当等待看医生不那么烦人:理解患者预约偏好与选择行为

When Waiting to See a Doctor Is Less Irritating: Understanding Patient Preferences and Choice Behavior in Appointment Scheduling

Management Science · 2017
被引 141 · 同刊同年前 9%
人大 A+FT50UTD24ABS 4*

中文导读

通过四个离散选择实验,研究患者预约医疗时的偏好,发现性别影响对等待时间与医生选择之间的权衡,女性更不愿失去自己的医生,且等待长时感知效用损失更大。

Abstract

This paper examines patient preferences and choice behavior in scheduling medical appointments. We conduct four discrete choice experiments on two distinct populations and identify several “operational” attributes (e.g., delay to care and choice of doctor) that affect patient choice. We observe an interesting gender effect with respect to how patients trade off speed (delay to care) and quality (doctor of choice), and demonstrate that risk attitudes mediate the impact of gender on the perception of speed and quality. Specifically, females (versus males) are more averse to not seeing their own doctor, and, when delay to care is relatively long, females perceive greater utility loss than males. As many operational strategies in outpatient care aim to improve the patient experience by making trade-offs between speed and quality, we make suggestions for when managers should intervene to improve their practice and how such interventions might look based on the patient mix and current delay level. The online appendix is available at https://doi.org/10.1287/mnsc.2016.2704 . This paper was accepted by Gad Allon, operations management.

患者偏好选择行为预约调度性别效应