Preferences of older adults for healthcare models designed to improve care coordination: Evidence from Western Switzerland.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_46F8882495E3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Preferences of older adults for healthcare models designed to improve care coordination: Evidence from Western Switzerland.
Journal
Health policy
Author(s)
Nicolet A., Perraudin C., Krucien N., Wagner J., Peytremann-Bridevaux I., Marti J.
ISSN
1872-6054 (Electronic)
ISSN-L
0168-8510
Publication state
Published
Issued date
06/2023
Peer-reviewed
Oui
Volume
132
Pages
104819
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Implementing innovations in care delivery in Switzerland is challenging due to the fragmented nature of the system and the specificities of the political process (i.e., direct democracy, decentralized decision-making). In this context, it is particularly important to account for population preferences when designing policies. We designed a discrete choice experiment to study population preferences for coordination-improving care models. Specifically, we assessed the relative importance of model characteristics (i.e., insurance premium, presence of care coordinator, access to specialists, use of EMR, cost-sharing for chronic patients, incentives for informal care), and predicted uptake under different policy scenarios. We accounted for heterogeneity in preferences for the status quo option using an error component logit model. Respondents attached the highest importance to the price attribute (i.e. insurance premium) (0.31, CI: 0.27- 0.36) and to the presence of a care coordinator (0.27, CI: 0.23 - 0.31). Policy scenarios showed for instance that gatekeeping would be preferred to free access to specialists if the model includes a GP or an interprofessional team as a care coordinator. Although attachment to the status quo is high in the studied population, there are potential ways to improve acceptance of alternative care models by implementation of positively valued innovations.
Keywords
Humans, Aged, Choice Behavior, Switzerland, Delivery of Health Care, Care coordination, Chronic patients, Discrete choice experiment, Health insurance premium, Healthcare models, Population preferences
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / 407440_183447
Create date
17/04/2023 8:22
Last modification date
30/08/2023 6:58
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