Preferences for chlamydia testing and management in Hong Kong: a discrete choice experiment
| Autor: | Christopher K Fairley, Ross D. Booton, Jason J. Ong, Desiree Tse, Katy Turner, Jane S Hocking, William Wong |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Control (management) Declaration Sexually Transmitted Diseases Discrete choice experiment Dermatology Chlamydia testing Bachelor Surveys and Questionnaires medicine Humans health care economics and organizations media_common Service (business) Chlamydia business.industry Health services research Patient Preference Institutional review board medicine.disease Test (assessment) Infectious Diseases Family medicine Hong Kong Female business Psychology |
| Zdroj: | Sexually transmitted infections. 98(6) |
| ISSN: | 1472-3263 |
| Popis: | Background: As most chlamydia cases are asymptomatic, regular testing and timely management may be important for control. We aimed to determine the preferences of people living in Hong Kong for chlamydia testing and management services. Methods: An online panel of sexually active individuals living in Hong Kong completed the survey with two discrete choice experiments (DCEs). The first DCE examined the preferred attributes of a chlamydia testing service (cost, location, appointment time, speed of results, delivery of results and availability of other STI testing). The second DCE examined the preferred attributes of a chlamydia management service (cost, access to patient-delivered partner therapy (PDPT), location, travel time, type of person consulted, and attitude of staff). Results: In total, 520 individuals participated: average age 36·8 years (SD 9·9), 40% males and 66% had a bachelor’s degree or higher. Choosing to test was most influenced by cost, followed by speed of results, delivery of results, extra STI testing, appointment available, and the least important was location of testing. Choosing to attend for management was most influenced by the attitude of staff, followed by cost, who they consult, access to patient-delivered partner therapy, travel time and the least important was treatment location. Conclusion: To design effective chlamydia testing and management services, it is important to be responsive to patient needs and preferences. For people living in Hong Kong, cost and staff attitude were the most important factors for deciding whether to test or be managed for chlamydia, respectively. Funding Information: This research was funded by the Hong Kong Medical Research Fund (18171282). JJO is supported by an Australian National Health and Medical Research Council (NHMRC) Emerging Leadership Investigator Grant (GNT1193955). CKF is supported by an NHMRC Leadership Investigator Grant (GNT1172900). Declaration of Interests: All authors declare there are no conflicts of interest. Ethics Approval Statement: Ethics approval was obtained from the University of Hong Kong Institutional Review Board (UW 19-130). |
| Databáze: | OpenAIRE |
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