Using best-worst scaling choice experiments to measure public perceptions and preferences for healthcare reform in Australia

Adis International Ltd.
Publication Type:
Journal Article
The Patient: patient-centered outcomes research, 2010, 3 (4), pp. 275 - 283
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Background: One of the greatest difficulties in evaluating healthcare system reform in any country is that governments often do not clearly articulate what it is they are attempting to do. In Australia, a recent inquiry set out 15 principles to guide the reform process, but it remains unclear how the Australian public values the principles, how such values vary across the country, and, more fundamentally, if Australians understand the principles. Objectives: To evaluate the Australian healthcare reform principles from the perspective of the Australian public, to test if such preferences are valued consistently across geographic and socioeconomic strata, and to test for the degree of understanding of the principles among the public. Methods: We employed best-worst scaling (BWS), a stated-preference method grounded in random utility theory, to elicit public preference for 15 healthcare reform principles. The BWS tasks were incorporated into an online survey that also gathered geographic and socioeconomic information and included questions relating to the understanding of the reform principles.
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