Preferences for Enhanced Primary Care Services Among Older Individuals and Primary Care Physicians.

Ozdemir, Semra; Ansah, John; Matchar, David

Preferences for Enhanced Primary Care Services Among Older Individuals and Primary Care Physicians.

dc.contributor.author	Ozdemir, Semra
dc.contributor.author	Ansah, John
dc.contributor.author	Matchar, David
dc.date.accessioned	2023-06-02T08:27:55Z
dc.date.available	2023-06-02T08:27:55Z
dc.date.issued	2023-05
dc.date.updated	2023-06-02T08:27:51Z
dc.description.abstract	Objective We aimed to identify the factors that are most important for community-dwelling older individuals (i.e., users) and primary care (PC) providers to enhance PC services. Methods Discrete choice experiment surveys were administered to 747 individuals aged ≥ 60 years and 242 PC physicians in Singapore between December 2020 and August 2021. Participants were asked to choose between two hypothetical PC clinics and their current clinic. Latent class models were used to estimate the relative attribute importance (RAI) and to calculate the predicted uptake for enhanced PC services. Results Based on the attributes and levels used in this study, the out-of-pocket cost (RAI: 47%) and types of services offered (RAI: 25%) were the most important attributes for users while working hours (RAI: 28%) and patient load (RAI: 25%) were the most important for providers. For out-of-pocket visit costs ranging from Singapore dollars (S)$100 to S$5, users' predicted uptake for enhanced PC services ranged from 46 to 84%. For daily patient loads ranging from 60 to 20 patients, providers' predicted uptake ranged from 64 to 91%, assuming their income remains unchanged. Conclusions Our study provides timely insights for the development of strategies to support the government's new health care initiative (HealthierSG), which places PC at the center of Singapore's healthcare system. The ability to choose their preferred clinic, low out-of-pocket costs and types of services offered (for users), and reasonable working conditions (for providers) were the key factors for users and providers to participate in enhanced PC services.
dc.identifier	10.1007/s40258-023-00809-5
dc.identifier.issn	1175-5652
dc.identifier.issn	1179-1896
dc.identifier.uri	https://hdl.handle.net/10161/27531
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	Applied health economics and health policy
dc.relation.isversionof	10.1007/s40258-023-00809-5
dc.title	Preferences for Enhanced Primary Care Services Among Older Individuals and Primary Care Physicians.
dc.type	Journal article
duke.contributor.orcid	Ozdemir, Semra\|0000-0001-7556-1601
duke.contributor.orcid	Matchar, David\|0000-0003-3020-2108
pubs.begin-page	1
pubs.end-page	13
pubs.organisational-group	Duke
pubs.organisational-group	School of Medicine
pubs.organisational-group	Basic Science Departments
pubs.organisational-group	Clinical Science Departments
pubs.organisational-group	Institutes and Centers
pubs.organisational-group	Medicine
pubs.organisational-group	Pathology
pubs.organisational-group	Medicine, General Internal Medicine
pubs.organisational-group	Duke Clinical Research Institute
pubs.organisational-group	Institutes and Provost's Academic Units
pubs.organisational-group	University Institutes and Centers
pubs.organisational-group	Duke Global Health Institute
pubs.organisational-group	Population Health Sciences
pubs.publication-status	Published