Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment
Huajun Sun,1 Fangshi Li,1 Yaxuan Xu,2 Qi Qi,3 Yue Du1 1School of Public Health, Tianjin Medical University, Tianjin, People’s Republic of China; 2School of Nursing, Tianjin Medical University, Tianjin, People’s Republic of China; 3School of Optometry, Tianjin Medical University, Tianjin, People’s Re...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2024-01-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/preferences-for-physical-examination-service-in-community-health-servi-peer-reviewed-fulltext-article-PPA |
| _version_ | 1797362693161615360 |
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| author | Sun H Li F Xu Y Qi Q Du Y |
| author_facet | Sun H Li F Xu Y Qi Q Du Y |
| author_sort | Sun H |
| collection | DOAJ |
| description | Huajun Sun,1 Fangshi Li,1 Yaxuan Xu,2 Qi Qi,3 Yue Du1 1School of Public Health, Tianjin Medical University, Tianjin, People’s Republic of China; 2School of Nursing, Tianjin Medical University, Tianjin, People’s Republic of China; 3School of Optometry, Tianjin Medical University, Tianjin, People’s Republic of ChinaCorrespondence: Yue Du, School of Public Health, Tianjin Medical University, 22# Qixiangtai Road, Heping District, Tianjin, 300070, People’s Republic of China, Tel +86 18920015698, Fax +86 02283336597, Email duyue@tmu.edu.cnObjective: Physical examination services play a crucial role in the early detection of diseases, improving the effectiveness of treatment. However, the current physical examination services provided by community health service centers are limited. The objective of this study was to investigate the aspects of physical examination services that are most valued by residents.Methods: Identify and develop attributes and levels through literature research and expert group interviews. A discrete choice experiment was designed. The main effects design gives rise to 16 choice sets. The 16 choice sets were grouped into 2 blocks, and respondents were randomly assigned to one of the blocks. In each choice set, respondents were asked to choose from two alternatives with an opt-out option. In 2023, the discrete choice experiment was administered in several community health service centers within a China population sample. A mixed logit and a latent class analysis were conducted.Results: Participants (n = 399) preferred to receive health advice service. The services provided by the basic team with clinical experts are preferred over those provided solely by the basic team. The results indicated a preference for a participant to be serviced by face-to-face or telephone compared with WeChat. Low cost is also preferred. As participants grow older, their preference for face-to-face or telephone-based services increased. As participants’ service demand increase, participants more preferred to receive interpretation of physical examination report and follow-up of important abnormal results, participants more preferred to be serviced by basic team with clinical experts or basic team with health manager etc.Conclusion: We should improve the construction of the service team, optimize the service mode, expand the scope of examination services, reduce the cost of examination services, and meet the needs of residents for physical examination services. More attention should be paid to the needs of elderly and rural residents.Keywords: discrete choice experiment, physical examination, community health service, preference |
| first_indexed | 2024-03-08T16:10:09Z |
| format | Article |
| id | doaj.art-2559bd804fe64312a37b579faae7cd8f |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-03-08T16:10:09Z |
| publishDate | 2024-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-2559bd804fe64312a37b579faae7cd8f2024-01-07T18:06:43ZengDove Medical PressPatient Preference and Adherence1177-889X2024-01-01Volume 18395189552Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice ExperimentSun HLi FXu YQi QDu YHuajun Sun,1 Fangshi Li,1 Yaxuan Xu,2 Qi Qi,3 Yue Du1 1School of Public Health, Tianjin Medical University, Tianjin, People’s Republic of China; 2School of Nursing, Tianjin Medical University, Tianjin, People’s Republic of China; 3School of Optometry, Tianjin Medical University, Tianjin, People’s Republic of ChinaCorrespondence: Yue Du, School of Public Health, Tianjin Medical University, 22# Qixiangtai Road, Heping District, Tianjin, 300070, People’s Republic of China, Tel +86 18920015698, Fax +86 02283336597, Email duyue@tmu.edu.cnObjective: Physical examination services play a crucial role in the early detection of diseases, improving the effectiveness of treatment. However, the current physical examination services provided by community health service centers are limited. The objective of this study was to investigate the aspects of physical examination services that are most valued by residents.Methods: Identify and develop attributes and levels through literature research and expert group interviews. A discrete choice experiment was designed. The main effects design gives rise to 16 choice sets. The 16 choice sets were grouped into 2 blocks, and respondents were randomly assigned to one of the blocks. In each choice set, respondents were asked to choose from two alternatives with an opt-out option. In 2023, the discrete choice experiment was administered in several community health service centers within a China population sample. A mixed logit and a latent class analysis were conducted.Results: Participants (n = 399) preferred to receive health advice service. The services provided by the basic team with clinical experts are preferred over those provided solely by the basic team. The results indicated a preference for a participant to be serviced by face-to-face or telephone compared with WeChat. Low cost is also preferred. As participants grow older, their preference for face-to-face or telephone-based services increased. As participants’ service demand increase, participants more preferred to receive interpretation of physical examination report and follow-up of important abnormal results, participants more preferred to be serviced by basic team with clinical experts or basic team with health manager etc.Conclusion: We should improve the construction of the service team, optimize the service mode, expand the scope of examination services, reduce the cost of examination services, and meet the needs of residents for physical examination services. More attention should be paid to the needs of elderly and rural residents.Keywords: discrete choice experiment, physical examination, community health service, preferencehttps://www.dovepress.com/preferences-for-physical-examination-service-in-community-health-servi-peer-reviewed-fulltext-article-PPAdiscrete choice experimentphysical examinationcommunity health servicepreference |
| spellingShingle | Sun H Li F Xu Y Qi Q Du Y Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment Patient Preference and Adherence discrete choice experiment physical examination community health service preference |
| title | Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment |
| title_full | Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment |
| title_fullStr | Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment |
| title_full_unstemmed | Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment |
| title_short | Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment |
| title_sort | preferences for physical examination service in community health service center in china a discrete choice experiment |
| topic | discrete choice experiment physical examination community health service preference |
| url | https://www.dovepress.com/preferences-for-physical-examination-service-in-community-health-servi-peer-reviewed-fulltext-article-PPA |
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