title: Patient Preferences of a Low-Income Hispanic Population for Mental Health Services in Primary Care.
abstract: We used a discrete-choice conjoint experiment to model the mental health services preferences of patients of a federally-qualified health center serving a primarily low-income, Hispanic farmworker population in southwestern Arizona. The two attributes that had the largest influence on patient choices (i.e., received the highest importance scores) were where patients receive these services and the language and cultural awareness of the provider who prescribed their treatment. Simulations indicated that the clinic could substantially improve its patients' welfare with even a single change. The single most effective change in terms of patient preferences would be to offer behavioral health services onsite.
authors.affiliation: RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407-2138, USA. pherman@rand.org.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Herman
authors.affiliation: Arizona Prevention Research Center, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
authors.forename: Maia
authors.initials: M
authors.lastname: Ingram
authors.affiliation: Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada.
authors.forename: Heather
authors.initials: H
authors.lastname: Rimas
authors.affiliation: Health Promotion Sciences, Arizona Prevention Research Center Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Carvajal
authors.affiliation: Department of Psychiatry and Behavioural Neurosciences, Jack Laidlaw Chair in Patient-Centered Health Care, Faculty of Health Sciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Canada.
authors.forename: Charles E
authors.initials: CE
authors.lastname: Cunningham
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001130:Arizona; D002755:Choice Behavior; D054521:Cultural Competency; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007802:Language; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D057240:Patient Preference; D011203:Poverty; D011320:Primary Health Care / Q000458:organization & administration*; D055815:Young Adult
keywords: Conjoint analysis; Discrete choice experiment; Hispanic; Mental health; Patient preferences