Preference for community health services in people with chronic diseases: a discrete choice experiment in China
BackgroundPrimary healthcare policies are widely implemented globally. However, many people with chronic diseases find that community-based chronic disease services do not meet their needs. There is a critical need for more evidence on the sustainability and optimization of chronic disease managemen...
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1479237/full |
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| author | Ke Wang Ke Wang Qian Yang Qian Yang Lei Wan Lei Wan Jingjing An Jingjing An |
| author_facet | Ke Wang Ke Wang Qian Yang Qian Yang Lei Wan Lei Wan Jingjing An Jingjing An |
| author_sort | Ke Wang |
| collection | DOAJ |
| description | BackgroundPrimary healthcare policies are widely implemented globally. However, many people with chronic diseases find that community-based chronic disease services do not meet their needs. There is a critical need for more evidence on the sustainability and optimization of chronic disease management in Chinese communities, especially from the demand side. Policymakers require detailed data on the needs of chronic disease patients regarding community health services.MethodsA discrete choice experiment was conducted to measure the preferences of people with chronic diseases. Researchers recruited participants in Sichuan Province, China, and conducted face-to-face surveys. The mixed logit model evaluated participants’ preferences for six attributes, estimating willingness to pay and relative importance, and performing subgroup analysis based on the initial model results.ResultsA total of 395 respondents participated in this study. Six attributes included all influenced the preference of people with chronic diseases for community health services. The most valued attribute for people with chronic diseases was drug accessibility (coefficient = 2.761, p < 0.001), followed by appointment referral (coefficient = 2.385, p < 0.001) and traditional Chinese medicine services (coefficient = 1.465, p < 0.001). The results were also borne out by the relative importance of attributes. Meanwhile, people with different types of chronic diseases were also most concerned about drug accessibility. There are differences in the willingness to pay for drug accessibility. Type II respondents had a higher WTP for services with high medicine accessibility (92.93 CNY) compared to Type I (67.05 CNY) and Type III (87.70 CNY) respondents.ConclusionThis study results highlight the importance of drug accessibility, appointment referral services, and traditional Chinese medicine services in community chronic disease management. These findings provide valuable insights for policymakers to optimize the current management of chronic diseases in Chinese communities. |
| format | Article |
| id | doaj-art-0b1e0b3e1bb0489fbcf187fc3639c05b |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-0b1e0b3e1bb0489fbcf187fc3639c05b2024-11-20T05:10:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-11-011210.3389/fpubh.2024.14792371479237Preference for community health services in people with chronic diseases: a discrete choice experiment in ChinaKe Wang0Ke Wang1Qian Yang2Qian Yang3Lei Wan4Lei Wan5Jingjing An6Jingjing An7Operating Room, Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaOperating Room, Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaOperating Room, Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaOperating Room, Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaBackgroundPrimary healthcare policies are widely implemented globally. However, many people with chronic diseases find that community-based chronic disease services do not meet their needs. There is a critical need for more evidence on the sustainability and optimization of chronic disease management in Chinese communities, especially from the demand side. Policymakers require detailed data on the needs of chronic disease patients regarding community health services.MethodsA discrete choice experiment was conducted to measure the preferences of people with chronic diseases. Researchers recruited participants in Sichuan Province, China, and conducted face-to-face surveys. The mixed logit model evaluated participants’ preferences for six attributes, estimating willingness to pay and relative importance, and performing subgroup analysis based on the initial model results.ResultsA total of 395 respondents participated in this study. Six attributes included all influenced the preference of people with chronic diseases for community health services. The most valued attribute for people with chronic diseases was drug accessibility (coefficient = 2.761, p < 0.001), followed by appointment referral (coefficient = 2.385, p < 0.001) and traditional Chinese medicine services (coefficient = 1.465, p < 0.001). The results were also borne out by the relative importance of attributes. Meanwhile, people with different types of chronic diseases were also most concerned about drug accessibility. There are differences in the willingness to pay for drug accessibility. Type II respondents had a higher WTP for services with high medicine accessibility (92.93 CNY) compared to Type I (67.05 CNY) and Type III (87.70 CNY) respondents.ConclusionThis study results highlight the importance of drug accessibility, appointment referral services, and traditional Chinese medicine services in community chronic disease management. These findings provide valuable insights for policymakers to optimize the current management of chronic diseases in Chinese communities.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1479237/fullchronic diseasescommunity health servicesdiscrete choice experimentpreferencesChina |
| spellingShingle | Ke Wang Ke Wang Qian Yang Qian Yang Lei Wan Lei Wan Jingjing An Jingjing An Preference for community health services in people with chronic diseases: a discrete choice experiment in China Frontiers in Public Health chronic diseases community health services discrete choice experiment preferences China |
| title | Preference for community health services in people with chronic diseases: a discrete choice experiment in China |
| title_full | Preference for community health services in people with chronic diseases: a discrete choice experiment in China |
| title_fullStr | Preference for community health services in people with chronic diseases: a discrete choice experiment in China |
| title_full_unstemmed | Preference for community health services in people with chronic diseases: a discrete choice experiment in China |
| title_short | Preference for community health services in people with chronic diseases: a discrete choice experiment in China |
| title_sort | preference for community health services in people with chronic diseases a discrete choice experiment in china |
| topic | chronic diseases community health services discrete choice experiment preferences China |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1479237/full |
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