Patient Preferences of a Low-Income Hispanic Population for Mental Health Services in Primary Care

被引:10
|
作者
Herman, Patricia M. [1 ]
Ingram, Maia [2 ]
Rimas, Heather [3 ]
Carvajal, Scott [4 ]
Cunningham, Charles E. [5 ]
机构
[1] RAND Corp, 1776 Main St,POB 2138, Santa Monica, CA 90407 USA
[2] Univ Arizona, Arizona Prevent Res Ctr, Mel & Enid Zuckerman Coll Publ Hlth, Tucson, AZ USA
[3] McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada
[4] Univ Arizona, Hlth Promot Sci, Arizona Prevent Res Ctr, Mel & Enid Zuckerman Coll Publ Hlth, Tucson, AZ USA
[5] McMaster Univ, Michael G DeGroote Sch Med, Dept Psychiat & Behav Neurosci, Patient Ctr Hlth Care,Fac Hlth Sci, Hamilton, ON, Canada
关键词
Discrete choice experiment; Conjoint analysis; Patient preferences; Mental health; Hispanic; CONJOINT-ANALYSIS APPLICATIONS; CENTERED MEDICAL HOME; BEHAVIORAL HEALTH; DEPRESSION TREATMENT; COST-EFFECTIVENESS; UNITED-STATES; SYMPTOMS; CHOICE; FARMWORKERS; COMMUNITY;
D O I
10.1007/s10488-015-0687-0
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
We used a discrete-choice conjoint experiment to model the mental health services preferences of patients of a federally-qualified health center serving a primarily low-income, Hispanic farmworker population in southwestern Arizona. The two attributes that had the largest influence on patient choices (i.e., received the highest importance scores) were where patients receive these services and the language and cultural awareness of the provider who prescribed their treatment. Simulations indicated that the clinic could substantially improve its patients' welfare with even a single change. The single most effective change in terms of patient preferences would be to offer behavioral health services onsite.
引用
收藏
页码:740 / 749
页数:10
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