Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment.
<h4>Objective</h4>Healthcare workers (HCWs) in South Africa are at a high risk of developing active tuberculosis (TB) due to their occupational exposures. This study aimed to systematically quantify and compare the preferred attributes of an active TB case finding program for HCWs in Sou...
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Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0133304&type=printable |
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| author | Nathan N O'Hara Lilla Roy Lyndsay M O'Hara Jerry M Spiegel Larry D Lynd J Mark FitzGerald Annalee Yassi Letshego E Nophale Carlo A Marra |
| author_facet | Nathan N O'Hara Lilla Roy Lyndsay M O'Hara Jerry M Spiegel Larry D Lynd J Mark FitzGerald Annalee Yassi Letshego E Nophale Carlo A Marra |
| author_sort | Nathan N O'Hara |
| collection | DOAJ |
| description | <h4>Objective</h4>Healthcare workers (HCWs) in South Africa are at a high risk of developing active tuberculosis (TB) due to their occupational exposures. This study aimed to systematically quantify and compare the preferred attributes of an active TB case finding program for HCWs in South Africa.<h4>Methods</h4>A Best-Worst Scaling choice experiment estimated HCW's preferences using a random-effects conditional logit model. Latent class analysis (LCA) was used to explore heterogeneity in preferences.<h4>Results</h4>"No cost", "the assurance of confidentiality", "no wait" and testing at the occupational health unit at one's hospital were the most preferred attributes. LCA identified a four class model with consistent differences in preference strength. Sex, occupation, and the time since a previous TB test were statistically significant predictors of class membership.<h4>Conclusions</h4>The findings support the strengthening of occupational health units in South Africa to offer free and confidential active TB case finding programs for HCWs with minimal wait times. There is considerable variation in active TB case finding preferences amongst HCWs of different gender, occupation, and testing history. Attention to heterogeneity in preferences should optimize screening utilization of target HCW populations. |
| format | Article |
| id | doaj-art-8ea6005abfe24ab9bd2b5366e3f5a35d |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-8ea6005abfe24ab9bd2b5366e3f5a35d2025-08-20T02:22:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01107e013330410.1371/journal.pone.0133304Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment.Nathan N O'HaraLilla RoyLyndsay M O'HaraJerry M SpiegelLarry D LyndJ Mark FitzGeraldAnnalee YassiLetshego E NophaleCarlo A Marra<h4>Objective</h4>Healthcare workers (HCWs) in South Africa are at a high risk of developing active tuberculosis (TB) due to their occupational exposures. This study aimed to systematically quantify and compare the preferred attributes of an active TB case finding program for HCWs in South Africa.<h4>Methods</h4>A Best-Worst Scaling choice experiment estimated HCW's preferences using a random-effects conditional logit model. Latent class analysis (LCA) was used to explore heterogeneity in preferences.<h4>Results</h4>"No cost", "the assurance of confidentiality", "no wait" and testing at the occupational health unit at one's hospital were the most preferred attributes. LCA identified a four class model with consistent differences in preference strength. Sex, occupation, and the time since a previous TB test were statistically significant predictors of class membership.<h4>Conclusions</h4>The findings support the strengthening of occupational health units in South Africa to offer free and confidential active TB case finding programs for HCWs with minimal wait times. There is considerable variation in active TB case finding preferences amongst HCWs of different gender, occupation, and testing history. Attention to heterogeneity in preferences should optimize screening utilization of target HCW populations.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0133304&type=printable |
| spellingShingle | Nathan N O'Hara Lilla Roy Lyndsay M O'Hara Jerry M Spiegel Larry D Lynd J Mark FitzGerald Annalee Yassi Letshego E Nophale Carlo A Marra Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment. PLoS ONE |
| title | Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment. |
| title_full | Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment. |
| title_fullStr | Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment. |
| title_full_unstemmed | Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment. |
| title_short | Healthcare Worker Preferences for Active Tuberculosis Case Finding Programs in South Africa: A Best-Worst Scaling Choice Experiment. |
| title_sort | healthcare worker preferences for active tuberculosis case finding programs in south africa a best worst scaling choice experiment |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0133304&type=printable |
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