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Healthcare Associated Infections II: Preventive Measures01:22

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Preferences for Infection Prevention in Hospital-Acquired Infections.

Shalini Elangovan1, Sameera Senanayake1, Indumathi Venkatachalam2

  • 1Programme in Health Systems Research and Population Health, Duke-NUS Medical School, Singapore.

JAMA Network Open
|April 15, 2026
PubMed
Summary
This summary is machine-generated.

Healthcare professionals prioritize infection prevention practices based on evidence, cost, and time. Preferences vary by region, highlighting the need for tailored strategies to combat hospital-acquired infections.

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Area of Science:

  • Healthcare Management
  • Infection Control
  • Health Economics

Background:

  • Hospital-acquired infections (HAIs) significantly increase healthcare costs and negatively impact patient outcomes.
  • Understanding the decision-making process for selecting infection prevention practices is crucial for effective implementation.
  • Healthcare professionals' priorities in choosing these practices are not well-understood.

Purpose of the Study:

  • To identify the key characteristics of infection control practices that influence healthcare professional decision-making.
  • To explore how factors like evidence quality, cost, and implementation burden affect practice selection.

Main Methods:

  • A discrete choice experiment survey was conducted with 256 healthcare professionals involved in infection prevention and control.
  • Participants evaluated infection control practices based on four attributes: clinical evidence quality, economic costs/benefits, implementation duration, and time burden.
  • Data were analyzed using mixed logit and latent class models to assess preferences and identify distinct respondent groups.

Main Results:

  • Respondents favored practices with strong clinical evidence, shorter implementation times, lower time burdens, and favorable cost-effectiveness.
  • Two distinct groups emerged: 'evidence seekers' (primarily from low- and middle-income countries) prioritizing high-quality evidence, and 'efficiency seekers' (primarily from high-income countries) focusing on cost-effectiveness.
  • Economic factors were consistently the most important attribute globally, with regional variations in secondary priorities.

Conclusions:

  • Healthcare professionals' preferences for infection control practices differ based on income level and geographic region.
  • Tailored strategies, including strengthened economic evidence and implementation support, are needed for sustainable adoption of infection prevention practices.
  • Further research is necessary to understand contextual factors influencing decision-making, especially in low- and middle-income settings.