Discrete choice experiments in health care

doi:10.1136/bmj.328.7436.360

BMJ 2004;328:360-361 (14 February), doi:10.1136/bmj.328.7436.360

Editorial

Discrete choice experiments in health care

NICE should consider using them for patient centred evaluationsof technologies

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In many publicly provided healthcare systems, limited resourcescoupled with unlimited demand result in decisions having tobe made about the efficient allocation of scarce resources.This raises questions of how services should be provided (forexample, how should patients with cancer be treated? shouldcentral clinics, which reduce waiting time but increase traveltime for patients, be introduced?) through to the optimal provisionand the financing of health care (for example, how should wepay doctors to encourage them to work in remote and rural areas?what would encourage nurses to return to the labour market?).Given the lack of a market for health care, economics techniquesinform such decisions.¹ One approach adopted by and furtherdeveloped in health economics over the past decade is discretechoice experiments.^2
3 In this issue Sculpher et al use thisapproach to consider patients' preferences in the treatmentof prostate cancer (p . . . [Full text of this article]

Mandy Ryan, professor of health economics

Health Economics Research Unit, University of Aberdeen, Aberdeen AB25 2ZD (m.ryan@abdn.ac.uk)

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