Assessing patient preferences for the delivery of different community‐based models of care using a discrete choice experiment
- 30 June 2013
- journal article
- Published by Wiley in Health Expectations
- Vol. 18 (5), 1204-1214
- https://doi.org/10.1111/hex.12096
Abstract
To assess patient preferences for different models of care defined by location of care, frequency of care and principal carer within community-based health-care services for older people. Discrete choice experiment administered within a face-to-face interview. An intermediate care service in a large city within the United Kingdom. The projected sample size was calculated to be 200; however, 77 patients were recruited to the study. The subjects had recently been discharged from hospital and were living at home and were receiving short-term care by a publicly funded intermediate care service. Not applicable. The degree of preference, measured using single utility score, for individual service characteristics presented within a series of potential care packages. Location of care was the dominant service characteristics with care at home being the strongly stated preference when compared with outpatient care (0.003), hospital care (<0.001) and nursing home care (<0.001) relative to home care, although this was less pronounced among less sick patients. Additionally, the respondents indicated a dislike for very frequent care contacts. No particular type of professional carer background was universally preferred but, unsurprisingly, there was evidence that sick patients showed a preference for nurse-led care. Patients have clear preferences for the location for their care and were able to state preferences between different care packages when their ideal service was not available. Service providers can use this information to assess which models of care are most preferred within resource constraints.Keywords
This publication has 19 references indexed in Scilit:
- Assisting role redesign: a qualitative evaluation of the implementation of a podiatry assistant role to a community health setting utilising a traineeship approachJournal of Foot and Ankle Research, 2012
- The relationship between staff skill mix, costs and outcomes in intermediate care servicesBMC Health Services Research, 2010
- Understanding service context: development of a service pro forma to describe and measure elderly peoples’ community and intermediate care servicesHealth & Social Care in the Community, 2009
- The impact of intermediate care services on job satisfaction, skills and career development opportunitiesJournal of Clinical Nursing, 2007
- Quick and easy choice sets: Constructing optimal and nearly optimal stated choice experimentsInternational Journal of Research in Marketing, 2005
- The introduction and evaluation of an occupational therapy assistant practitionerAustralian Occupational Therapy Journal, 2005
- Women and health care professionals' preferences for Down's Syndrome screening tests: a conjoint analysis studyBJOG: An International Journal of Obstetrics and Gynaecology, 2004
- Dynamic role boundaries in intermediate care servicesJournal of Interprofessional Care, 2004
- Nurses and Assistive PersonnelJONA: The Journal of Nursing Administration, 2000
- THE USE OF CONJOINT ANALYSIS TO ELICIT WILLINGNESS-TO-PAY VALUESInternational Journal of Technology Assessment in Health Care, 2000