Study neither followed a gender nor ethnic specific purpose. The fifth area on acceptability was not identified since the Results: Healthcare access for the elderly was found inadequate in four areas of the framework: availability Īppropriateness approachability and affordability. The barriers identified were clustered towards the five areas of the ‘Conceptual framework on health care access’ by Levesque et al. A content analysis was performed to evaluate the interviews applying Nvivo2011 software. Methods: The qualitative study is including 13 semi-structured interviews of healthcare experts, municipality authority, health care providers, negotiator of the troika agreement, hospital managers, health economists and elderly.
This research aimed to identify potential barriers among the elderly population (aged 65 and above) to healthcare access influenced by the economic crisis and the troika agreement focussing on the Memorandum of Understanding on Specific Economic Policy Conditionality (MoU) in Lisbon metropolitan area, Portugal. The troika agreement included health reforms and austerity measures of the National Health Service (NHS) in Portugal to save non-essential health care costs. How and when to integrate health-related DCE outcomes into decision-making remains an important area for future research.īackground: The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. This may reduce decision-makers’ confidence in results and their ability to act on the findings.
However, inadequate reporting of methodological details inhibits quality assessment. The use of empirical DCEs in health economics continues to grow. Qualitative research methods continued to be a popular approach for identifying attributes and levels. However, many studies presented sophisticated methods with insufficient detail. The trend towards using more sophisticated econometric models also continued.
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D-efficient) with associated software (e.g. Studies reported using more sophisticated designs (e.g. In general, the total number of DCEs per year continued to increase, with broader areas of application and increased geographic scope. Of the 7877 abstracts generated, 301 studies met the inclusion criteria and underwent data extraction. The search strategy and data extraction replicated prior reviews to allow the reporting of trends, although additional extraction fields were incorporated.
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The aim of this paper was to update prior reviews (1990–2012), to identify all health-related DCEs and to provide a description of trends, current practice and future challenges.Ī systematic literature review was conducted to identify health-related empirical DCEs published between 20. Although specific reviews have been conducted in certain contexts, there exists no recent description of the general state of the science of health-related DCEs. However, increasing support does not necessarily result in increasing quality. Discrete choice experiments (DCEs) are increasingly advocated as a way to quantify preferences for health.
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