Measuring Preferences for a Diabetes Pay-for-Performance for Patient (P4P4P) Program using a Discrete Choice Experiment

Tsung Tai Chen, Tao Hsin Tung, Ya Seng Hsueh, Ming Han Tsai, Hsiu Mei Liang, Kay Lun Li, Kuo Piao Chung, Chao Hsiun Tang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective To elicit a patient's willingness to participate in a diabetes pay-for-performance for patient (P4P4P) program using a discrete choice experiment method. Methods The survey was conducted in March 2013. Our sample was drawn from patients with diabetes at five hospitals in Taiwan (International Classification of Diseases, Ninth Revision, Clinical Modification code 250). The sample size was 838 patients. The discrete choice experiment questionnaire included the attributes monthly cash rewards, exercise time, diet control, and program duration. We estimated a bivariate probit model to derive willingness-to-accept levels after accounting for the characteristics (e.g., severity and comorbidity) of patients with diabetes. Results The preferred program was a 3-year program involving 30 minutes of exercise per day and flexible diet control. Offering an incentive of approximately US $67 in cash per month appears to increase the likelihood that patients with diabetes will participate in the preferred P4P4P program by approximately 50%. Conclusions Patients with more disadvantageous characteristics (e.g., elderly, low income, greater comorbidity, and severity) could have less to gain from participating in the program and thus require a higher monetary incentive to compensate for the disutility caused by participating in the program's activities. Our result demonstrates that a modest financial incentive could increase the likelihood of program participation after accounting for the attributes of the P4P4P program and patients' characteristics.

Original languageEnglish
Article number1167
Pages (from-to)578-586
Number of pages9
JournalValue in Health
Volume18
Issue number5
DOIs
Publication statusPublished - Jul 1 2015

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Incentive Reimbursement
Motivation
Comorbidity
Exercise
Diet
International Classification of Diseases
Taiwan
Reward
Sample Size

Keywords

  • diabetes
  • discrete choice experiment
  • pay-for-performance for patient (P4P4P)
  • willingness to accept

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Measuring Preferences for a Diabetes Pay-for-Performance for Patient (P4P4P) Program using a Discrete Choice Experiment. / Chen, Tsung Tai; Tung, Tao Hsin; Hsueh, Ya Seng; Tsai, Ming Han; Liang, Hsiu Mei; Li, Kay Lun; Chung, Kuo Piao; Tang, Chao Hsiun.

In: Value in Health, Vol. 18, No. 5, 1167, 01.07.2015, p. 578-586.

Research output: Contribution to journalArticle

Chen, Tsung Tai ; Tung, Tao Hsin ; Hsueh, Ya Seng ; Tsai, Ming Han ; Liang, Hsiu Mei ; Li, Kay Lun ; Chung, Kuo Piao ; Tang, Chao Hsiun. / Measuring Preferences for a Diabetes Pay-for-Performance for Patient (P4P4P) Program using a Discrete Choice Experiment. In: Value in Health. 2015 ; Vol. 18, No. 5. pp. 578-586.
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