What do women want? Valuing women’s preferences and estimating demand for alternative models of maternity care using a discrete choice experiment

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dc.contributor.authorFawsitt, Christopher G.
dc.contributor.authorBourke, Jane
dc.contributor.authorGreene, Richard A.
dc.contributor.authorMcElroy, Brendan
dc.contributor.authorKrucien, Nicolas
dc.contributor.authorMurphy, Rosemary
dc.contributor.authorLutomski, Jennifer E.
dc.contributor.funderHealth and Safety Executive
dc.date.accessioned2017-12-08T13:33:42Z
dc.date.available2017-12-08T13:33:42Z
dc.date.issued2017-09-23
dc.description.abstractIn many countries, there has been a considerable shift towards providing a more woman-centred maternity service, which affords greater consumer choice. Maternity service provision in Ireland is set to follow this trend with policymakers committed to improving maternal choice at hospital level. However, women’s preferences for maternity care are unknown, as is the expected demand for new services. In this paper, we used a discrete choice experiment (DCE) to (1) investigate women’s strengths of preference for different features of maternity care; (2) predict market uptake for consultant- and midwifery-led care, and a hybrid model of care called the Domiciliary In and Out of Hospital Care scheme; and (3) calculate the welfare change arising from the provision of these services. Women attending antenatal care across two teaching hospitals in Ireland were invited to participate in the study. Women’s preferred model of care resembled the hybrid model of care, with considerably more women expected to utilise this service than either consultant- or midwifery-led care. The benefit of providing all three services proved considerably greater than the benefit of providing two or fewer services. From a priority setting perspective, pursuing all three models of care would generate a considerable welfare gain, although the cost-effectiveness of such an approach needs to be considered.en
dc.description.sponsorshipHealth and Safety Executive (National Perinatal Epidemiology Centre of Ireland)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFawsitt, C. G., Bourke, J., Greene, R. A., McElroy, B., Krucien, N., Murphy, R. and Lutomski, J. E. (2017) 'What do women want? Valuing women’s preferences and estimating demand for alternative models of maternity care using a discrete choice experiment', Health Policy, 121(11), pp. 1154-1160. doi: 10.1016/j.healthpol.2017.09.013en
dc.identifier.doi10.1016/j.healthpol.2017.09.013
dc.identifier.endpage1160
dc.identifier.issn0168-8510
dc.identifier.issn1872-6054
dc.identifier.issued11
dc.identifier.journaltitleHealth Policyen
dc.identifier.startpage1154
dc.identifier.urihttps://hdl.handle.net/10468/5136
dc.identifier.volume121
dc.language.isoenen
dc.publisherElsevier Ireland Ltd.en
dc.relation.urihttp://www.sciencedirect.com/science/article/pii/S0168851017302415
dc.rights© 2017, the Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectDiscrete choice experimenten
dc.subjectConsultant-led careen
dc.subjectMidwifery-led careen
dc.subjectWillingness to payen
dc.titleWhat do women want? Valuing women’s preferences and estimating demand for alternative models of maternity care using a discrete choice experimenten
dc.typeArticle (peer-reviewed)en
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