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What Aspects of Illness Influence Public Preferences for Healthcare Priority Setting? A Discrete Choice Experiment in the UK
- Source :
- Pharmacoeconomics
- Publication Year :
- 2021
- Publisher :
- Springer International Publishing, 2021.
-
Abstract
- Background Decisions on funding new healthcare technologies assume that all health improvements are valued equally. However, public reaction to health technology assessment (HTA) decisions suggests there are health attributes that matter deeply to them but are not currently accounted for in the assessment process. We aimed to determine the relative importance of attributes of illness that influence the value placed on alleviating that illness. Method We conducted a discrete choice experiment survey that presented general public respondents with 15 funding decisions between hypothetical health conditions. The conditions were defined by five attributes that characterise serious illnesses, plus the health gain from treatment. Respondent preferences were modelled using conditional logistic regression and latent class analysis. Results 905 members of the UK public completed the survey in November 2017. Respondents generally preferred to provide treatments for conditions with ‘better’ characteristics. The exception was treatment availability, where respondents preferred to provide treatments for conditions where there is no current treatment, and were prepared to accept lower overall health gain to do so. A subgroup of respondents preferred to prioritise ‘worse’ health states. Conclusion This study suggests a preference among the UK public for treating an unmet need; however, it does not suggest a preference for prioritising other distressing aspects of health conditions, such as limited life expectancy, or where patients are reliant on care. Our results are not consistent with the features currently prioritised in UK HTA processes, and the preference heterogeneity we identify presents a major challenge for developing broadly acceptable policy.
- Subjects :
- Pharmacology
medicine.medical_specialty
Actuarial science
Health economics
business.industry
Health Policy
Public health
Public Health, Environmental and Occupational Health
Health technology
Patient Preference
Choice Behavior
Preference
United Kingdom
Health administration
Life Expectancy
Surveys and Questionnaires
Health care
Respondent
medicine
Life expectancy
Humans
Original Research Article
Psychology
business
Subjects
Details
- Language :
- English
- ISSN :
- 11792027 and 11707690
- Volume :
- 39
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Pharmacoeconomics
- Accession number :
- edsair.doi.dedup.....4e0fe7ead82978c9cd20d53a3914d9b5