London Patient Choice Project Evaluation

A model of patients’ choices of hospital from stated and revealed preference choice data

by Peter Burge, Nancy Devlin, John Appleby, Charlene Rohr, Jonathan Grant

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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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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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