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RESEARCH ARTICLE
Contents Vol 48(5)

A preference-based value framework to assess healthcare provision in an oil and gas industry

Anton Pak A * , Thomas Pols B , Srinivas Kondalsamy-Chennakesavan C , Matthew McGrail D , Tiana Gurney C , Jordan L. Fox D and Haitham Tuffaha A
+ Author Affiliations
- Author Affiliations

A Centre for the Business and Economics of Health, The University of Queensland, Level 5 CBEH, Building 14, St Lucia, Qld, Australia.

B Shell Health, Shell Australia Pty Ltd, Brisbane, Qld, Australia.

C Rural Clinical School, The University of Queensland, Toowoomba, Qld, Australia.

D Rural Clinical School, The University of Queensland, Rockhampton, Qld, Australia.

* Correspondence to: a.pak@uq.edu.au

Australian Health Review 48(5) 524-529 https://doi.org/10.1071/AH24111
Submitted: 21 April 2024  Accepted: 11 June 2024  Published: 25 June 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objectives

The aim of this study was to develop the Remote Health Value Framework to evaluate the models of healthcare provision for workers in the oil and gas sector, predominantly situated in rural and remote areas.

Methods

The framework was co-designed with the leadership team in one global oil and gas company using a multi-criteria decision analysis approach with a conjoint analysis component. This was used to elicit and understand preferences and trade-offs among different value domains that were important to the stakeholders with respect to the provision of healthcare for its workers. Preference elicitation and interviews were conducted with a mix of health, safety, and environment (HSE) team and non-HSE managers and leaders.

Results

Out of five presented value domains, participants considered the attribute ‘Improving health outcomes of employees’ the most important aspect for the model of healthcare which accounted for 37.3% of the total utility score. Alternatively, the ‘Program cost’ attribute was least important to the participants, accounting for only 11.0% of the total utility score. The marginal willingness-to-pay analysis found that participants would be willing to pay A$9090 per utile for an improvement in a particular value attribute.

Conclusions

This is the first value framework for healthcare delivery in the oil and gas industry, contextualised by its delivery within rural and remote locations. It provides a systematic and transparent method for creating value-based healthcare models. This approach facilitates the evaluation of healthcare investments, ensuring they align with value domains prioritised by the HSE and leadership teams.

Keywords: health economics, health services research, models of healthcare, occupational health, oil and gas, performance and evaluation, rural and remote health, value framework.

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