A Comparison of Methods for Capturing Patient Preferences for Delivery of Mental Health Services to Low-Income Hispanics Engaged in Primary Care

Background Consideration of patient preferences regarding delivery of mental health services within primary care may greatly improve access and quality of care for the many who could benefit from those services. Objectives This project evaluated the feasibility and usefulness of adding a consumer-pr...

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Bibliographic Details
Published in:The patient : patient-centered outcomes research 2016-08, Vol.9 (4), p.293-301
Main Authors: Herman, Patricia M., Ingram, Maia, Cunningham, Charles E., Rimas, Heather, Murrieta, Lucy, Schachter, Kenneth, de Zapien, Jill Guernsey, Carvajal, Scott C.
Format: Article
Language:English
Subjects:
Adult
Aged
Choice Behavior
Clinics
Community
Community-Based Participatory Research
Conjoint analysis
Consumers
Cultural Competency
Data Interpretation, Statistical
Ethics
Female
Focus Groups
Health Administration
Health care
Health Economics
Health services
Hispanic Americans
Hispanic Americans - psychology
Humans
Language
Low income groups
Male
Medicine
Medicine & Public Health
Mental health
Mental Health Services - organization & administration
Methods
Middle Aged
Minority & ethnic groups
Original Research Article
Patient Preference
Patients
Pharmacoeconomics and Health Outcomes
Poverty
Primary care
Primary Health Care
Public Health
Quality
Quality of Life Research
Referral and Consultation - organization & administration
Research Design
Studies
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Description
Summary:Background Consideration of patient preferences regarding delivery of mental health services within primary care may greatly improve access and quality of care for the many who could benefit from those services. Objectives This project evaluated the feasibility and usefulness of adding a consumer-products design method to qualitative methods implemented within a community-based participatory research (CBPR) framework. Research Design Discrete-choice conjoint experiment (DCE) added to systematic focus group data collection and analysis. Subjects Focus group data were collected from 64 patients of a Federally-Qualified Health Center (FQHC) serving a predominantly low-income Hispanic population. A total of 604 patients in the waiting rooms of the FQHC responded to the DCE. Measures The DCE contained 15 choice tasks that each asked respondents to choose between three mental health services options described by the levels of two (of eight) attributes based on themes that emerged from focus group data. Results The addition of the DCE was found to be feasible and useful in providing distinct information on relative patient preferences compared with the focus group analyses alone. According to market simulations, the package of mental health services guided by the results of the DCE was preferred by patients. Conclusions Unique patterns of patient preferences were uncovered by the DCE and these findings were useful in identifying pragmatic solutions to better address the mental health service needs of this population. However, for this resource-intensive method to be adopted more broadly, the scale of the primary care setting and/or scope of the issue addressed have to be relatively large.
ISSN:1178-1653
1178-1661
DOI:10.1007/s40271-015-0155-7