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Hospital sector choice and support for public hospital care in New Zealand: Results from a labeled discrete choice survey

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  • Brown, Paul
  • Panattoni, Laura
  • Cameron, Linda
  • Knox, Stephanie
  • Ashton, Toni
  • Tenbensel, Tim
  • Windsor, John

Abstract

This study uses a discrete choice experiment (DCE) to measure patients’ preferences for public and private hospital care in New Zealand. A labeled DCE was administered to 583 members of the general public, with the choice between a public and private hospital for a non-urgent surgery. The results suggest that cost of surgery, waiting times for surgery, option to select a surgeon, convenience, and conditions of the hospital ward are important considerations for patients. The most important determinant of hospital choice was whether it was a public or private hospital, with respondents far more likely to choose a public hospital than a private hospital. The results have implications for government policy toward using private hospitals to clear waiting lists in public hospitals, with these results suggesting the public might not be indifferent to policies that treat private hospitals as substitutes for public hospitals.

Suggested Citation

  • Brown, Paul & Panattoni, Laura & Cameron, Linda & Knox, Stephanie & Ashton, Toni & Tenbensel, Tim & Windsor, John, 2015. "Hospital sector choice and support for public hospital care in New Zealand: Results from a labeled discrete choice survey," Journal of Health Economics, Elsevier, vol. 43(C), pages 118-127.
    • Handle: RePEc:eee:jhecon:v:43:y:2015:i:c:p:118-127
    DOI: 10.1016/j.jhealeco.2015.06.004
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    Cited by:

    1. Gutacker, Nils & Siciliani, Luigi & Moscelli, Giuseppe & Gravelle, Hugh, 2016. "Choice of hospital: Which type of quality matters?," Journal of Health Economics, Elsevier, vol. 50(C), pages 230-246.
    2. Pedersen, Line Bjørnskov & Mørkbak, Morten Raun & Scarpa, Riccardo, 2020. "Handling resolvable uncertainty from incomplete scenarios in future doctors' job choice – Probabilities vs discrete choices," Journal of choice modelling, Elsevier, vol. 34(C).
    3. Joachim Marti & John Buckell & Johanna Catherine Maclean & Jody L. Sindelar, 2016. "To ‘Vape’ or Smoke? A Discrete Choice Experiment Among U.S. Adult Smokers," NBER Working Papers 22079, National Bureau of Economic Research, Inc.
    4. Genie, Mesfin G. & Nicoló, Antonio & Pasini, Giacomo, 2020. "The role of heterogeneity of patients’ preferences in kidney transplantation," Journal of Health Economics, Elsevier, vol. 72(C).
    5. Joachim Marti & John Buckell & Johanna Catherine Maclean & Jody Sindelar, 2019. "To “Vape” Or Smoke? Experimental Evidence On Adult Smokers," Economic Inquiry, Western Economic Association International, vol. 57(1), pages 705-725, January.
    6. Nasrin Tayyari Dehbarez & Morten Raun Mørkbak & Dorte Gyrd-Hansen & Niels Uldbjerg & Rikke Søgaard, 2018. "Women’s Preferences for Birthing Hospital in Denmark: A Discrete Choice Experiment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(6), pages 613-624, December.
    7. Vikas Soekhai & Esther W. Bekker-Grob & Alan R. Ellis & Caroline M. Vass, 2019. "Discrete Choice Experiments in Health Economics: Past, Present and Future," PharmacoEconomics, Springer, vol. 37(2), pages 201-226, February.
    8. Schuldt, Johannes & Doktor, Anna & Lichters, Marcel & Vogt, Bodo & Robra, Bernt-Peter, 2017. "Insurees’ preferences in hospital choice—A population-based study," Health Policy, Elsevier, vol. 121(10), pages 1040-1046.

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    More about this item

    Keywords

    Labeled discrete choice; Public and private hospitals; Waiting times; Health behavior; Criteria for decision-making under risk and uncertainty;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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