This paper adds to an increasing literature on methodological question
s addressed in the application of conjoint analysis (CA) in health car
e. Three issues are addressed: ordering effects; internal validity; an
d internal consistency. The results of an application of CA in a prima
ry care setting provide no evidence that the ordering of scenarios was
important. Evidence was found of both internal validity and internal
consistency. In addition, individual preferences were found to be dete
rmined by experiences, which raise potentially important questions reg
arding the elicitation and use of such preferences in economic evaluat
ion. (C) 1998 John Wiley gr Sons, Ltd.