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How to reform western care payment systems according to physicians, policy makers, healthcare executives and researchers: a discrete choice experiment

Overview of attention for article published in BMC Health Services Research, May 2015
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (63rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (55th percentile)

Mentioned by

policy
1 policy source

Citations

dimensions_citation
11 Dimensions

Readers on

mendeley
62 Mendeley
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Title
How to reform western care payment systems according to physicians, policy makers, healthcare executives and researchers: a discrete choice experiment
Published in
BMC Health Services Research, May 2015
DOI 10.1186/s12913-015-0847-7
Pubmed ID
Authors

Roselinde Kessels, Pieter Van Herck, Eline Dancet, Lieven Annemans, Walter Sermeus

Abstract

Many developed countries are reforming healthcare payment systems in order to limit costs and improve clinical outcomes. Knowledge on how different groups of professional stakeholders trade off the merits and downsides of healthcare payment systems is limited. Using a discrete choice experiment we asked a sample of physicians, policy makers, healthcare executives and researchers from Canada, Europe, Oceania, and the United States to choose between profiles of hypothetical outcomes on eleven healthcare performance objectives which may arise from a healthcare payment system reform. We used a Bayesian D-optimal design with partial profiles, which enables studying a large number of attributes, i.e. the eleven performance objectives, in the experiment. Our findings suggest that (a) moving from current payment systems to a value-based system is supported by physicians, despite an income trade-off, if effectiveness and long term cost containment improve. (b) Physicians would gain in terms of overall objective fulfillment in Eastern Europe and the US, but not in Canada, Oceania and Western Europe. Finally, (c) such payment reform more closely aligns the overall fulfillment of objectives between stakeholders such as physicians versus healthcare executives. Although the findings should be interpreted with caution due to the potential selection effects of participants, it seems that the value driven nature of newly proposed and/or introduced care payment reforms is more closely aligned with what stakeholders favor in some health systems, but not in others. Future studies, including the use of random samples, should examine the contextual factors that explain such differences in values and buy-in. C90, C99, E61, I11, I18, O57.

Mendeley readers

The data shown below were compiled from readership statistics for 62 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 2%
Unknown 61 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 15%
Student > Ph. D. Student 8 13%
Student > Doctoral Student 8 13%
Researcher 8 13%
Student > Bachelor 7 11%
Other 12 19%
Unknown 10 16%
Readers by discipline Count As %
Medicine and Dentistry 12 19%
Economics, Econometrics and Finance 8 13%
Business, Management and Accounting 8 13%
Social Sciences 6 10%
Nursing and Health Professions 5 8%
Other 10 16%
Unknown 13 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 January 2018.
All research outputs
#4,460,527
of 14,557,298 outputs
Outputs from BMC Health Services Research
#2,307
of 5,002 outputs
Outputs of similar age
#88,316
of 263,708 outputs
Outputs of similar age from BMC Health Services Research
#9
of 20 outputs
Altmetric has tracked 14,557,298 research outputs across all sources so far. This one is in the 49th percentile – i.e., 49% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,002 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.8. This one is in the 49th percentile – i.e., 49% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,708 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.
We're also able to compare this research output to 20 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 55% of its contemporaries.