What influences patients’ decisions when choosing a health care provider? Measuring preferences of patients with knee arthrosis, chronic depression or Alzheimer’s disease, using discrete choice experiments

AS (Hanny) Groenewoud, Job van Exel, Ana Bobinac, M (Marc) Berg, Robbert Huijsman, Elly Stolk

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Objective: To investigate what influences patients’ health care decisions, and what the implications are for the provision of information on the quality of health care providers to patients. Data Sources/Study Setting: Dutch patient samples between November 2006 and February 2007. Study Design: Discrete choice experiments were conducted in three patient groups to explore what influences choice for health care provider. Data collection: Data were obtained from 616 patients with knee arthrosis, 368 patients with chronic depression, and 421 representatives of patients with Alzheimer’s Disease. Principle findings: The three patients groups chose health care providers on a different basis. The most valued attributes were: effectiveness and safety (knee arthrosis); continuity of care and relationship with the therapist (chronic depression); expertise (Alzheimer’s disease). Preferences differed between sub-groups, mainly in relation to patients’ choice profiles, severity of disease and some background characteristics. Conclusions: This study showed that there is substantial room for (quality) information about health care providers in patients’ decision processes. This information should be tailor-made, targeting specific patient segments, because different actors and factors play a part in their search and selection process.
Original languageUndefined/Unknown
Pages (from-to)1941-1972
Number of pages32
JournalHealth Services Research
Issue number6
Publication statusPublished - 26 Jan 2015

Research programs

  • EMC NIHES-05-63-01 Management

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