Choice experiments in health: the good, the bad, the ugly and toward a brighter future

Health Econ Policy Law. 2009 Oct;4(Pt 4):527-46. doi: 10.1017/S1744133109990193.

Abstract

Compared to many applied areas of economics, health economics has a strong tradition in eliciting and using stated preferences (SP) in policy analysis. Discrete choice experiments (DCEs) are one SP method increasingly used in this area. Literature on DCEs in health and more generally has grown rapidly since the mid-1990s. Applications of DCEs in health have come a long way, but to date few have been 'best practice', in part because 'best practice' has been somewhat of a moving target. The purpose of this paper is to briefly survey the history of DCEs and the state of current knowledge, identify and discuss knowledge gaps, and suggest potentially fruitful areas for future research to fill such gaps with the aim of moving the application of DCEs in health economics closer to best practice.

MeSH terms

  • Choice Behavior*
  • Data Collection
  • Delivery of Health Care*
  • Health Care Reform
  • Health Policy / economics
  • Humans
  • Patient Participation*
  • Research Design
  • Sensitivity and Specificity