Background: Delivering efficient healthcare within limited budgets requires an understanding of patient priorities. Designing services
that are sensitive to patients' preferences in the context of limited resources may require policy and decision-makers to
choose between attributes. Aligning clinical practice and health policy with patient preferences will improve the effectiveness
of health interventions. Coordinated care aims to achieve higher-quality care, lower costs and greater patient satisfaction.
Heterogeneity within preferences due to racial and ethnic disparities, age or illness has to be documented and considered
in the design of healthcare services. Conjoint analysis or discrete choice studies can be used to elicit preferences for interventions
or technologies.
Research question: This study intends to provide health policy and decision-makers with a literature review of patients' priorities in the relative
value of coordinated care. In order to promote coordinated care, policy-makers need to understand patients' priorities. Therefore
this study aims to use a literature review to assess patient preferences.
Method: As a research in the database PubMed has shown the available literature analyzing patient-centered outcomes in coordinated
care is very limited. The searches for ‘(patient-centered coordinated care) and (discrete choice)’, ‘(patient-centered coordinated
care) and (conjoint analysis)’, ‘(patient-centered medical home) and (discrete choice)’ as well as ‘(patient-centered medical
home) and (conjoint analysis)’ all ended up in no results found. Merely the searches for ‘(patient-centered care) and (discrete
choice)’ and the one for ‘(patient-centered care) and (conjoint analysis)’ were successful.
Results: The term ‘patient preferences’ still lacks a consistent definition; despite this, there appears to be convergence in the view
that patient preferences are statements made by individuals regarding their needs, values and expectations and the relative
importance of treatment properties. Therefore these preferences refer to the individual evaluation of dimensions of health
outcomes. Based on the existing literature, coordinated care can be differentiated into attributes, such as: organization
of care, patient self-management, interpersonal care, and technical care.
Conclusion: Patient-centered outcomes will provide objective information about the impact on patient involvement, the experiences, and
the needs and wants of patients. Patient preference data will help insurers, policy-makers and others to promote patient-centered
coordinated care as the new standard of primary care.