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London Patient Choice Project Evaluation
A model of patients’ choices of hospital from stated and revealed preference choice data
The London Patient Choice Project (LPCP) was established to offer choices to patients who were clinically eligible for treatment and had been waiting for treatment at an NHS London hospital beyond a target waiting time. This report covers the choice process and the trade-offs patients are willing to make in order to obtain earlier treatment. The approach adopted uses a disaggregate discrete choice framework with both stated preference (SP) survey data and revealed preference (RP) choice data. We provide insights into how patients value various aspects of their current choices and how they may value choices that are currently outside of the scope of the LPCP. The analysis identifies reputation of hospital as one of the key drivers of choice. The modelling results inform policy makers of the potential benefits of different ways of structuring and informing patients’ choices, with the potential for far greater customisation according to the patient.
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Contents
Chapter One:
Introduction
Chapter Two:
Survey Design and Development
Chapter Three:
Data on Patients’ Stated Preferences
Chapter Four:
Analysis of Stated Preference Data
Chapter Five:
Data on Patients’ Revealed Preferences
Chapter Six:
Analysis of Revealed Preference Data
Chapter Seven:
Joint Analysis of Revealed and Stated Preference Data
Chapter Eight:
Key Findings and Discussion
Annexes
- Analysis of cognitive interviews
- Pilot analysis
- Final before-choice questionnaire (version A)
The research described in this report was prepared for the London Patient Choice Project Team, Department of Health and was conducted by RAND Europe.
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