Valuing informal carers’ quality of life using best-worst scaling—Finnish preference weights for the Adult Social Care Outcomes Toolkit for carers (ASCOT-Carer)

The European Journal of Health Economics - Tập 23 - Trang 357-374 - 2021
Lien Nguyen1, Hanna Jokimäki1, Ismo Linnosmaa1,2, Eirini-Christina Saloniki3,4, Laurie Batchelder4, Juliette Malley5, Hui Lu6, Peter Burge6, Birgit Trukeschitz7, Julien Forder4
1Finnish Institute for Health and Welfare (THL), Helsinki, Finland
2Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland
3Centre for Health Services Studies (CHSS), University of Kent, Kent, UK
4Personal Social Services Research Unit (PSSRU), University of Kent, Kent, UK
5Care Policy and Evaluation Centre, London School of Economics and Political Science, London, UK
6RAND Europe, Cambridge, UK
7Research Institute for Economics of Aging, WU Vienna University of Economics and Business, Vienna, Austria

Tóm tắt

This study developed Finnish preference weights for the seven-attribute Adult Social Care Outcomes Toolkit for carers (ASCOT-Carer) and investigated survey fatigue and learning in best-worst scaling (BWS) experiments. An online survey that included a BWS experiment using the ASCOT-Carer was completed by a sample from the general population in Finland. A block of eight BWS profiles describing different states from the ASCOT-Carer were randomly assigned to each respondent, who consecutively made four choices (best, worst, second best and second worst) per profile. The analysis panel data had 32,160 choices made by 1005 respondents. A scale multinomial logit (S-MNL) model was used to estimate preference weights for 28 ASCOT-Carer attribute levels. Fatigue and learning effects were examined as scale heterogeneity. Several specifications of the generalised MNL model were employed to ensure the stability of the preference estimates. The most and least-valued states were the top and bottom levels of the control over daily life attribute. The preference weights were not on a cardinal scale. We observed the position effect of the attributes on preferences associated with the best or second-best choices. A learning effect was found. The established preference weights can be used in evaluations of the effects of long-term care services and interventions on the quality of life of service users and caregivers. The learning effect implies a need to develop study designs that ensure equal consideration to all profiles (choice tasks) in a sequential choice experiment.

Tài liệu tham khảo

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