Patient Preferences of a Low-Income Hispanic Population for Mental Health Services in Primary Care

Published in: Administration and Policy in Mental Health and Mental Health Services Research, 2015

Posted on RAND.org on November 18, 2015

by Patricia M. Herman, Maia Ingram, Heather Rimas, Scott Carvajal, Charles E. Cunningham

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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.

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