A discrete choice experiment to elicit preferences for a chronic disease screening programme in Queensland, Australia.
Public Health
; 228: 105-111, 2024 Mar.
Article
en En
| MEDLINE
| ID: mdl-38354579
ABSTRACT
OBJECTIVE:
Patient-centred care, increasingly highlighted in healthcare strategies, necessitates understanding public preferences for healthcare service attributes. We aimed to understand the preferences of the Australian population regarding the attributes of chronic disease screening programmes. STUDYDESIGN:
The preferences were elicited using the discrete choice experiment (DCE) methodology.METHODS:
A DCE was administered to a sample of the Australian general population. Respondents were asked to make choices, each offering two hypothetical screening scenarios defined by screening conduct, quality and accuracy of the test results, cost to the patient, wait time and source of information. Data were analysed using a panel mixed multinomial logit model.RESULTS:
A strong preference for highly accurate screening tests and nurse-led screenings at local health clinics was evident. They expressed disutility for waiting time and out-of-pocket costs but were indifferent about the source of information. Their preference for a nurse-led programme was highlighted by the fact that they were willing to pay $81 and $88 to get a nurse-led programme when they were offered a general practitioner-led and a specialist-led programme, respectively. Furthermore, they were willing to pay $32 to reduce a week of waiting time and $205 for a 95% accurate test compared to a 75% accurate test. Preferences remained consistent irrespective of the respondent's place of residence.CONCLUSIONS:
Our findings highlight the importance of diagnostic test accuracy and nurse-led service delivery in chronic disease screening programmes. These insights could guide the development of patient-centric services by enhancing test accuracy, reducing waiting times and promoting nurse-led care models.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Conducta de Elección
/
Prioridad del Paciente
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Humans
País como asunto:
Oceania
Idioma:
En
Año:
2024
Tipo del documento:
Article