Preferences for Characteristics of Antiretroviral Therapy Provision in Johannesburg, South Africa: Results of a Conjoint Analysis

被引：26

作者：

Opuni, Marjorie ^{[2
]}

Bishai, David ^{[2
]}

Gray, Glenda E. ^{[1
]}

McIntyre, James A. ^{[1
]}

Martinson, Neil A. ^{[1
,3
]}

机构：

[1] Univ Witwatersrand, Perinatal HIV Res Unit, ZA-1864 Johannesburg, South Africa

[2] Johns Hopkins Univ, Dept Populat Family & Reprod Hlth, Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA

[3] Johns Hopkins Univ, Sch Med, Div Infect Dis, Baltimore, MD 21205 USA

来源：

AIDS AND BEHAVIOR | 2010年 / 14卷 / 04期

关键词：

Conjoint analysis; Antiretroviral therapy; South Africa; Demand; Preferences; RESOURCE-POOR SETTINGS; SCALING-UP; HEALTH-CARE; PATIENT PREFERENCES; LIMITED SETTINGS; MALAWI; CHALLENGES; PROGRAM; HIV; MORTALITY;

D O I：

10.1007/s10461-009-9584-4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

A survey was administered to HIV-infected patients and a sample in Soweto and the Johannesburg inner city to measure preferences for antiretroviral therapy (ART) provision. The 25 to 49-year-old male and female respondents viewed 20 sets of three hypothetical ART clinic choices after reading information on ART. Each set had a permutation of four levels of: monthly ART price, clinic waiting times, HIV clinic branding and clinic staff attitudes. For each set, respondents selected the preferred mix of characteristics and indicated if they would pay for it. For every ZAR 100 (USD PPP 25) increase in price, the average probability of selecting a clinic decreased by 2.8 and 3.0% in the HIV patient and household samples, respectively. Cost as well as staff attitude, wait time, and clinic branding may constitute important barriers to ART uptake and adherence in resource-poor settings.

引用

页码：807 / 815

页数：9

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