Gm. Leung et al., Using conjoint analysis to assess patients' preferences when visiting emergency departments in Hong Kong, ACAD EM MED, 8(9), 2001, pp. 894-898
Objectives: To explore factors related to emergency department (ED) attenda
nces in Hong Kong, the authors piloted the application of conjoint analysis
in eliciting patient preferences regarding ED visits. Methods: The study r
ecruited 390 semi-urgent or non-urgent patients from a targeted convenience
sample of three large EDs. Respondents were asked to rank eight scenarios
structured to explore the relative importances of three key attributes-self
-perceived illness severity, waiting time, and consultation fee-that may re
sult in an ED visit. Results: Seventy-eight percent of the respondents woul
d consider visiting a parallel clinic instead of the ED for semi-urgent and
non-urgent conditions. The relative importances attached to illness severi
ty, waiting time, and consultation fee were 47.8%, 33.6%, and 18.7%, respec
tively. Conclusions: This study demonstrated that Hong Kong patients are re
ceptive to the concept of parallel clinics, and illustrated that conjoint a
nalysis is a rigorous survey technique for eliciting the views of patients
on health care services in the ED setting.