Symptom-based outcome measures for asthma: the use of discrete choice methods to assess patient preferences.

Journal article

This paper reports on an application of discrete choice modelling to the measurement of patient preferences over asthma symptoms. A sample of patients with moderate to severe asthma was asked to choose between a series of pairs of scenarios characterised by different combinations of asthma symptoms. Their responses were analysed using a random effects ordered probit model. The results implied that patients weighted some symptoms more highly than others. Discrete choice modelling proved to be a useful approach for developing preference based outcome measures, although the results show how, in contexts where preferences over health care outcomes based on symptoms or some measure of health status are involved, a conventional linear additive model may not always be suitable.

Authors: McKenzie, L; Cairns, J; Osman, L

• Publication status: Published
• Journal: Health policy (Amsterdam, Netherlands)
• Volume: 57
• Issue: 3
• Pages: 193-204
• Publication date: 2001-09-01
• DOI: 10.1016/s0168-8510(01)00128-2
• EISSN: 1872-6054
• ISSN: 0168-8510
• Language: English
• Keywords: Decision Theory; Patient Satisfaction; Outcome Assessment (Health Care); Questionnaires; Adult; Middle Aged; Asthma; Choice Behavior; Linear Models; Aged; Humans; Adolescent; Episode of Care; Severity of Illness Index