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

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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.

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Acknowledgments

This work was supported through a Patient Centered Outcomes Research Institute (PCORI) Pilot Project Program Award (1IP2PI000275-01). Dr. Cunningham’s and Ms. Rimas’s participation was supported by the Jack Laidlaw Chair in Patient-Centered Health Care. The authors would also like to acknowledge the partnership of the Sunset Community Health Center in carrying out this research and the Sunset Community Health Workers who participated in research activities, and recognize research assistant Andrew J. Gall, MPH for his contributions to formative stages of this research.

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Authors and Affiliations

  1. RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407-2138, USA

    Patricia M. Herman

  2. Arizona Prevention Research Center, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA

    Maia Ingram

  3. Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada

    Heather Rimas

  4. Health Promotion Sciences, Arizona Prevention Research Center Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA

    Scott Carvajal

  5. 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

    Charles E. Cunningham

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  1. Patricia M. Herman
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  2. Maia Ingram
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  3. Heather Rimas
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  4. Scott Carvajal
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  5. Charles E. Cunningham
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Correspondence to Patricia M. Herman.

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Herman, P.M., Ingram, M., Rimas, H. et al. Patient Preferences of a Low-Income Hispanic Population for Mental Health Services in Primary Care. Adm Policy Ment Health 43, 740–749 (2016). https://doi.org/10.1007/s10488-015-0687-0

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