TY - JOUR
T1 - Identification and Prioritization of Attributes for a Discrete Choice Experiment Using the Nominal Group Technique
T2 - Patients' Choice of Public Health Facilities in Cape Town, South Africa
AU - Chiwire, Plaxcedes
AU - Evers, Silvia M
AU - Mahomed, Hassan
AU - Hiligsmann, Mickaël
N1 - Copyright © 2021 International Society for Pharmacoeconomics and Outcomes Research, Inc. Published by Elsevier Inc. Published by Elsevier Inc. All rights reserved.
PY - 2022/1
Y1 - 2022/1
N2 - OBJECTIVES: To date, there has been scant research on patient input regarding the desirable characteristics of healthcare facilities. This study uses the nominal group technique (NGT) to develop a discrete choice experiment (DCE) aimed at identifying and prioritizing, from the patient's perspective, essential characteristics for choosing public health facilities in Cape Town, South Africa.METHODS: Four focus group discussions were conducted, including a total of 21 patients or their parents/companion at Bothasig and Goodwood community day centers (which offer primary care within substructure) in Cape Town. The group discussions followed the steps of NGT guidelines. At each facility, the frequency of an attribute being within the top 5 was determined, a weighted ranking was calibrated, and a subgroup analysis was performed.RESULTS: The 6 most important attributes in choosing a facility were "treatment by a doctor/(family physician)" (66.7%), "distance to the community day center" (61.7%), "availability of medication" (61.7%), "confidentiality during treatment" (57.7%), and "waiting time" and "treatment by a nurse." The weighted results showed that distance was the most important, followed by treatment by the doctors, treatment confidentiality, availability of medication, and waiting time and treatment by a nurse.CONCLUSION: This study confirms the feasibility and value of the NGT in identifying and prioritizing the attributes for a DCE. The NGT can be used to elicit patient preferences and, when used together with a DCE, can enhance information quality and quantity for decision making in tandem with patient satisfaction and experiences.
AB - OBJECTIVES: To date, there has been scant research on patient input regarding the desirable characteristics of healthcare facilities. This study uses the nominal group technique (NGT) to develop a discrete choice experiment (DCE) aimed at identifying and prioritizing, from the patient's perspective, essential characteristics for choosing public health facilities in Cape Town, South Africa.METHODS: Four focus group discussions were conducted, including a total of 21 patients or their parents/companion at Bothasig and Goodwood community day centers (which offer primary care within substructure) in Cape Town. The group discussions followed the steps of NGT guidelines. At each facility, the frequency of an attribute being within the top 5 was determined, a weighted ranking was calibrated, and a subgroup analysis was performed.RESULTS: The 6 most important attributes in choosing a facility were "treatment by a doctor/(family physician)" (66.7%), "distance to the community day center" (61.7%), "availability of medication" (61.7%), "confidentiality during treatment" (57.7%), and "waiting time" and "treatment by a nurse." The weighted results showed that distance was the most important, followed by treatment by the doctors, treatment confidentiality, availability of medication, and waiting time and treatment by a nurse.CONCLUSION: This study confirms the feasibility and value of the NGT in identifying and prioritizing the attributes for a DCE. The NGT can be used to elicit patient preferences and, when used together with a DCE, can enhance information quality and quantity for decision making in tandem with patient satisfaction and experiences.
KW - Health Facilities
KW - Humans
KW - Patient Preference
KW - Patient Satisfaction
KW - Primary Health Care
KW - South Africa
KW - attribute identification
KW - CARE
KW - facility choice
KW - discrete choice experiments
KW - SATISFACTION
KW - patient preferences
KW - health provider choice
KW - nominal group technique
KW - public health facilities
KW - PARTICIPATION
U2 - 10.1016/j.vhri.2021.06.005
DO - 10.1016/j.vhri.2021.06.005
M3 - Article
C2 - 34891111
SN - 2212-1099
VL - 27
SP - 90
EP - 98
JO - Value in Health Regional Issues
JF - Value in Health Regional Issues
ER -