The informational content of subjective expectations for health service use.

Kettlewell, N

The informational content of subjective expectations for health service use.

Kettlewell, N

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: BMC health services research, 2021, 21, (1), pp. 464
Issue Date:: 2021-05-17

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Field	Value	Language
dc.contributor.author	Kettlewell, N https://orcid.org/0000-0002-0478-1372
dc.date.accessioned	2021-12-23T05:24:27Z
dc.date.available	2021-04-23
dc.date.available	2021-12-23T05:24:27Z
dc.date.issued	2021-05-17
dc.identifier.citation	BMC health services research, 2021, 21, (1), pp. 464
dc.identifier.issn	1472-6963
dc.identifier.issn	1472-6963
dc.identifier.uri	http://hdl.handle.net/10453/152493
dc.description.abstract	<h4>Background</h4>This study aims to evaluate the informational content of people's subjective probability expectations for using various health services.<h4>Methods</h4>Using a sample of 1,528 Australian adults (25-64 years), I compared stated probabilities of visiting various health service providers (hospitals, dentists, optometrists, physiotherapists and related care providers, naturopaths and massage therapists) with past utilization and with predicted utilization estimated out-of-sample. I also estimated whether past utilization and subjective expectations were predicted by the same covariates. Finally, I estimated whether subjective expectations had predictive power for the choice to purchase private health insurance conditional on past utilization and other controls.<h4>Results</h4>Subjective expectations closely reflect patterns of observed utilization, are predicted by the same covariates as observed utilization, and correlate with objective measures of risk. Subjective expectations also add predictive power to models estimating insurance take-up, even after conditioning on prior health care use and other risk factors.<h4>Conclusion</h4>The findings are indicative that on average people form quite accurate expectations, and support collecting subjective expectations about health services in household surveys for use in applied research.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	BMC health services research
dc.relation.isbasedon	10.1186/s12913-021-06464-7
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	0807 Library and Information Studies, 1110 Nursing, 1117 Public Health and Health Services
dc.subject.classification	Health Policy & Services
dc.subject.mesh	Humans
dc.subject.mesh	Motivation
dc.subject.mesh	Adult
dc.subject.mesh	Health Services
dc.subject.mesh	Insurance, Health
dc.subject.mesh	Australia
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Adult
dc.subject.mesh	Australia
dc.subject.mesh	Health Services
dc.subject.mesh	Humans
dc.subject.mesh	Insurance, Health
dc.subject.mesh	Motivation
dc.subject.mesh	Surveys and Questionnaires
dc.title	The informational content of subjective expectations for health service use.
dc.type	Journal Article
utslib.citation.volume	21
utslib.location.activity	England
utslib.for	0807 Library and Information Studies
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Economics Discipline
utslib.copyright.status	open_access	*
dc.date.updated	2021-12-23T05:24:23Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	21
utslib.citation.issue	1

Abstract:

Background

This study aims to evaluate the informational content of people's subjective probability expectations for using various health services.

Methods

Using a sample of 1,528 Australian adults (25-64 years), I compared stated probabilities of visiting various health service providers (hospitals, dentists, optometrists, physiotherapists and related care providers, naturopaths and massage therapists) with past utilization and with predicted utilization estimated out-of-sample. I also estimated whether past utilization and subjective expectations were predicted by the same covariates. Finally, I estimated whether subjective expectations had predictive power for the choice to purchase private health insurance conditional on past utilization and other controls.

Results

Subjective expectations closely reflect patterns of observed utilization, are predicted by the same covariates as observed utilization, and correlate with objective measures of risk. Subjective expectations also add predictive power to models estimating insurance take-up, even after conditioning on prior health care use and other risk factors.

Conclusion

The findings are indicative that on average people form quite accurate expectations, and support collecting subjective expectations about health services in household surveys for use in applied research.

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

http://hdl.handle.net/10453/152493