How to reform western care payment systems according to physicians, policy makers, healthcare executives and researchers: a discrete choice experiment

Table 7 A priori order of importance of the main effects of the eleven performance domains and conversion into mean utility values and variances for the multivariate normal prior distribution

Rank	Performance domain	Prior mean			Prior variance
Rank	Performance domain	–	N	+	Prior variance
1	Clinical effectiveness and patient safety	−0.6	0.1	0.5	0.09
2	Best practice service use	−0.4	0.05	0.35	0.06
	Long term cost containment and budget safety	−0.4	0.05	0.35	0.06
3	Gaming the system	−0.35	0.05	0.3	0.04
	Care equity	−0.35	0.05	0.3	0.04
	Care coordination, teamwork and continuity	−0.35	0.05	0.3	0.04
4	Timeliness	−0.3	0.05	0.25	0.02
	Patient centeredness	−0.3	0.05	0.25	0.02
	Innovation	−0.3	0.05	0.25	0.02
	Provider wellness	−0.3	0.05	0.25	0.02
	Short term cost containment and budget safety	−0.3	0.05	0.25	0.02

The mean values are associated with the negative (–), neutral (N) and positive (+) outcomes in each performance domain. Variances around the mean values are the same for all three outcomes in a performance domain and are therefore listed only once.

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