A socially interdependent choice framework for social influences in healthcare decision-making: a study protocol

Objectives Current choice models in healthcare (and beyond) can provide suboptimal predictions of healthcare users’ decisions. One reason for such inaccuracy is that standard microeconomic theory assumes that decisions of healthcare users are made in a social vacuum. Healthcare choices, however, can...

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Main Authors: Joanna Coast, Jorien Veldwijk, Esther W de Bekker-Grob, Sven P H Nouwens, Luis Pilli, Joffre D Swait
Format: Article
Language:English
Published: BMJ Publishing Group 2024-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/3/e079768.full
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author Joanna Coast
Jorien Veldwijk
Esther W de Bekker-Grob
Sven P H Nouwens
Luis Pilli
Joffre D Swait
author_facet Joanna Coast
Jorien Veldwijk
Esther W de Bekker-Grob
Sven P H Nouwens
Luis Pilli
Joffre D Swait
author_sort Joanna Coast
collection DOAJ
description Objectives Current choice models in healthcare (and beyond) can provide suboptimal predictions of healthcare users’ decisions. One reason for such inaccuracy is that standard microeconomic theory assumes that decisions of healthcare users are made in a social vacuum. Healthcare choices, however, can in fact be (entirely) socially determined. To achieve more accurate choice predictions within healthcare and therefore better policy decisions, the social influences that affect healthcare user decision-making need to be identified and explicitly integrated into choice models. The purpose of this study is to develop a socially interdependent choice framework of healthcare user decision-making.Design A mixed-methods approach will be used. A systematic literature review will be conducted that identifies the social influences on healthcare user decision-making. Based on the outcomes of a systematic literature review, an interview guide will be developed that assesses which, and how, social influences affect healthcare user decision-making in four different medical fields. This guide will be used during two exploratory focus groups to assess the engagement of participants and clarity of questions and probes. The refined interview guide will be used to conduct the semistructured interviews with healthcare professionals and users. These interviews will explore in detail which, and how, social influences affect healthcare user decision-making. Focus group and interview transcripts will be analysed iteratively using a constant comparative approach based on a mix of inductive and deductive coding. Based on the outcomes, a social influence independent choice framework for healthcare user decision-making will be drafted. Finally, the Delphi technique will be employed to achieve consensus about the final version of this choice framework.Ethics and dissemination This study was approved by the Erasmus School of Health Policy and Management Research Ethics Review Committee (ESHPM, Rotterdam, The Netherlands; reference ETH2122-0666).
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spelling doaj.art-d535084af5d84a688e78d020cbf3b9a62024-03-09T04:35:08ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-079768A socially interdependent choice framework for social influences in healthcare decision-making: a study protocolJoanna Coast0Jorien Veldwijk1Esther W de Bekker-Grob2Sven P H Nouwens3Luis Pilli4Joffre D Swait52Health Economics Unit, University of BirminghamErasmus Choice Modeling Centre, Erasmus University Rotterdam, Rotterdam, NetherlandsErasmus School of Health Policy and Management, Erasmus Universiteit Rotterdam, Rotterdam, The NetherlandsErasmus Choice Modeling Centre, Erasmus University Rotterdam, Rotterdam, NetherlandsErasmus Universiteit Rotterdam Erasmus School of Health Policy and Management, Rotterdam, NetherlandsErasmus Universiteit Rotterdam Erasmus School of Health Policy and Management, Rotterdam, NetherlandsObjectives Current choice models in healthcare (and beyond) can provide suboptimal predictions of healthcare users’ decisions. One reason for such inaccuracy is that standard microeconomic theory assumes that decisions of healthcare users are made in a social vacuum. Healthcare choices, however, can in fact be (entirely) socially determined. To achieve more accurate choice predictions within healthcare and therefore better policy decisions, the social influences that affect healthcare user decision-making need to be identified and explicitly integrated into choice models. The purpose of this study is to develop a socially interdependent choice framework of healthcare user decision-making.Design A mixed-methods approach will be used. A systematic literature review will be conducted that identifies the social influences on healthcare user decision-making. Based on the outcomes of a systematic literature review, an interview guide will be developed that assesses which, and how, social influences affect healthcare user decision-making in four different medical fields. This guide will be used during two exploratory focus groups to assess the engagement of participants and clarity of questions and probes. The refined interview guide will be used to conduct the semistructured interviews with healthcare professionals and users. These interviews will explore in detail which, and how, social influences affect healthcare user decision-making. Focus group and interview transcripts will be analysed iteratively using a constant comparative approach based on a mix of inductive and deductive coding. Based on the outcomes, a social influence independent choice framework for healthcare user decision-making will be drafted. Finally, the Delphi technique will be employed to achieve consensus about the final version of this choice framework.Ethics and dissemination This study was approved by the Erasmus School of Health Policy and Management Research Ethics Review Committee (ESHPM, Rotterdam, The Netherlands; reference ETH2122-0666).https://bmjopen.bmj.com/content/14/3/e079768.full
spellingShingle Joanna Coast
Jorien Veldwijk
Esther W de Bekker-Grob
Sven P H Nouwens
Luis Pilli
Joffre D Swait
A socially interdependent choice framework for social influences in healthcare decision-making: a study protocol
BMJ Open
title A socially interdependent choice framework for social influences in healthcare decision-making: a study protocol
title_full A socially interdependent choice framework for social influences in healthcare decision-making: a study protocol
title_fullStr A socially interdependent choice framework for social influences in healthcare decision-making: a study protocol
title_full_unstemmed A socially interdependent choice framework for social influences in healthcare decision-making: a study protocol
title_short A socially interdependent choice framework for social influences in healthcare decision-making: a study protocol
title_sort socially interdependent choice framework for social influences in healthcare decision making a study protocol
url https://bmjopen.bmj.com/content/14/3/e079768.full
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