了解澳大利亚预孕护理的偏好:从离散选择实验的见解
Marion Haas1, Jody Church1, Edwina Dorney2
1Faculty of Health, Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, Australia.
概括
在澳大利亚,怀孕前护理 (PCC) 尚未得到充分利用. 大多数成年人更喜欢面对面的PCC,特别是与产科医生,并受到较低的成本和激励的影响.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 孕前护理 (PCC) 优化了怀孕前的健康状况,改善了父母和后代的结果.
- 在澳大利亚,由于意外怀孕和妊娠前护理不足,PCC的使用率很低.
- 关于消费者对PCC服务的偏好存在有限的证据.
研究的目的:
- 调查澳大利亚成年人对初级保健中产前护理 (PCC) 服务的偏好.
- 确定影响消费者关于PCC服务的决策的关键因素.
主要方法:
- 使用在线调查,采用了离散选择实验.
- 12个选择任务向一般人口样本展示了PCC服务的替代配置.
- 混合逻辑和潜在类模型分析数据以了解偏好异质性.
主要成果:
- 在485名受访者中,67%的人不知道或不确定PCC.
- 观察到强烈的偏好是面对面的PCC,特别是与专业产科医生.
- 较低的自费成本和激励措施显著影响了偏好.
结论:
- 提高PCC的认识对于改善吸收至关重要.
- 降低成本和提供激励措施可以促进PCC服务的参与.
- 进一步探索执业护士和药剂师在PCC中的角色是有必要的.
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