Premium
Consideration Sets and Their Role in Modelling Doctor Recommendations About Contraceptives
Author(s) -
Fiebig Denzil G.,
Viney Rosalie,
Knox Stephanie,
Haas Marion,
Street Deborah J.,
Hole Arne R.,
Weisberg Edith,
Bateson Deborah
Publication year - 2017
Publication title -
health economics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.55
H-Index - 109
eISSN - 1099-1050
pISSN - 1057-9230
DOI - 10.1002/hec.3276
Subject(s) - preference , set (abstract data type) , order (exchange) , medicine , patient choice , ask price , actuarial science , family medicine , health care , computer science , business , economics , microeconomics , finance , programming language , economic growth
Decisions about prescribed contraception are typically the result of a consultation between a woman and her doctor. In order to better understand contraceptive choice within this environment, stated preference methods are utilized to ask doctors about what contraceptive options they would discuss with different types of women. The role of doctors is to confine their discussion to a subset of products that best match their patient. This subset of options forms the consideration set from which the ultimate recommendation is made. Given the existence of consideration sets we address the issue of how to model appropriately the ultimate recommendations. The estimated models enable us to characterize doctor recommendations and how they vary with patient attributes and to highlight where recommendations are clear and when they are uncertain. The results also indicate systematic variation in recommendations across different types of doctors, and in particular we observe that some doctors are reluctant to embrace new products and instead recommend those that are more familiar. Such effects are one possible explanation for the relatively low uptake of more cost effective longer acting reversible contraceptives and indicate that further education and training of doctors may be warranted. Copyright © 2015 John Wiley & Sons, Ltd.