Using Conjoint Analysis to Elicit GPs’ Preferences for Family Physician Contracts: A Case Study in Iran
نویسندگان
1 Department of Health Management and Economics, Tehran University of Medical Sciences, Tehran, IR Iran
2 Department of Health Management and Economics, Tehran University of Medical Sciences, Tehran, IR Iran
3 Department of Health Management and Economics, Tehran University of Medical Sciences, Tehran, IR Iran
4 Department of Social Medicine, Tehran University of Medical Sciences, Tehran, IR Iran
5 Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, IR Iran
doi
چکیده
Background: Family physician plans in Iran face several challenges, one of which is developing attractive and efficient contractsthat motivate physicians to participate in the plan.Objectives: This study aimed to elicit GPs’ preferences for family physician contracts.Patients and Methods: In a cross-sectional study using the conjoint analysis technique, 580 GPs selected from the family physiciandatabase in Iran in 2014. Through qualitative and quantitative methods, 18 contract scenarios were developed via orthogonal designi.e., the impact of each attribute is measured independently from changes in other attributes and a questionnaire was developed.Data were collected through this questionnaire and analyzed using the ordered logistic regression (OLR) model.Results: The results show that “quotas for admission to specialized courses” is the strongest preference of GPs ( = 1.123). In orderof importance, the other preferences are having the right to provide services outside of the specified package ( = 0.962), increasednumberof covered population ( = 0.814), capitation payment + 15% bonus ( = 0.644), increased catchment area to 5km( = 0.349),and increased length of contract to five years ( = 0.345).Conclusions: The conjoint analysis results show that GPs concerned about various factors of family physician contracts. Theseresults can be helpful for policy-makers as they complete the process of creating family physician plans, which can help increasethe motivation of GPs to participate in the plan.
