Preferences of Hungarian consumers for quality, access and price attributes of health care services — result of a discrete choice experiment

In 2010, a household survey was carried out in Hungary among 1037 respondents to study consumer preferences and willingness to pay for health care services. In this paper, we use the data from the discrete choice experiments included in the survey, to elicit the preferences of health care consumers about the choice of health care providers. Regression analysis is used to estimate the effect of the improvement of service attributes (quality, access, and price) on patients’ choice, as well as the differences among the socio-demographic groups. We also estimate the marginal willingness to pay for the improvement in attribute levels by calculating marginal rates of substitution. The results show that respondents from a village or the capital, with low education and bad health status are more driven by the changes in the price attribute when choosing between health care providers. Respondents value the good skills and reputation of the physician and the attitude of the personnel most, followed by modern equipment and maintenance of the office/hospital. Access attributes (travelling and waiting time) are less important. The method of discrete choice experiment is useful to reveal patients’ preferences, and might support the development of an evidence-based and sustainable health policy on patient payments.

Az Európai Unió nemzetközi fejlesztéspolitikája előtt álló kihívások és válaszok (EU’s international development policy – challenges and answers)

A tanulmány röviden áttekinti, hogy milyen kihívások érték az elmúlt években az EU nemzetközi fejlesztéspolitikáját, és milyen válaszokat adott ezekre a Közösség. A Bizottság által 2011-ben kiadott Agenda for Change című zöld könyv a közös fejlesztéspolitikát erőteljesebb normatív alapokra igyekszik helyezni és a demokrácia és jó kormányzás támogatását teszi az EU egyik fő célkitűzéséve a fejlődő országokban. Mindez a gyakorlatban erőteljesebb kondicionalitást és szelektivitást fog jelenteni az európai segélyezésben. _____ The paper briefly reviews the challenges that the EU’s international development policy faced in recent years and the answers the Community has provided to these. A green paper published by the Commission in 2011, the Agenda for Change attempts to place development policy on a stronger normative basis by making the support of good governance and democracy one of the main goals of the EU in developing countries. In practice, this will mean stronger conditionality and greater selectivity in EC aid.