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Table 4 Results from mixed multinomial logits (diagnostic tests)

From: The effect of cost-sharing design characteristics on use of health care recommended by the treating physician; a discrete choice experiment

Health Service:

Diagnostic tests

Group:

Forgoing health care

Utilizing health care

Weighting:

Unweighted

Inverse Probability Weighting

Unweighted

Inverse Probability Weighting

Coefficient (SE)

Coefficient (SE)

Coefficient (SE)

Coefficient (SE)

Variable:

 Type of payments

  -Copayments

0.664 (0.116)**

1.041 (0.457)*

0.773 (0.057)**

1.032 (0.234)**

  -Coinsurances (reference)

− 0.664 (0.116)**

− 1.041 (0.457)*

− 0.773 (0.057)**

− 1.032 (0.234)**

 Rate of payments

  -Rate1 a

1.123 (0.102)**

1.758 (0.759)*

0.643 (0.033)**

0.841 (0.106)**

  -Rate2 a

0.522 (0.089)**

0.202 (0.350)

0.424 (0.030)**

0.334 (0.092)**

  -Rate3 a (reference)

−1.646 (0.133)**

−1.959 (0.760)*

− 1.067 (0.042)**

−1.174 (0.150)**

 Annual caps on cost-sharing payment

  -Half cap

−0.005 (0.055)

0.035 (0.207)

−0.003 (0.022)

0.039 (0.036)

  -Full cap (reference)

0.005 (0.055)

−0.035 (0.207)

0.003 (0.022)

−0.039 (0.036)

  -Half cap * Copayments

−0.050 (0.052)

−0.266 0.240)

− 0.057 (0.019)**

−0.084 (0.063)

  -Half cap * Rate1 a

0.037 (0.081)

0.227 (0.347)

−0.056 (0.033)

−0.103 (0.078)

  -Half cap * Rate2 a

− 0.147 (0.090)

−0.884 (0.363)*

− 0.019 (0.038)

− 0.053 (0.121)

  -Half cap * Afterwards billed by health insurer

0.017 (0.057)

0.226 (0.231)

−0.079 (0.020)**

−0.221 (0.079)**

 Moment of payment

  -Afterwards billed by health insurer

0.414 (0.086)**

1.581 (0.831)

3.416 (0.108)**

2.660 (0.390)**

  -Directly at point of care (reference)

−0.414 (0.086)**

−1.581 (0.831)

−3.416 (0.108)**

−2.660 (0.390)**

 Alternative specific constant

  -Opt-out option

3.752 (0.146)**

4.503 (1.060)**

0.556 (0.033)**

0.319 (0.247)

 SD of random parameters

  Copayments

2.702 (0.143)**

2.599 (0.689)**

3.236 (0.092)**

3.480 (0.451)**

  Rate1 a

−1.486 (0.128)**

−2.132 (0.804)**

−0.907 (0.048)**

0.974 (0.161)**

  Rate2 a

1.412 (0.130)**

2.338 (1.035)*

0.827 (0.047)**

0.789 (0.172)**

  Afterwards billed by health insurer

1.908 (0.113)**

3.829 (1.098)**

4.690 (0.132)**

4.521 (0.591)**

Model

 Number of individuals

738

738

5510

5510

 Number of observations

13,284

13,284

99,180

99,180

 Log-likelihood

− 3187.780

− 3180.645

−20,580.500

−16,919.590

  1. Model: mixed multinomial logits modelling eq. 1. Random parameters assumed a normal distribution and estimated based on 5000 Halton draws
  2. SE Standard Error, SD Standard Deviation
  3. a labels Diagnostic tests: rate1 (€40/15%), rate2 (€50/20%), rate3 (€80/30%)
  4. * = p-value≤.05, ** = p-value≤.01