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Doctor’s Preference in Providing Medical Service for Patients in the Medical Alliance: A Pilot Discrete Choice Experiment

Author

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  • Richard Huan Xu

    (Jockey Club School of public health and primary care, the Chinese University of Hong Kong, Hong Kong, China)

  • Lingming Zhou

    (School of Health Management, Southern Medical University, Guangzhou 510515, China)

  • Yong Li

    (School of Health Management, Southern Medical University, Guangzhou 510515, China)

  • Dong Wang

    (School of Health Management, Southern Medical University, Guangzhou 510515, China)

Abstract

This cross-sectional survey study explored whether doctors in Guangdong, China preferred to provide extra healthcare services within the context of their medical alliances (MAs). Specifically, a discrete choice experiment (DCE) was conducted to investigate whether doctors preferred to provide extra services at low-tier hospitals within their MAs. A literature review, focus group interview, and expert group discussion resulted in three main attributes (i.e., working time, income, and hospital location) and corresponding levels, which were combined to create 24 profiles that were randomly presented to participants. A conditional logit model was then employed to calculate utility scores for all profiles. A total of 311 doctors completed the DCE questionnaire. The coefficients for each level within the three attributes were ordered and found to be statistically significant. Working time had the greatest influence on utility scores, increasing by one hour per week (beta = 1.4, odds ratio (OR) = 4.07, p < 0.001), followed by income, which increased by 30% per month (beta = 1.19, OR = 3.3, p < 0.001). The utility scores for all profiles ranged between −0.27 and 3.07. Findings indicated that participants made trade-offs with respect to providing extra services within their MAs. Furthermore, utility varied between different subpopulations.

Suggested Citation

  • Richard Huan Xu & Lingming Zhou & Yong Li & Dong Wang, 2020. "Doctor’s Preference in Providing Medical Service for Patients in the Medical Alliance: A Pilot Discrete Choice Experiment," IJERPH, MDPI, vol. 17(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2215-:d:337220
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    References listed on IDEAS

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    1. Emily Lancsar & Jordan Louviere, 2008. "Conducting Discrete Choice Experiments to Inform Healthcare Decision Making," PharmacoEconomics, Springer, vol. 26(8), pages 661-677, August.
    2. Tomoko Ono & Michael Schoenstein & James Buchan, 2014. "Geographic Imbalances in Doctor Supply and Policy Responses," OECD Health Working Papers 69, OECD Publishing.
    3. 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.
    4. Colin Green & Karen Gerard, 2009. "Exploring the social value of health‐care interventions: a stated preference discrete choice experiment," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 951-976, August.
    5. Gerald Granderson, 2011. "The impacts of hospital alliance membership, alliance size, and repealing certificate of need regulation, on the cost efficiency of non‐profit hospitals," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 32(3), pages 159-173, April.
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