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Table 5 Results from mixed multinomial logits (specialist care)

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

Health Service:

Specialist care

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

−0.933 (0.116)**

− 0.471 (0.209)*

− 0.622 (0.064)**

−0.572 (0.227)*

  -Coinsurances (reference)

0.933 (0.116)**

0.471 (0.209)*

0.622 (0.064)**

0.572 (0.227)*

 Rate of payments

  -Rate1 a

0.612 (0.090)**

0.591 (0.180)**

0.508 (0.035)**

0.451 (0.137)**

  -Rate2 a

0.143 (0.079)

0.173 (0.129)

0.244 (0.028)**

0.237 (0.089)**

  -Rate3 a (reference)

−0.755 (0.100)**

−0.764 (0.264)**

−0.752 (0.039)**

− 0.689 (0.143)**

 Annual caps on cost-sharing payment

  -Half cap

0.009 (0.059)

0.010 (0.115)

−0.024 (0.022)

−0.036 (0.045)

  -Full cap (reference)

−0.009 (0.059)

−0.010 (0.115)

0.024 (0.022)

0.036 (0.045)

  -Half cap * Copayments

−0.075 (0.058)

−0.069 (0.117)

0.037 (0.020)

0.040 (0.063)

  -Half cap * Rate1 a

0.078 (0.089)

−0.023 (0.146)

−0.116 (0.034)**

− 0.081 (0.106)

  -Half cap * Rate2 a

−0.004 (0.095)

0.110 (0.175)

0.006 (0.040)

−0.032 (0.128)

  -Half cap * Afterwards billed by health insurer

−0.058 (0.058)

−0.166 (0.094)

− 0.054 (0.021)*

0.046 (0.083)

 Moment of payment

  -Afterwards billed by health insurer

0.595 (0.091)**

0.452 (0.135)**

4.086 (0.125)**

3.554 (0.519)**

  -Directly at point of care (reference)

−0.595 (0.091)**

−0.452 (0.135)**

−4.086 (0.125)**

−3.554 (0.519)**

 Alternative specific constant

  -Opt-out option

4.306 (0.141)**

1.491 (0.322)**

1.086 (0.036)**

0.545 (0.251)*

 SD of random parameters

  Copayments

2.467 (0.123)**

–

3.333 (0.096)**

3.307 (0.445)**

  Rate1 a

−0.995 (0.133)**

0.855 (0.288)**

−0.869 (0.051)**

1.126 (0.168)**

  Rate2 a

0.017 (0.213)

0.001 (0.001)

−0.400 (0.075)**

−0.266 (0.326)

  Afterwards billed by health insurer

1.801 (0.098)**

–

4.929 (0.139)**

4.478 (0.594)**

Model

 Number of individuals

662

662

4702

4702

 Number of observations

11,916

11,916

84,636

84,636

 Log-likelihood

− 2172.120

− 3287.581

−17,658.000

−12,680.018

  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 Specialist care: rate1 (€100/5%), rate2 (€140/7%), rate3 (€200/10%)
  4. * = p-value≤.05, ** = p-value≤.01