Novel application of a discrete choice experiment to identify preferences for a national healthcare-associated infection surveillance programme: a cross-sectional study

作者: Philip L Russo , Gang Chen , Allen C Cheng , Michael Richards , Nicholas Graves

DOI: 10.1136/BMJOPEN-2016-011397

关键词:

摘要: Objective: To identify key stakeholder preferences and priorities when considering a national healthcare-associated infection (HAI) surveillance programme through the use of discrete choice experiment (DCE). Setting: Australia does not have HAI programme. An online web-based DCE was developed made available to participants in Australia. Participants: A sample 184 purposively selected healthcare workers based on their senior leadership role prevention Primary secondary outcomes: requiring respondents select 1 over another 5 different characteristics (or attributes) repeated hypothetical scenarios. Data were analysed using mixed logit model evaluate relative importance each attribute. Results: total 122 completed survey (response rate 66%) 5-week period. Excluding 22 who mismatched duplicate scenario, analysis conducted 100 responses. The findings included: 72% stakeholders exhibited preference for with continuous mandatory core components (mean coefficient 0.640 (p<0.01)), 65% standard protocol where patient-level data are collected infected non-infected patients 0.641 92% hospital-level that publicly reported website associated financial penalties 1.663 (p<0.01)). Conclusions: has provided unique insight application offers meaningful method explore quantify this setting.

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