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Current Practices for Accounting for Preference Heterogeneity in Health-Related Discrete Choice Experiments: A
Suzana Karim1, Benjamin M Craig2, Caroline Vass3,4
1University of South Florida, 4202 E Fowler Ave, Tampa, FL, 33620, USA. suzanakarim@usf.edu.
Researchers increasingly analyze preference heterogeneity in health discrete choice experiments (DCEs). Unexplained heterogeneity is more common than explained, but methodological details are often lacking, impacting result reliability.
Area of Science:
- Health Economics
- Health Services Research
- Behavioral Economics
Background:
- Preference heterogeneity analysis is a growing practice in health-related discrete choice experiments (DCEs).
- Understanding diverse methodological approaches to preference heterogeneity is crucial for guiding research practices.
- This systematic review addresses the need for a comprehensive summary of current practices in accounting for preference heterogeneity in healthcare DCEs.
Approach:
- Conducted a systematic literature review of health-related DCE articles published between January 2000 and March 2020.
- Searched PubMed, OVID, Web of Science, and two existing reviews for relevant studies.
- Included articles presenting evidence on preference heterogeneity analysis based on explained, unexplained factors, or both.
Key Points:
- 342 of 2202 articles (16%) met inclusion criteria, with a substantial increase in heterogeneity analyses after 2010.
- Explained heterogeneity (interactions with observable characteristics) was found in 40% of studies.
- Unexplained heterogeneity was primarily captured using mixed logit (60%) or latent-class logit (32.7%) models; scale heterogeneity/heteroskedasticity was explored in 11% of studies.
Conclusions:
- Preference heterogeneity evidence is increasingly utilized in health-related DCEs.
- Unexplained heterogeneity is more commonly addressed than explained heterogeneity, though methodological details are often insufficient.
- Researchers need enhanced technical proficiency to improve the reliability of findings and aid decision-making.
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