Herman Patricia M, Ingram Maia, Rimas Heather, Carvajal Scott, Cunningham Charles E
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407-2138, USA.
Arizona Prevention Research Center, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Adm Policy Ment Health. 2016 Sep;43(5):740-749. doi: 10.1007/s10488-015-0687-0.
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.
我们采用了离散选择联合实验,来模拟一家联邦合格健康中心患者的心理健康服务偏好,该中心主要服务于亚利桑那州西南部低收入的西班牙裔农场工人。对患者选择影响最大的两个属性(即重要性得分最高)是患者接受这些服务的地点,以及开出处方的提供者的语言和文化意识。模拟结果表明,即使只做一项改变,诊所也能大幅改善患者的福利。就患者偏好而言,最有效的单一改变是在现场提供行为健康服务。