Title Vrednovanje izrečenih preferencija u funkciji poboljšanja preventivnih programa javne zdravstvene zaštite Title (english) Improvement of the public health care preventive programs through stated preference valuation Author Nikolina Dukić Mentor Ljerka Cerović (mentor)Committee member Maks Tajnikar (predsjednik povjerenstva) Committee member Nenad Smokrović (član povjerenstva)Committee member Ljerka Cerović (član povjerenstva)Granter University of Rijeka Defense date and country 2014-11-19, Croatia Scientific / art field, SOCIAL SCIENCES Universal decimal classificationUDC ) 330 - Economics. Economic science 614 - Public health and hygiene. Accident prevention Abstract Temeljna svrha doktorske disertacije je objediniti i produbiti spoznaje o važnosti uključivanja izrečenih preferencija i povezanih odabira pojedinaca u proces osmišljavanja, prilagodbe i provedbe preventivnih programa javne zdravstvene zaštite. Slijedom toga, osnovni cilj empirijskog djela ovog istraživanja je, korištenjem ekonomske teorije u svrhu mjerenja i vrednovanja izrečenih preferencija ciljne populacije, utvrditi metodološku i aplikativnu (utvrđivanje relevantnih čimbenika na strani potražnje za zdravstvenim uslugama) važnost i potrebitost vrednovanja izrečenih preferencija prilikom osmišljavanja, provedbe i evaluacije
preventivnih programa javne zdravstvene zaštite, kroz uporabu i usporedbu različitih metoda vrednovanja izrečenih preferencija.Iz navedenih razloga ispitivale su se preferencije žena iz ciljne populacije Nacionalnog programa ranog otkrivanja raka vrata maternice na području Primorsko-goranske županije te utjecaj pojedinih obilježja programa na razinu njihove korisnosti i formiranje odluka o odazivu na screening, koristeći tri različite metode vrednovanje izrečenih preferencija.
Istraživanjem je dokazano (koristeći metodu uvjetovanog ocjenjivanja) kako su različita obilježja Nacionalnog program ranog otkrivanja raka maternice povezana s razinom korisnosti ispitanika. Nadalje, koristeći eksperiment diskretnog odabira (DCE), utvrđeno je da su razine obilježja Programa povezane s odlukama žena o odazivu na screening, dok je metodom najboljeg i najgoreg odabira (BWS), osim promjene u razinama korisnosti unutar pojedinog obilježja (vrijednost skale), utvrđena i razina korisnosti između različitih obilježja Programa, odnosno relativni utjecaj pojedinih obilježja na korisnost ispitanika. Također,
istraživanjem je dokazana i mogućnost usporedbe graničnih korisnosti različitih obilježja prema homogenim grupacijama ispitanika te je osim za ciljnu populaciju, kroz prošireni ekonometrijski model, moguće dobiti uvid u kompromise (zamjenu jednog obilježja programa drugim) koji su pripadnici određenih skupina spremni učiniti. Sukladno dobivenim rezultatima istraživanja, može se zaključiti da je potvrđena temeljna hipoteza rada prema kojoj je uvažavanjem preferencija pojedinaca u osmišljavanju i realizaciji zdravstvenih usluga, moguće povećati usvojenost programa od strane pacijenata, odnosno unaprijediti efektivnost javno zdravstvenih preventivnih programa, posljedično i efikasnost sustava javne zdravstvene zaštite. Upravo metode diskretnog odabira (DCE i BWS) pokazale iii su se teorijski opravdane i metodološki primjenjive za vrednovanje preferencija pacijenata,
određenih interesnih skupina kao i šire populacije.
Abstract (english) The purpose of this doctoral thesis is to consolidate and broaden the cognitions on the importance of including stated preferences and related individual choices in designing, adjusting and implementing public health care preventive interventions. Subsequently, the main objective of the empirical investigation was to, based on economic theory, measure and evaluate stated preferences of the target population by using different stated preference valuation methods, in order to identify methodological and applicative relevance of stated preferences valuation in enhancing the effectiveness, and thus the efficiency of public Health care preventive programs.For the above reasons, the analysis of preferences stated by the women in National Program for Early Detection of Cervical Cancer in Primorsko-goranska County, and the impact of
individual program attributes on their utility level and decision to attend screening, was conducted using tree different stated preference methods. The research results achieved by the conditional rating method have proven that different National Program attributes are correlated with the utility level of the respondents. Furthermore, the discrete choice
experiment (DCE) results indicate that different attribute levels impact women’s decisions to attend screening. In addition to determining the changes in the utility levels within individual attributes (i.e. scale value), the best-worst scaling method (BWS) allowed for determining the level of utility between observed National Program attributes i.e. the relative impact of
individual attributes on respondents’ utility. Moreover, the research has confirmed the possibility of comparing marginal utilities of different attributes according to homogeneous groups of respondents, and thus, through the expanded econometric model, allowed insights into compromises (trading one program attribute for another) that the members of certain groups are willing to make. In accordance with the research results, it can be concluded that the basic hypothesis is
confirmed i.e. that by taking into account preferences stated by the target population in the process of the design and realization of health care services, it is possible to increase the attendance rate and improve the effectiveness of the public health preventive programs, and consequently, a more efficient public health care system. It were the methods of discrete
choice (DCE and BWS) that proved to be theoretically justified and methodologically v applicable for the valuation of preferences stated by the specific target population, as well as he broader population.
Keywords
izrečene preferencije
zdravstvena prevencija
metode diskretnog odabira
efektivnost
Keywords (english)
stated preferences
health prevention
discrete choice methods
effectiveness
Language croatian URN:NBN urn:nbn:hr:192:296432 Study programme Title: Economics and Business Economics Type of resource Text File origin Born digital Access conditions Open access Terms of use Repository Repository of the University of Rijeka, Faculty of Economics and Business Created on 2016-02-22 18:51:49
