IDEAS home Printed from https://ideas.repec.org/a/spr/patien/v12y2019i3d10.1007_s40271-018-0353-1.html
   My bibliography  Save this article

The Value of Treatment Processes in Germany: A Discrete Choice Experiment on Patient Preferences in Complementary and Conventional Medicine

Author

Listed:
  • Daniela Adam

    (Humboldt-Universität zu Berlin)

  • Theresa Keller

    (Humboldt-Universität zu Berlin)

  • Axel Mühlbacher

    (Hochschule Neubrandenburg)

  • Maximilian Hinse

    (Humboldt-Universität zu Berlin)

  • Katja Icke

    (Humboldt-Universität zu Berlin)

  • Michael Teut

    (Humboldt-Universität zu Berlin)

  • Benno Brinkhaus

    (Humboldt-Universität zu Berlin)

  • Thomas Reinhold

    (Humboldt-Universität zu Berlin)

Abstract

Background The effects of health interventions are often complex, and it is argued that they comprise more than pure changes in clinical parameters. Aspects of the treatment process, so-called ‘benefits beyond health’, are often overlooked in the evaluation of health interventions but can be of value to the patients. Objectives The aim of this study was to assess patients’ preferences and willingness to pay regarding the treatment process and its attributes in patients using acupuncture, homeopathy or general medicine (GM). Methods A systematic literature search, six semi-structured interviews and a stakeholder involvement were conducted to determine the attributes of the treatment process. Five process attributes and one cost attribute were used to construct the experimental design of the discrete choice experiment (DCE) (6 × 3), a cross sectional survey method. Patients were recruited by outpatient physicians practicing in Berlin and Munich, Germany. Process attributes were effects-coded. Data were analyzed in a conditional logit regression. Results Data from 263 patients were analyzed. DCE results showed that the treatment process attributes ‘active listening’ and ‘time’ were most relevant to all patients. Preferences for the attributes ‘holistic treatment’ (more relevant to the acupuncture and homeopathy groups) and ‘information’ (more relevant to the GM group) seemed to differ slightly between the groups. Willingness-to-pay values were higher in the acupuncture and homeopathy groups. Conclusions The time physicians take and the extent to which they listen attentively are most important and are equally important to all patients. These results may contribute to the debate about more patient-centered healthcare. They support a strengthening of medical consultations in the German healthcare system. We suggest giving physicians the opportunity to spend more time with their patients, which may be achieved by changing the general conditions of remuneration (e.g., improved reimbursement of medical consultations). German Clinical Trial Register DRKS00013160.

