Abstract
The choice of dialysis treatment, as well as of the type of centre in which to receive it, can be the result of a selection process where perceived quality, and the reputation of medical centres and physicians, as well as other observable and unobservable factors play a key role. ESRD patients can choose among alternative treatments, namely HD, HDF and PD. While HD and HDF can be received at public hospitals and private centres, with no difference between the two options in terms of assistance provided, PD is mainly carried out at home.
This paper considers the possibility of adopting different econometric techniques to model such simultaneous patients' choice by the patients. After having examined conditional logit models and a multinomial logit framework that might suit our purposes, we selected a recursive bivariate probit model. The analysis tools presented in this paper proved to be appropriate in this context and succeeded in identifying a link between the selection of HD as a dialysis modality with patients' characteristics, and type of dialysis centre.
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JEL Classification I11, C35, C53
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Gitto, L. Dialysis modality selection according to the medical care provided at dialysis units: An econometric analysis. Health Serv Outcomes Res Method 5, 227–241 (2004). https://doi.org/10.1007/s10742-006-6830-3
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DOI: https://doi.org/10.1007/s10742-006-6830-3