Kløjgaard, ME and Hess, S (2014) Understanding the formation and influence of attitudes in patients' treatment choices for lower back pain: Testing the benefits of a hybrid choice model approach. Social Science and Medicine, 114. 138 - 150. ISSN 0277-9536
Abstract
A growing number of studies across different fields are making use of a new class of choice models, labelled variably as hybrid model structures or integrated choice and latent variable models, and incorporating the role of attitudes in decision making. To date, this technique has not been used in health economics. The present paper looks at the formation of such attitudes and their role in patients' treatment choices in the context of low back pain. We use stated choice data collected from a sample of 561 patients with 348 respondents referred to a regional spine centre in Middelfart, Denmark in spring/summer 2012. We show how the hybrid model structure is able to make a link between attitudinal questions and treatment choices, and also explains variation of these attitudes across key socio-demographic groups. However, we also show how, in this case, only a small share of the overall heterogeneity is linked to the latent attitude construct. Despite their growing popularity, the key findings of the advanced model, despite a greater insight into the drivers of attitudes and small gains in efficiency, are no different from standard approaches which remain easier to apply.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2014 Elsevier Ltd. All rights reserved. NOTICE: this is the author’s version of a work that was accepted for publication in Social Science & Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Social Science & Medicine, 114, (2014) DOI 10.1016/j.socscimed.2014.05.058 |
Keywords: | Denmark; Lower back pain; Hybrid choice models; Latent variables; Stated choice |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Environment (Leeds) > Institute for Transport Studies (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 30 Mar 2015 12:36 |
Last Modified: | 28 Jan 2018 06:26 |
Published Version: | http://dx.doi.org/10.1016/j.socscimed.2014.05.058 |
Status: | Published |
Publisher: | Elsevier Ltd |
Identification Number: | 10.1016/j.socscimed.2014.05.058 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:84326 |