Stock, S. and Danner, M. (2014). Does the elicitation of stakeholder attitudes and preferences add valuable information to small-area analyses? A health policy perspective. Bundesgesundheitsblatt-Gesund., 57 (2). S. 188 - 197. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

Small-area analyses are increasingly valuable for health-policy planning given the observed regional variation in health care. The combination of data from different sources enables researchers to describe and analyze structural, procedural, and outcome-related variation in health care. For variation that cannot be explained by these data, the attitudes, behaviors, and preferences of important stakeholders in health care-physicians and patients-might play an explanatory role. In this paper, we outline why stakeholder preference elicitation appears to be an important addition to small-area health-care analyses. Its inclusion in various decision-making contexts may help to explain and decrease unwarranted variation in health care. At the individual level, this could happen within any decision on health service use that is taken by physicians, patients, or-within a shared decision-making context-by both. At an aggregate level, the elicitation of preferences in guideline or health program development may increase stakeholder acceptance and consistent implementation. Different approaches to the elicitation of stakeholder preferences and potential areas for application within small-area research are outlined. The role of attitudes and preferences in explaining regional variation should be acknowledged by health-care policy makers and initiatives to include these in health-care decision-making at various levels should be supported.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Stock, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Danner, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-447167
DOI: 10.1007/s00103-013-1895-y
Journal or Publication Title: Bundesgesundheitsblatt-Gesund.
Volume: 57
Number: 2
Page Range: S. 188 - 197
Date: 2014
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1437-1588
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ANALYTIC HIERARCHY PROCESS; DECISION-MAKING; PATIENT PREFERENCES; TECHNOLOGY-ASSESSMENT; REGIONAL-VARIATIONS; CARE INTENSITY; CANCER; CRITERIA; MEDICARE; SUPPORTMultiple languages
Public, Environmental & Occupational HealthMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/44716

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