Novel application of a discrete choice experiment to identify preferences for a national healthcare-associated infection surveillance programme: a cross-sectional study
Russo, Philip L., Chen, Gang, Cheng, Allen C., Richards, Michael, Graves, Nicholas, Ratcliffe, Julie and Hall, Lisa 2016, Novel application of a discrete choice experiment to identify preferences for a national healthcare-associated infection surveillance programme: a cross-sectional study, BMJ open, vol. 6, no. 5, pp. 1-8, doi: 10.1136/bmjopen-2016-011397.
Objective: To identify key stakeholder preferences andpriorities when considering a national healthcareassociatedinfection (HAI) surveillance programmethrough the use of a discrete choice experiment (DCE).Setting: Australia does not have a national HAIsurveillance programme. An online web-based DCE wasdeveloped and made available to participants in Australia.Participants: A sample of 184 purposively selectedhealthcare workers based on their senior leadershiprole in infection prevention in Australia.Primary and secondary outcomes: A DCErequiring respondents to select 1 HAI surveillanceprogramme over another based on 5 differentcharacteristics (or attributes) in repeated hypotheticalscenarios. Data were analysed using a mixed logitmodel to evaluate preferences and identify the relativeimportance of each attribute.Results: A total of 122 participants completed thesurvey (response rate 66%) over a 5-week period.Excluding 22 who mismatched a duplicate choicescenario, analysis was conducted on 100 responses.The key findings included: 72% of stakeholdersexhibited a preference for a surveillance programmewith continuous mandatory core components (meancoefficient 0.640 ( p<0.01)), 65% for a standardsurveillance protocol where patient-level data arecollected on infected and non-infected patients (meancoefficient 0.641 ( p<0.01)), and 92% for hospital-leveldata that are publicly reported on a website and notassociated with financial penalties (mean coefficient1.663 ( p<0.01)).Conclusions: The use of the DCE has provided aunique insight to key stakeholder priorities whenconsidering a national HAI surveillance programme.The application of a DCE offers a meaningful methodto explore and quantify preferences in this setting.
Field of Research
111099 Nursing not elsewhere classified
Socio Economic Objective
970111 Expanding Knowledge in the Medical and Health Sciences
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