Exploring the Trade-Off Between Economic and Health Outcomes During a Pandemic: A Discrete Choice Experiment of Lockdown Policies in Australia

Manipis, K; Street, D; Cronin, P; Viney, R; Goodall, S

Exploring the Trade-Off Between Economic and Health Outcomes During a Pandemic: A Discrete Choice Experiment of Lockdown Policies in Australia

Manipis, K

Street, D

Cronin, P

Viney, R

Goodall, S

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Publisher:: ADIS INT LTD
Publication Type:: Journal Article
Citation:: The Patient - Patient-Centered Outcomes Research, 2021, 14, (3), pp. 359-371
Issue Date:: 2021-03-11

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Field	Value	Language
dc.contributor.author	Manipis, K https://orcid.org/0000-0002-7159-0912
dc.contributor.author	Street, D https://orcid.org/0000-0002-4476-0656
dc.contributor.author	Cronin, P https://orcid.org/0000-0003-4422-7760
dc.contributor.author	Viney, R https://orcid.org/0000-0002-0039-9635
dc.contributor.author	Goodall, S https://orcid.org/0000-0001-6611-6565
dc.date.accessioned	2021-07-22T02:15:36Z
dc.date.available	2021-02-20
dc.date.available	2021-07-22T02:15:36Z
dc.date.issued	2021-03-11
dc.identifier.citation	The Patient - Patient-Centered Outcomes Research, 2021, 14, (3), pp. 359-371
dc.identifier.issn	1178-1653
dc.identifier.issn	1178-1661
dc.identifier.uri	http://hdl.handle.net/10453/149914
dc.description.abstract	<h4>Background</h4>All countries experienced social and economic disruption and threats to health security from the COVID-19 pandemic in 2020, but the responses in terms of control measures varied considerably. While control measures, such as quarantine, lockdown and social distancing, reduce infections and infection-related deaths, they have severe negative economic and social consequences.<h4>Objectives</h4>The objective of this study was to explore the acceptability of different infectious disease control measures, and examine how respondents trade off between economic and health outcomes.<h4>Methods</h4>A discrete choice experiment was developed, with attributes covering: control restrictions, duration of restrictions, tracking, number of infections and of deaths, unemployment, government expenditure and additional personal tax. A representative sample of Australians (n = 1046) completed the survey, which included eight choice tasks. Data were analysed using mixed logit regression to identify heterogeneity and latent class models to examine heterogeneity.<h4>Results</h4>In general, respondents had strong preferences for policies that avoided high infection-related deaths, although lower unemployment and government expenditure were also considered important. Respondents preferred a shorter duration for restrictions, but their preferences did not vary significantly for the differing levels of control measures. In terms of tracking, respondents preferred mobile phone tracking or bracelets when compared to no tracking. Significant differences in preferences was identified, with two distinct classes: Class 1 (57%) preferred the economy to remain open with some control measures, whereas Class 2 (43%), had stronger preferences for policies that reduced avoidable deaths.<h4>Conclusions</h4>This study found that the Australian population is willing to relinquish some freedom, in the short term, and trade off the negative social and economic impacts of the pandemic, to avoid the negative health consequences.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ADIS INT LTD
dc.relation.ispartof	The Patient - Patient-Centered Outcomes Research
dc.relation.isbasedon	10.1007/s40271-021-00503-5
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Age Factors
dc.subject.mesh	Aged
dc.subject.mesh	Australia
dc.subject.mesh	COVID-19
dc.subject.mesh	Cell Phone
dc.subject.mesh	Choice Behavior
dc.subject.mesh	Communicable Disease Control
dc.subject.mesh	Decision Support Techniques
dc.subject.mesh	Economics
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Physical Distancing
dc.subject.mesh	Policy
dc.subject.mesh	Quarantine
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Sex Factors
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Unemployment
dc.subject.mesh	Young Adult
dc.title	Exploring the Trade-Off Between Economic and Health Outcomes During a Pandemic: A Discrete Choice Experiment of Lockdown Policies in Australia
dc.type	Journal Article
utslib.citation.volume	14
utslib.location.activity	New Zealand
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
utslib.copyright.status	closed_access	*
dc.date.updated	2021-07-22T02:15:32Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	14
utslib.citation.issue	3

Abstract:

Background

All countries experienced social and economic disruption and threats to health security from the COVID-19 pandemic in 2020, but the responses in terms of control measures varied considerably. While control measures, such as quarantine, lockdown and social distancing, reduce infections and infection-related deaths, they have severe negative economic and social consequences.

Objectives

The objective of this study was to explore the acceptability of different infectious disease control measures, and examine how respondents trade off between economic and health outcomes.

Methods

A discrete choice experiment was developed, with attributes covering: control restrictions, duration of restrictions, tracking, number of infections and of deaths, unemployment, government expenditure and additional personal tax. A representative sample of Australians (n = 1046) completed the survey, which included eight choice tasks. Data were analysed using mixed logit regression to identify heterogeneity and latent class models to examine heterogeneity.

Results

In general, respondents had strong preferences for policies that avoided high infection-related deaths, although lower unemployment and government expenditure were also considered important. Respondents preferred a shorter duration for restrictions, but their preferences did not vary significantly for the differing levels of control measures. In terms of tracking, respondents preferred mobile phone tracking or bracelets when compared to no tracking. Significant differences in preferences was identified, with two distinct classes: Class 1 (57%) preferred the economy to remain open with some control measures, whereas Class 2 (43%), had stronger preferences for policies that reduced avoidable deaths.

Conclusions

This study found that the Australian population is willing to relinquish some freedom, in the short term, and trade off the negative social and economic impacts of the pandemic, to avoid the negative health consequences.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/149914