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Published on: September 19, 2012
Random regret-based discrete-choice modelling: an application to healthcare
Esther W de Bekker-Grob1, Caspar G Chorus
1Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, PO Box 2040, 3000 CA, Rotterdam, The Netherlands. e.debekker@erasmusmc.nl
Researchers explored Random Regret Minimization (RRM) for healthcare choices, finding it offers policy-relevant insights. While model fit differences were small, RRM models revealed distinct attribute trade-offs compared to Random Utility Maximization (RUM).
Area of Science:
- Health economics
- Decision science
- Transport economics
Background:
- Discrete-choice experiments (DCEs) are analyzed using Random Utility Maximization (RUM).
- Random Regret Minimization (RRM) is a novel approach modeling regret minimization in choice behavior.
- RRM offers an alternative to RUM, capable of modeling semi-compensatory behavior and compromise effects.
Purpose of the Study:
- Introduce the RRM modeling approach to healthcare decision-making.
- Evaluate the utility and applicability of RRM in health economics.
- Compare RRM with RUM and Hybrid RUM-RRM models in healthcare contexts.
Main Methods:
- Empirical comparison of RRM, RUM, and Hybrid RUM-RRM models.
- Utilized DCE data on osteoporosis drug treatments and HPV vaccinations.
- Assessed models based on goodness of fit, parameter ratios, and predicted choice probabilities.
Main Results:
- RRM did not significantly outperform RUM for osteoporosis DCE data (p=0.21).
- Hybrid RUM-RRM significantly outperformed RUM for HPV DCE data (p<0.05).
- Predicted choice probabilities showed minor differences; attribute trade-offs varied substantially between models.
Conclusions:
- Model fit differences between RUM, RRM, and Hybrid RUM-RRM were minimal.
- RRM and Hybrid RUM-RRM models demonstrated considerable differences in implied attribute trade-offs.
- RRM and Hybrid RUM-RRM hold potential for novel, policy-relevant health research insights.
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