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Women’s Preferences for Birthing Hospital in Denmark: A Discrete Choice Experiment

Nasrin Tayyari Dehbarez (), Morten Raun Mørkbak, Dorte Gyrd-Hansen, Niels Uldbjerg and Rikke Søgaard
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Nasrin Tayyari Dehbarez: DEFACTUM
Morten Raun Mørkbak: Incentive
Dorte Gyrd-Hansen: University of Southern Denmark
Niels Uldbjerg: Aarhus University Hospital
Rikke Søgaard: Aarhus University

The Patient: Patient-Centered Outcomes Research, 2018, vol. 11, issue 6, 613-624

Abstract: Abstract Background Free choice of hospital has been introduced in many healthcare systems to accommodate patient preferences and incentivize hospitals to compete; however, little is known about what patients actually prefer. Objectives This study assessed women’s preferences for birthing hospital in Denmark by quantifying the utility and trade-offs of hospital attributes. Methods We conducted a discrete-choice experiment survey with 12 hypothetical scenarios in which women had to choose between three hospitals characterized by five attributes: continuity of midwifery care, availability of a neonatal intensive care unit (NICU), hospital services offered, level of specialization to handle rare events, and travel time. A random parameter logit model was used to estimate the utility and marginal willingness to travel (WTT) for improvements in other hospital attributes. Results A total of 517 women completed the survey. Significant preferences were expressed for all attributes (p

Date: 2018
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Handle: RePEc:spr:patien:v:11:y:2018:i:6:d:10.1007_s40271-018-0313-9