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Published VersionCC BY V4.0, Open Access
Journal article
A discrete choice experiment to elicit preferences for a chronic disease screening programme in Queensland, Australia
Public Health, Vol.228, pp.105-111
2024
PMID: 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.
Study design
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.
Details
- Title
- A discrete choice experiment to elicit preferences for a chronic disease screening programme in Queensland, Australia
- Authors
- S. Senanayake (Author) - Queensland University of TechnologyA. Barnett - Queensland University of TechnologyD. Brain (Corresponding Author) - Queensland University of TechnologyM. Allen - Queensland University of TechnologyE.E. Powell - Princess Alexandra HospitalJ. O'Beirne - University of the Sunshine CoastP. Valery - QIMR Berghofer Medical Research InstituteI.J. Hickman - Princess Alexandra HospitalS. Kularatna - Queensland University of Technology
- Publication details
- Public Health, Vol.228, pp.105-111
- Publisher
- Elsevier Ltd
- Date published
- 2024
- DOI
- 10.1016/j.puhe.2024.01.007
- ISSN
- 1476-5616
- PMID
- 38354579
- Data Availability
- The data are available from the corresponding author on reasonable request.
- Organisation Unit
- School of Health; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 991008898802621
- Output Type
- Journal article
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