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

Research output: Contribution to journalArticle

  • Christopher G Fawsitt
  • Jane Bourke
  • Richard A Greene
  • Brendan McElroy
  • Nicolas Krucien
  • Rosemary Murphy
  • Jennifer E Lutomski
Original languageEnglish
Number of pages7
JournalHealth Policy
Early online date23 Sep 2017
DOIs
DateAccepted/In press - 19 Sep 2017
DateE-pub ahead of print (current) - 23 Sep 2017

Abstract

In 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.

    Research areas

  • Discrete choice experiment, Consultant-led care, Midwifery-led care, Willingness to pay

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    Rights statement: This is the final published version of the article (version of record). It first appeared online via Elsevier at http://www.sciencedirect.com/science/article/pii/S0168851017302415. Please refer to any applicable terms of use of the publisher.

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