Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria
Abstract Background Not much is known about hypertension patients’ preferences for attributes of public medical facilities in Nigeria and how these preferences influence their choices of medical facilities for treatment. An understanding of what these patients want especially in terms of service del...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12913-025-12257-z |
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| author | Oluwaseun Aramide Otekunrin Tekiyat Abiola Adebisi Sururoh Adeniran-Babatunde Olutosin Ademola Otekunrin |
| author_facet | Oluwaseun Aramide Otekunrin Tekiyat Abiola Adebisi Sururoh Adeniran-Babatunde Olutosin Ademola Otekunrin |
| author_sort | Oluwaseun Aramide Otekunrin |
| collection | DOAJ |
| description | Abstract Background Not much is known about hypertension patients’ preferences for attributes of public medical facilities in Nigeria and how these preferences influence their choices of medical facilities for treatment. An understanding of what these patients want especially in terms of service delivery could contribute to improved hypertension control. Objective This study aimed to determine hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria. Methods A Discrete Choice Experiment (DCE) that utilized three hypothetical medical facilities was used for the study. A simple random sample (SRS) of 150 eligible hypertension patients was selected from a secondary medical facility in Ibadan, Nigeria. An efficient D-optimal choice design was adopted and used in generating nine hypothetical choice sets for the experiment. Each patient was expected to study the nine sets carefully and choose an option from each of the sets. The first choice set was repeated as the tenth set to examine respondents’ consistency. The DCE questionnaires were administered using a one-to-one interview method. A mixed logit regression modeling technique was used to obtain parameter and Willingness to Pay (WTP) estimates. Results The patients preferred medical facilities with waiting time before consultation with medical doctors to be between thirty minutes and one hour. The attribute level ‘‘a lot of information’’ was the most preferred. The patients were unwilling to pay for the “little or no drugs and diagnostic equipment” attribute level. A negative and significant coefficient for cost indicated that higher out-of-pocket costs negatively affected hypertension patients’ choice of a public medical facility. Conclusion Hypertension patients attending a public medical facility in Ibadan, Nigeria preferred a facility with access to comprehensive information about their health in addition to reasonable waiting times, availability of a lot of drugs and diagnostic equipment, and reduced out-of-pocket costs. Provision of healthcare services that align with these preferences could enhance patient satisfaction thus contributing to improved hypertension control. |
| format | Article |
| id | doaj-art-2bc77d9c88bf496e9ecdf45089b2b211 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-2bc77d9c88bf496e9ecdf45089b2b2112025-01-19T12:15:12ZengBMCBMC Health Services Research1472-69632025-01-012511910.1186/s12913-025-12257-zDiscrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, NigeriaOluwaseun Aramide Otekunrin0Tekiyat Abiola Adebisi1Sururoh Adeniran-Babatunde2Olutosin Ademola Otekunrin3Statistical Design of Investigations Unit, Department of Statistics, Faculty of Science, University of IbadanStatistical Design of Investigations Unit, Department of Statistics, Faculty of Science, University of IbadanDepartment of Obstetrics and Gynaecology, Federal Teaching HospitalInnovation Lab for Policy Leadership in Agriculture and Food Security (PiLAF), University of IbadanAbstract Background Not much is known about hypertension patients’ preferences for attributes of public medical facilities in Nigeria and how these preferences influence their choices of medical facilities for treatment. An understanding of what these patients want especially in terms of service delivery could contribute to improved hypertension control. Objective This study aimed to determine hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria. Methods A Discrete Choice Experiment (DCE) that utilized three hypothetical medical facilities was used for the study. A simple random sample (SRS) of 150 eligible hypertension patients was selected from a secondary medical facility in Ibadan, Nigeria. An efficient D-optimal choice design was adopted and used in generating nine hypothetical choice sets for the experiment. Each patient was expected to study the nine sets carefully and choose an option from each of the sets. The first choice set was repeated as the tenth set to examine respondents’ consistency. The DCE questionnaires were administered using a one-to-one interview method. A mixed logit regression modeling technique was used to obtain parameter and Willingness to Pay (WTP) estimates. Results The patients preferred medical facilities with waiting time before consultation with medical doctors to be between thirty minutes and one hour. The attribute level ‘‘a lot of information’’ was the most preferred. The patients were unwilling to pay for the “little or no drugs and diagnostic equipment” attribute level. A negative and significant coefficient for cost indicated that higher out-of-pocket costs negatively affected hypertension patients’ choice of a public medical facility. Conclusion Hypertension patients attending a public medical facility in Ibadan, Nigeria preferred a facility with access to comprehensive information about their health in addition to reasonable waiting times, availability of a lot of drugs and diagnostic equipment, and reduced out-of-pocket costs. Provision of healthcare services that align with these preferences could enhance patient satisfaction thus contributing to improved hypertension control.https://doi.org/10.1186/s12913-025-12257-zHypertension patients’ preferencesDiscrete choice experimentsPublic medical facilityMixed logit modelNigeria |
| spellingShingle | Oluwaseun Aramide Otekunrin Tekiyat Abiola Adebisi Sururoh Adeniran-Babatunde Olutosin Ademola Otekunrin Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria BMC Health Services Research Hypertension patients’ preferences Discrete choice experiments Public medical facility Mixed logit model Nigeria |
| title | Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria |
| title_full | Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria |
| title_fullStr | Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria |
| title_full_unstemmed | Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria |
| title_short | Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria |
| title_sort | discrete choice modelling of hypertension patients preferences for attributes of a public medical facility in ibadan nigeria |
| topic | Hypertension patients’ preferences Discrete choice experiments Public medical facility Mixed logit model Nigeria |
| url | https://doi.org/10.1186/s12913-025-12257-z |
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