dc.contributor.author | Whitty, Jennifer A | |
dc.contributor.author | Stewart, Simon | |
dc.contributor.author | Carrington, Melinda J | |
dc.contributor.author | Calderone, Alicia | |
dc.contributor.author | Marwick, Thomas | |
dc.contributor.author | Horowitz, John D | |
dc.contributor.author | Krum, Henry | |
dc.contributor.author | Davidson, Patricia M | |
dc.contributor.author | Macdonald, Peter S | |
dc.contributor.author | Reid, Christopher | |
dc.contributor.author | Scuffham, Paul A | |
dc.date.accessioned | 2017-05-03T14:21:02Z | |
dc.date.available | 2017-05-03T14:21:02Z | |
dc.date.issued | 2013 | |
dc.date.modified | 2013-12-02T23:58:26Z | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.doi | 10.1371/journal.pone.0058347 | |
dc.identifier.uri | http://hdl.handle.net/10072/54736 | |
dc.description.abstract | Background Beyond examining their overall cost-effectiveness and mechanisms of effect, it is important to understand patient preferences for the delivery of different modes of chronic heart failure management programs (CHF-MPs). We elicited patient preferences around the characteristics and willingness-to-pay (WTP) for a clinic or home-based CHF-MP. Methodology/Principal Findings A Discrete Choice Experiment was completed by a sub-set of patients (n = 91) enrolled in the WHICH? trial comparing home versus clinic-based CHF-MP. Participants provided 5 choices between hypothetical clinic and home-based programs varying by frequency of nurse consultations, nurse continuity, patient costs, and availability of telephone or education support. Participants (aged 71ᱳ yrs, 72.5% male, 25.3% NYHA class III/IV) displayed two distinct preference classes. A latent class model of the choice data indicated 56% of participants preferred clinic delivery, access to group CHF education classes, and lower cost programs (p<0.05). The remainder preferred home-based CHF-MPs, monthly rather than weekly visits, and access to a phone advice service (p<0.05). Continuity of nurse contact was consistently important. No significant association was observed between program preference and participant allocation in the parent trial. WTP was estimated from the model and a dichotomous bidding technique. For those preferring clinic, estimated WTP was 聕$9-20 per visit; however for those preferring home-based programs, WTP varied widely (AU$15-105). Conclusions/Significance Patient preferences for CHF-MPs were dichotomised between a home-based model which is more likely to suit older patients, those who live alone, and those with a lower household income; and a clinic-based model which is more likely to suit those who are more socially active and wealthier. To optimise the delivery of CHF-MPs, health care services should consider their patients' preferences when designing CHF-MPs. | |
dc.description.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.format.extent | 160959 bytes | |
dc.format.mimetype | application/pdf | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Public Library of Science | |
dc.publisher.place | United States | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | e58347-1 | |
dc.relation.ispartofpageto | e58347-8 | |
dc.relation.ispartofissue | 3 | |
dc.relation.ispartofjournal | PloS One | |
dc.relation.ispartofvolume | 8 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Medical and Health Sciences not elsewhere classified | |
dc.subject.fieldofresearchcode | 119999 | |
dc.title | Patient preferences and willingness-to-pay for a home or clinic based program of chronic heart failure management: Findings from the WHICH? Trial | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://www.plos.org/journals/license.html | |
gro.faculty | Griffith Health, School of Medicine | |
gro.rights.copyright | © 2013 Whitty et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License CCAL. (http://www.plos.org/journals/license.html) | |
gro.date.issued | 2013 | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Scuffham, Paul A. | |