Evidence map›Paper›PMID 32330182›Full record

ArticlePloS one2020

Trading patients' choice in providers for quality of maternity care? A discrete choice experiment amongst pregnant women.

Mattijs S Lambooij, Jorien Veldwijk, Paul F van Gils, Anita W M Suijkerbuijk, Jeroen N Struijs

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mattijs S LambooijCentre of Food, National Institute for Public Health and the Environment, Prevention and Health care (VPZ), Bilthoven, the Netherlands.ORCID 0000-0002-1965-3568
Jorien VeldwijkErasmus Choice Modelling Center (ECMC), Erasmus School of Health Policy & Management (ESHPM), Erasmus University Rotterdam, Rotterdam, the Netherlands.
Paul F van GilsCentre of Food, National Institute for Public Health and the Environment, Prevention and Health care (VPZ), Bilthoven, the Netherlands.
Anita W M SuijkerbuijkCentre of Food, National Institute for Public Health and the Environment, Prevention and Health care (VPZ), Bilthoven, the Netherlands.ORCID 0000-0002-5680-5989
Jeroen N StruijsCentre of Food, National Institute for Public Health and the Environment, Prevention and Health care (VPZ), Bilthoven, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe introduction of bundled payment for maternity care, aimed at improving the quality of maternity care, may affect pregnant women's choice in providers of maternity care. This paper describes a Dutch study which examined pregnant women's preferences when choosing a maternity care provider. The study focused on factors that enhance the quality of maternity care versus (restricted) provider choice.

methodsA discrete choice experiment was conducted amongst 611 pregnant women living in the Netherlands using an online questionnaire. The data were analysed with Latent Class Analyses. The outcome measure consisted of stated preferences in the discrete choice experiment. Included factors were: information exchange by care providers through electronic medical records, information provided by midwife, information provided by friends, freedom to choose maternity care provider and travel distance.

resultsFour different preference structures were found. In two of those structures, respondents found aspects of the maternity care related to quality of care more important than being able to choose a provider (provider choice). In the two other preference structures, respondents found provider choice more important than aspects related to quality of maternity care.

conclusionsIn a country with presumed high-quality maternity care like the Netherlands, about half of pregnant women prefer being able to choose their maternity care provider over organisational factors that might imply better quality of care. A comparable amount of women find quality-related aspects most important when choosing a maternity care provider and are willing to accept limitations in their choice of provider. These insights are relevant for policy makers in order to be able to design a bundled payment model which justify the preferences of all pregnant women.

Indexed as

AdultChoice BehaviorFemaleHealth PersonnelHome ChildbirthHumansMaternal Health ServicesMidwiferyNetherlandsObstetricsPatient PreferencePatient SelectionPregnancyPregnant PeopleQuality of Health CareSurveys and Questionnaires

Identifiers

PMID32330182
PMCPMC7182251

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.