economics
pub_type: 杂志文章,随机对照试验
doi:10.1002/hec.3794
更新日期:2018-11-01 00:00:00
abstract::Much recent research interest has focused on handling uncertainty in cost-effectiveness analysis and in particular the calculation of confidence intervals for incremental cost-effectiveness ratios (ICERs). Problems of interpretation when ICERs are negative have led to two important and related developments: the use of...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.639
更新日期:2001-10-01 00:00:00
abstract::This paper is the first to investigate both the technical and cost efficiency of more than 1500 German general hospitals. More specifically, it deals with the question how hospital efficiency varies with ownership, patient structure, and other exogenous factors, which are neither inputs to nor outputs of the productio...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1388
更新日期:2008-09-01 00:00:00
abstract::This study focuses on Guizhou Province, a region with difficult geographical conditions and poor economic development, to examine the effect of rainfall shocks on contemporaneous infant health and long-run socioeconomic outcomes in China. The study results indicate that negative rainfall shocks are robustly correlated...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4191
更新日期:2021-02-01 00:00:00
abstract::The widely-accepted hypothesis of a development sequence from colorectal adenoma to carcinoma is felt by clinicians to legitimate adenoma excision during routine colonoscopic investigation. Using published data on adenoma development, and adenoma prevalence data derived from the Nottingham colorectal cancer screening ...
journal_title:Health economics
pub_type: 临床试验,杂志文章
doi:10.1002/hec.4730010108
更新日期:1992-04-01 00:00:00
abstract::Pre-exposure prophylaxis (PrEP) to prevent human immunodeficiency virus (HIV) enables female sex workers (FSWs) to protect themselves from HIV without relying on clients using condoms. Yet, because PrEP reduces HIV risk, financial incentives to not use condoms may lead to risk compensation: reductions in condom use an...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4211
更新日期:2020-12-29 00:00:00
abstract::The growth of health services employment in the United States is modelled using ARIMA analysis, and related to the growth in total U.S. employment. It is argued that specific features of the medical care sector (licensed professional manpower, non-profit firms, third-party financing) create institutional rigidities wh...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4730030306
更新日期:1994-05-01 00:00:00
abstract::I exploit substantial increases in the earned income tax credit to study how a policy-driven change in family income affects childhood obesity. Using the National Longitudinal Survey of Youth 1979, my difference-in-differences estimates indicate that the probability of being obese increased by 3 percentage points amon...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3658
更新日期:2018-07-01 00:00:00
abstract::New technologies may displace existing, higher-value care under a fixed budget. Countries aim to curtail adoption of low-value technologies, for example, by installing cost-effectiveness thresholds. Our objective is to estimate the opportunity cost of hospital care to identify a threshold value for the Netherlands. To...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3946
更新日期:2019-11-01 00:00:00
abstract::Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986, guaranteeing a standard of medical care to anyone who entered an emergency room. This guarantee made default a more reliable substitute for medical insurance. I construct a tractable structural model of the medical insurance market ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2985
更新日期:2014-11-01 00:00:00
abstract::The prescription drug user fee program provides additional resources to the U.S. Food and Drug Administration at the expense of regulated firms. Those resources accelerate the review of new drugs. Faster approvals allow firms to realize profits sooner, and the program is supported politically by industry. However, pub...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3166
更新日期:2015-12-01 00:00:00
abstract::The objective of this paper is to analyse the impact that attribute ordering has on the relative importance of the price attribute. A discrete choice experiment was performed in order to elicit psoriasis patients' preferences for treatment. We tested for ordering effect with respect to the price attribute, and disclos...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1117
更新日期:2006-11-01 00:00:00
abstract::Though risk adjustment is necessary in order to make equitable comparisons of resource utilization in the treatment of acute myocardial infarction patients, there is little in the literature that can be practically applied without access to clinical records or specialized registries. The aim of this study is to show t...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1177
更新日期:2007-04-01 00:00:00
abstract::Health is well known to show a clear gradient by occupation. Although it may appear evident that occupation can affect health, there are multiple possible sources of selection that can generate a strong association, other than simply a causal effect of occupation on health. We link job characteristics to German panel ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3563
更新日期:2018-02-01 00:00:00
abstract::When health insurance reforms involve non-linear price schedules tied to payment periods (for example, fees levied by quarter or year), the empirical analysis of its effects has to take the within-period time structure of incentives into account. The analysis is further complicated when demand data are obtained from a...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2955
更新日期:2013-09-01 00:00:00