A discrete choice experiment to investigate patient preferences for HIV testing programs in Bogota, Colombia

被引:2
|
作者
Wijnen, Ben F. M. [1 ,2 ]
Van Engelen, Ruben P. L. B. [1 ]
Ostermann, Jan [3 ,4 ]
Muhlbacher, Axel [5 ,6 ]
Hendriks, Arnolf F. W. [1 ]
Conde, Rafael [7 ]
Gonzalez, Javier G. R. [8 ]
Govers, Mark J. G. [1 ]
Evers, Silvia M. A. A. [1 ,2 ]
Hiligsmann, Mickael [1 ]
机构
[1] Maastricht Univ, CAPHRI, Dept Hlth Serv Res, Duboisdomein 30, NL-6229 GT Maastricht, Netherlands
[2] Trimbos Inst, Netherlands Inst Mental Hlth & Addict, Dept Publ Mental Hlth, Utrecht, Netherlands
[3] Univ South Carolina, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[4] Duke Univ, Duke Global Hlth Inst, Durham, NC USA
[5] Duke Univ, Ctr Hlth Policy & Inequal Res, Durham, NC USA
[6] Hsch Neubrandenburg, Gesundheitsokon & Med Management, Neubrandenburg, Germany
[7] ACISC Bogota, Ctr Invest Clin, Asistencia Cient Alta Complejida, Bogata, Colombia
[8] Univ Rosario, Sch Business Adm Salud, Rosario Grad Sch Business, Bogota, Colombia
关键词
Colombia; discrete choice experiment; HIV; patients preferences; testing programs;
D O I
10.1080/14737167.2019.1530594
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: To assess patients' preferences for HIV testing in Colombia. Methods: A discretechoice experiment was used to assess preferences of patients diagnosed with HIV, for HIV testing in two HIV clinics in Bogota, Colombia. Patients were asked to choose repeatedly between two hypothetical HIV testing options that varied with respect to five attributes: distance to testing site, confidentiality, testing days, sample collection method, and the services if HIV positive. A random parameter model was used to analyze thedata. Results: A total of 249 questionnaires were eligible for data analysis. Respondents showed a preference for testing on weekdays, nobody being aware, a sample taken from the arm, and receiving medications through a referral. The respondents showed a high negative preference for many people being aware, followed by testing during the weekend and home testing. Subgroup analyses by gender and prior testing history did not reveal significant differences. Conclusion: This study suggests that patients' preferences for HIV testing focused especially on confidentiality, availability during weekdays, and using a sample from the arm. This information could be useful to improve uptake of HIV testing in Bogota, Colombia.
引用
收藏
页码:195 / 201
页数:7
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