Olga C Damman1,2, Peter Spreeuwenberg1, Jany Rademakers1, Michelle Hendriks1. 1. NIVEL (Netherlands Institute for Health Services Research), Research Program Patient Perspective and Demand-Driven Health Care, Utrecht, the Netherlands (OCD, PS, JR, MH) 2. VU University Medical Center, Department of Public and Occupational Health and the EMGO Institute for Health andzzm321990Care Research, Amsterdam, the Netherlands (OCD)
Abstract
BACKGROUND: The recent emphasis on providing comparative health care data to the public has resulted in a large amount of online information. To focus on the most essential attributes, insight is needed into which attributes are actually considered by consumers. OBJECTIVE: To assess which attributes of Dutch hospital performance information contribute most to consumers' hospital choice for cataract and total hip or knee replacement surgery. DESIGN: Two discrete-choice experiments were performed: one for cataract surgery and one for total hip or knee replacement surgery. Participants viewed hypothetical hospitals based on representative values for 10 attributes (e.g., distance to the hospital, waiting time for the surgery, conduct of professionals, information provision, complication rate) and were asked to select the hospital they would choose if they needed treatment. We used multilevel logistic regression analysis to test the effects of the attributes and the interactions between attributes and respondent characteristics on consumers' hospital choice. RESULTS: All except one attribute (length of the first appointment with the ophthalmologist) contributed significantly to consumers' choices. Although some differences were found between cataract and hip/knee replacement surgery, the most influential attributes for both types of surgeries were distance, waiting time, and the attributes of patient safety (complication rate of capsular rupture and the use of procedures to prevent adverse effects of thrombosis). Interaction effects were found between hospital attributes, on one hand, and age, education, and consumer choice orientation, on the other hand. CONCLUSIONS: As for cataract and total hip/knee replacement surgery, the attributes that seem most important to consumers when choosing a hospital are access (waiting time and distance) and patient safety attributes.
BACKGROUND: The recent emphasis on providing comparative health care data to the public has resulted in a large amount of online information. To focus on the most essential attributes, insight is needed into which attributes are actually considered by consumers. OBJECTIVE: To assess which attributes of Dutch hospital performance information contribute most to consumers' hospital choice for cataract and total hip or knee replacement surgery. DESIGN: Two discrete-choice experiments were performed: one for cataract surgery and one for total hip or knee replacement surgery. Participants viewed hypothetical hospitals based on representative values for 10 attributes (e.g., distance to the hospital, waiting time for the surgery, conduct of professionals, information provision, complication rate) and were asked to select the hospital they would choose if they needed treatment. We used multilevel logistic regression analysis to test the effects of the attributes and the interactions between attributes and respondent characteristics on consumers' hospital choice. RESULTS: All except one attribute (length of the first appointment with the ophthalmologist) contributed significantly to consumers' choices. Although some differences were found between cataract and hip/knee replacement surgery, the most influential attributes for both types of surgeries were distance, waiting time, and the attributes of patient safety (complication rate of capsular rupture and the use of procedures to prevent adverse effects of thrombosis). Interaction effects were found between hospital attributes, on one hand, and age, education, and consumer choice orientation, on the other hand. CONCLUSIONS: As for cataract and total hip/knee replacement surgery, the attributes that seem most important to consumers when choosing a hospital are access (waiting time and distance) and patient safety attributes.
Authors: Nicolien C Zwijnenberg; Michelle Hendriks; Evelien Bloemendal; Olga C Damman; Judith D de Jong; Diana Mj Delnoij; Jany Jd Rademakers Journal: J Med Internet Res Date: 2016-11-28 Impact factor: 5.428
Authors: John M Reuter; Carolyn A Hutyra; Cary S Politzer; Christopher C Calixte; Daniel J Scott; David E Attarian; Richard C Mather Journal: JB JS Open Access Date: 2018-10-23
Authors: Aafke Victoor; Janneke Noordman; Johan A Sonderkamp; Diana M J Delnoij; Roland D Friele; Sandra van Dulmen; Jany J D J M Rademakers Journal: BMC Fam Pract Date: 2013-12-10 Impact factor: 2.497
Authors: Eduardo Garcia-Garzon; Peter Zhukovsky; Elisa Haller; Sara Plakolm; David Fink; Dafina Petrova; Vaishali Mahalingam; Igor G Menezes; Kai Ruggeri Journal: Front Psychol Date: 2016-05-24
Authors: Charlotte M Kugler; Karina K De Santis; Tanja Rombey; Kaethe Goossen; Jessica Breuing; Nadja Könsgen; Tim Mathes; Simone Hess; René Burchard; Dawid Pieper Journal: BMC Health Serv Res Date: 2021-07-02 Impact factor: 2.655