Suggested Citation

  • Daniela Adam & Theresa Keller & Axel Mühlbacher & Maximilian Hinse & Katja Icke & Michael Teut & Benno Brinkhaus & Thomas Reinhold, 2019. "The Value of Treatment Processes in Germany: A Discrete Choice Experiment on Patient Preferences in Complementary and Conventional Medicine," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 12(3), pages 349-360, June.
    • Handle: RePEc:spr:patien:v:12:y:2019:i:3:d:10.1007_s40271-018-0353-1
    DOI: 10.1007/s40271-018-0353-1
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s40271-018-0353-1
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s40271-018-0353-1?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Evans, R.G. & Stoddart, G.L., 1990. "Producing Health, Consuming Health Care," Centre for Health Services and Policy Research 90:13r, University of British Columbia - Centre for Health Services and Policy Research..
    2. Fernando San Miguel & Mandy Ryan & Mabelle Amaya‐Amaya, 2005. "‘Irrational’ stated preferences: a quantitative and qualitative investigation," Health Economics, John Wiley & Sons, Ltd., vol. 14(3), pages 307-322, March.
    3. R Evans & G Stoddart, 1990. "Producing Health, Consuming Health Care," Centre for Health Economics and Policy Analysis Working Paper Series 1990-06, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    4. Evans, Robert G. & Stoddart, Gregory L., 1990. "Producing health, consuming health care," Social Science & Medicine, Elsevier, vol. 31(12), pages 1347-1363, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fabio Pammolli & Francesco Porcelli & Francesco Vidoli & Monica Auteri & Guido Borà, 2017. "La spesa sanitaria delle Regioni in Italia - Saniregio2017," Working Papers CERM 01-2017, Competitività, Regole, Mercati (CERM).
    2. Melanie Levy, 2022. "The rise of the Swiss regulatory healthcare state: On preserving the just in the quest for the better (or less expensive?)," Regulation & Governance, John Wiley & Sons, vol. 16(2), pages 427-447, April.
    3. Bryant, Toba & Raphael, Dennis & Schrecker, Ted & Labonte, Ronald, 2011. "Canada: A land of missed opportunity for addressing the social determinants of health," Health Policy, Elsevier, vol. 101(1), pages 44-58, June.
    4. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    5. Jacklin, Kristen, 2009. "Diversity within: Deconstructing Aboriginal community health in Wikwemikong Unceded Indian Reserve," Social Science & Medicine, Elsevier, vol. 68(5), pages 980-989, March.
    6. Shahin Shooshtari & Carol Harvey & Evelyn Ferguson & Tuula Heinonen & Syeed Khan, 2014. "Effects of Remittance Behavior on the Lives of Recent Immigrants to Canada from the Philippines: A Population-Based Longitudinal Study," Journal of Family and Economic Issues, Springer, vol. 35(1), pages 95-105, March.
    7. Chia-Mei Shih & Yu-Hua Wang & Li-Fan Liu & Jung-Hua Wu, 2020. "Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    8. Christine Le Clainche & Sandy Tubeuf, 2016. "Nudging, intervening or rewarding," Politics, Philosophy & Economics, , vol. 15(2), pages 170-189, May.
    9. Huguet, Nathalie & Kaplan, Mark S. & Feeny, David, 2008. "Socioeconomic status and health-related quality of life among elderly people: Results from the Joint Canada/United States Survey of Health," Social Science & Medicine, Elsevier, vol. 66(4), pages 803-810, February.
    10. Klavus, Jan & Hakkinen, Unto, 1996. "Health care and income distribution in Finland," Health Policy, Elsevier, vol. 38(1), pages 31-43, October.
    11. Grembowski, David & Bekemeier, Betty & Conrad, Douglas & Kreuter, William, 2010. "Are local health department expenditures related to racial disparities in mortality?," Social Science & Medicine, Elsevier, vol. 71(12), pages 2057-2065, December.
    12. Pagliccia, Nino & Spiegel, Jerry & Alegret, Milagros & Bonet, Mariano & Martinez, Barbara & Yassi, Annalee, 2010. "Network analysis as a tool to assess the intersectoral management of health determinants at the local level: A report from an exploratory study of two Cuban municipalities," Social Science & Medicine, Elsevier, vol. 71(2), pages 394-399, July.
    13. Roudi Nazarinia Roy & Anthony G. James & Tiffany L. Brown, 2021. "Racial/Ethnic Minority Families," Journal of Family and Economic Issues, Springer, vol. 42(1), pages 84-100, July.
    14. Struijs, Jeroen N. & Drewes, Hanneke W. & Heijink, Richard & Baan, Caroline A., 2015. "How to evaluate population management? Transforming the Care Continuum Alliance population health guide toward a broadly applicable analytical framework," Health Policy, Elsevier, vol. 119(4), pages 522-529.
    15. Nazmi Sari, 2009. "Physical inactivity and its impact on healthcare utilization," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 885-901, August.
    16. Barbara J. Payne & Joan Dawe & Robert G. Evans & Victor W. Marshall & Philippa J. Clarke & Douglas Norris & Janet Hagey & Evelyn Shapiro & Russell Wilkins & Betty Havens, 1997. "Healthy Aging: Insights for Research and Policy," Canadian Public Policy, University of Toronto Press, vol. 23(s1), pages 42-52, Spring.
    17. Eilbert, Kay W. & Lafronza, Vincent, 2005. "Working together for community health--a model and case studies," Evaluation and Program Planning, Elsevier, vol. 28(2), pages 185-199, May.
    18. Cumming, Jacqueline & Scott, Claudia D., 1998. "The role of outputs and outcomes in purchaser accountability: reflecting on New Zealand experiences," Health Policy, Elsevier, vol. 46(1), pages 53-68, October.
    19. Asada, Yukiko & Grignon, Michel & Hurley, Jeremiah & Kirkland, Susan, 2020. "Cautionary tails of grip strength in health inequality studies: An analysis from the Canadian longitudinal study on aging," Social Science & Medicine, Elsevier, vol. 265(C).
    20. Declan French, 2012. "Causation between health and income: a need to panic," Empirical Economics, Springer, vol. 42(2), pages 583-601, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:patien:v:12:y:2019:i:3:d:10.1007_s40271-018-0353-1. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.