The Role of Mental Health in Healthcare Choices: A Discrete Choice Experiment Examining Preferences for Primary Care

IF 6 2区医学 Q1 ECONOMICS Value in Health Pub Date : 2025-07-01 DOI:10.1016/j.jval.2025.03.001

Jemimah Ride PhD , Emily Lancsar PhD , Ingrid Ozols MMHSc

{"title":"The Role of Mental Health in Healthcare Choices: A Discrete Choice Experiment Examining Preferences for Primary Care","authors":"Jemimah Ride PhD , Emily Lancsar PhD , Ingrid Ozols MMHSc","doi":"10.1016/j.jval.2025.03.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines the role of mental health in consumer healthcare choices, using a discrete choice experiment to analyze choices regarding routine primary care visits in Australia. It captures mental health through 3 variables: self-reported current mental health condition and clinically validated measures of depression and anxiety symptoms, the Patient Health Questionnaire-9 capturing depression, and the Generalized Anxiety Disorder 7-item scale capturing anxiety.</div></div><div><h3>Methods</h3><div>Data were collected during November and December 2021 from a sample (<em>N</em> = 568) representative of the Australian population in age, gender, and location. Participants made hypothetical choices between in-person and telehealth alternatives or a no-visit alternative. Alternatives were described in terms of general practitioner familiarity, out-of-pocket cost, wait time, waiting area size, mask requirements, and modality of telehealth.</div></div><div><h3>Results</h3><div>The results suggest that symptoms of depression and anxiety could affect healthcare choices with opposite direction of effect on uptake and distinct from the presence of a mental health condition.</div></div><div><h3>Conclusions</h3><div>These findings support the need for more careful consideration of the role of mental health in the analysis of discrete choice experiments, particularly in healthcare, including a better understanding of the mechanisms and time-varying nature of any effect.</div></div>","PeriodicalId":23508,"journal":{"name":"Value in Health","volume":"28 7","pages":"Pages 1100-1109"},"PeriodicalIF":6.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Value in Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1098301525001159","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

This study examines the role of mental health in consumer healthcare choices, using a discrete choice experiment to analyze choices regarding routine primary care visits in Australia. It captures mental health through 3 variables: self-reported current mental health condition and clinically validated measures of depression and anxiety symptoms, the Patient Health Questionnaire-9 capturing depression, and the Generalized Anxiety Disorder 7-item scale capturing anxiety.

Methods

Data were collected during November and December 2021 from a sample (N = 568) representative of the Australian population in age, gender, and location. Participants made hypothetical choices between in-person and telehealth alternatives or a no-visit alternative. Alternatives were described in terms of general practitioner familiarity, out-of-pocket cost, wait time, waiting area size, mask requirements, and modality of telehealth.

Results

The results suggest that symptoms of depression and anxiety could affect healthcare choices with opposite direction of effect on uptake and distinct from the presence of a mental health condition.

Conclusions

These findings support the need for more careful consideration of the role of mental health in the analysis of discrete choice experiments, particularly in healthcare, including a better understanding of the mechanisms and time-varying nature of any effect.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

心理健康在医疗保健选择中的作用：一个检验初级保健偏好的离散选择实验。

目的：本研究考察了心理健康在消费者医疗保健选择中的作用，使用离散选择实验来分析澳大利亚关于常规初级保健访问的选择。它通过三个变量来捕捉心理健康：自我报告的当前心理健康状况和临床验证的抑郁和焦虑症状测量，患者健康问卷9 （PHQ-9）捕捉抑郁，广泛性焦虑障碍7 （GAD-7）捕捉焦虑。方法：在2021年11月至12月期间，从年龄、性别和地点具有代表性的澳大利亚人口样本（N=568）中收集数据。参与者在面对面和远程医疗选择或“不去”选择之间做出假设选择。备选方案根据全科医生熟悉程度、自付费用、等待时间、等待区大小、口罩要求和远程医疗方式进行了描述。结果：抑郁和焦虑症状对医疗保健选择的影响方向相反，与心理健康状况的存在不同。结论：这些发现支持在分析dce，特别是在医疗保健中，需要更仔细地考虑心理健康的作用，包括更好地理解任何影响的机制和时变性质。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Value in Health 医学-卫生保健

CiteScore

6.90

自引率

6.70%

发文量

3064

审稿时长

3-8 weeks

期刊介绍： Value in Health contains original research articles for pharmacoeconomics, health economics, and outcomes research (clinical, economic, and patient-reported outcomes/preference-based research), as well as conceptual and health policy articles that provide valuable information for health care decision-makers as well as the research community. As the official journal of ISPOR, Value in Health provides a forum for researchers, as well as health care decision-makers to translate outcomes research into health care decisions.