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Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment

OBJECTIVE: To assess user preferences for different aspects of sexually transmitted infection (STI) testing services. DESIGN: A discrete choice experiment. SETTING: 14 centres offering tests for STIs in East Sussex, England. PARTICIPANTS: People testing for STIs. MAIN OUTCOME MEASURE: (Adjusted) ORs...

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Autores principales: Miners, Alec, Llewellyn, Carrie, Pollard, Alex, Lagarde, Mylene, Richardson, Daniel, Cairns, John, Fisher, Martin, Smith, Helen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Group 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3595497/
https://www.ncbi.nlm.nih.gov/pubmed/22661632
http://dx.doi.org/10.1136/sextrans-2011-050215
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author Miners, Alec
Llewellyn, Carrie
Pollard, Alex
Lagarde, Mylene
Richardson, Daniel
Cairns, John
Fisher, Martin
Smith, Helen
author_facet Miners, Alec
Llewellyn, Carrie
Pollard, Alex
Lagarde, Mylene
Richardson, Daniel
Cairns, John
Fisher, Martin
Smith, Helen
author_sort Miners, Alec
collection PubMed
description OBJECTIVE: To assess user preferences for different aspects of sexually transmitted infection (STI) testing services. DESIGN: A discrete choice experiment. SETTING: 14 centres offering tests for STIs in East Sussex, England. PARTICIPANTS: People testing for STIs. MAIN OUTCOME MEASURE: (Adjusted) ORs in relation to preferred service characteristics. RESULTS: 3358 questionnaires were returned; mean age 26 (SD 9.4) years. 70% (2366) were recruited from genitourinary medicine (GUM) clinics. The analysis suggested that the most important characteristics to users were whether ‘staff had specialist STI knowledge’ compared with ‘staff without it’ (OR 2.55; 95% CI 2.47 to 2.63) and whether ‘tests for all STIs’ were offered rather than ‘some’ (OR 2.19; 95% CI 2.12 to 2.25). They remained the most important two service characteristics despite stratifying the analysis by variables such as age and sex. Staff levels of expertise were viewed as particularly important by people attending CASH centres, women and non-men who have sex with men. A ‘text or call to a mobile phone’ and ‘dropping in and waiting’ were generally the preferred methods of results reporting and appointment system, respectively. CONCLUSIONS: This study suggests that people testing for STIs place particular importance on testing for all infections rather than some and staff with specialist STI knowledge. Thus, targets based purely on waiting up to 48 h for an appointment are misguided from a user perspective.
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spelling pubmed-35954972013-03-14 Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment Miners, Alec Llewellyn, Carrie Pollard, Alex Lagarde, Mylene Richardson, Daniel Cairns, John Fisher, Martin Smith, Helen Sex Transm Infect Health Services Research OBJECTIVE: To assess user preferences for different aspects of sexually transmitted infection (STI) testing services. DESIGN: A discrete choice experiment. SETTING: 14 centres offering tests for STIs in East Sussex, England. PARTICIPANTS: People testing for STIs. MAIN OUTCOME MEASURE: (Adjusted) ORs in relation to preferred service characteristics. RESULTS: 3358 questionnaires were returned; mean age 26 (SD 9.4) years. 70% (2366) were recruited from genitourinary medicine (GUM) clinics. The analysis suggested that the most important characteristics to users were whether ‘staff had specialist STI knowledge’ compared with ‘staff without it’ (OR 2.55; 95% CI 2.47 to 2.63) and whether ‘tests for all STIs’ were offered rather than ‘some’ (OR 2.19; 95% CI 2.12 to 2.25). They remained the most important two service characteristics despite stratifying the analysis by variables such as age and sex. Staff levels of expertise were viewed as particularly important by people attending CASH centres, women and non-men who have sex with men. A ‘text or call to a mobile phone’ and ‘dropping in and waiting’ were generally the preferred methods of results reporting and appointment system, respectively. CONCLUSIONS: This study suggests that people testing for STIs place particular importance on testing for all infections rather than some and staff with specialist STI knowledge. Thus, targets based purely on waiting up to 48 h for an appointment are misguided from a user perspective. BMJ Group 2012-11 2012-06-01 /pmc/articles/PMC3595497/ /pubmed/22661632 http://dx.doi.org/10.1136/sextrans-2011-050215 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode
spellingShingle Health Services Research
Miners, Alec
Llewellyn, Carrie
Pollard, Alex
Lagarde, Mylene
Richardson, Daniel
Cairns, John
Fisher, Martin
Smith, Helen
Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment
title Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment
title_full Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment
title_fullStr Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment
title_full_unstemmed Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment
title_short Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment
title_sort assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3595497/
https://www.ncbi.nlm.nih.gov/pubmed/22661632
http://dx.doi.org/10.1136/sextrans-2011-050215
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