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dc.contributor.authorWhitty, Jennifer A
dc.contributor.authorStewart, Simon
dc.contributor.authorCarrington, Melinda J
dc.contributor.authorCalderone, Alicia
dc.contributor.authorMarwick, Thomas
dc.contributor.authorHorowitz, John D
dc.contributor.authorKrum, Henry
dc.contributor.authorDavidson, Patricia M
dc.contributor.authorMacdonald, Peter S
dc.contributor.authorReid, Christopher
dc.contributor.authorScuffham, Paul A
dc.date.accessioned2017-05-03T14:21:02Z
dc.date.available2017-05-03T14:21:02Z
dc.date.issued2013
dc.date.modified2013-12-02T23:58:26Z
dc.identifier.issn1932-6203
dc.identifier.doi10.1371/journal.pone.0058347
dc.identifier.urihttp://hdl.handle.net/10072/54736
dc.description.abstractBackground 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.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent160959 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherPublic Library of Science
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrome58347-1
dc.relation.ispartofpagetoe58347-8
dc.relation.ispartofissue3
dc.relation.ispartofjournalPloS One
dc.relation.ispartofvolume8
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchcode119999
dc.titlePatient preferences and willingness-to-pay for a home or clinic based program of chronic heart failure management: Findings from the WHICH? Trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://www.plos.org/journals/license.html
gro.facultyGriffith 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.issued2013
gro.hasfulltextFull Text
gro.griffith.authorScuffham, Paul A.


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