Wijnen Ben F M, Van Engelen Ruben P L B, Ostermann Jan, Muhlbacher Axel, Hendriks Arnolf F W, Conde Rafael, Gonzalez Javier G R, Govers Mark J G, Evers Silvia M A A, Hiligsmann Mickaël
a Department of Health Services Research, CAPHRI (Care and Public Health Research Institute) , Maastricht University , Maastricht , The Netherlands.
b Department of Public Mental Health , Trimbos Institute (Netherlands Institute of Mental Health and Addiction) , Utrecht , The Netherlands.
Expert Rev Pharmacoecon Outcomes Res. 2019 Apr;19(2):195-201. doi: 10.1080/14737167.2019.1530594. Epub 2018 Oct 8.
To assess patients' preferences for HIV testing in Colombia.
A discrete choice experiment was used to assess preferences of patients diagnosed with HIV, for HIV testing in two HIV clinics in Bogotá, 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 the data.
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.
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 Bogotá, Colombia.
评估哥伦比亚患者对艾滋病毒检测的偏好。
采用离散选择实验来评估在哥伦比亚波哥大的两家艾滋病毒诊所中，被诊断为艾滋病毒的患者对艾滋病毒检测的偏好。要求患者在两个假设的艾滋病毒检测选项之间反复进行选择，这两个选项在五个属性方面有所不同：到检测地点的距离、保密性、检测日期、样本采集方法以及艾滋病毒呈阳性时的服务。使用随机参数模型分析数据。
共有249份问卷符合数据分析要求。受访者表现出对工作日检测、无人知晓、从手臂采集样本以及通过转诊接受药物治疗的偏好。受访者对很多人知晓表现出高度负面偏好，其次是周末检测和家庭检测。按性别和既往检测史进行的亚组分析未发现显著差异。
本研究表明，患者对艾滋病毒检测的偏好尤其集中在保密性、工作日可检测性以及使用手臂样本方面。这些信息可能有助于提高哥伦比亚波哥大艾滋病毒检测的接受度。
