Patient preferences when deciding to seek surgical care in Uganda: feasibility of a discrete choice experiment
May 15, 2016 - August 18, 2016
The Lancet Commission on Global Surgery has identified access to surgical and anesthesia care as an overlooked issue in LMICs and one of critical importance in these countries. The commission discusses the Three Delays of Healthcare, associated with barriers in seeking care, affording care, and obtaining quality care. In Uganda, a surgical needs assessment verified that there is a large disparity of surgical care in the country. The gap in sufficient surgical care is widened by multiple factors including poor infrastructure, lack of human resources, cost of care, and insufficient capacity as identified in the literature. The complexity of the issue is apparent and methodologies to remedy the problem attempt to reduce these obstacles. Research in this area tends to focus on the healthcare system and attempt to understand how to better the training of providers to create more beneficial outcomes. An area of interest that should be looked into further is that of how patients interact with their healthcare system. Patients' perceived preferences for healthcare are important in understanding the needs of patients and how these needs impact the healthcare system. This research project aims to quantitatively and qualitatively address perceived preferences for surgical care among patients at Mulago Hospital in an attempt to determine the feasibility of a Discrete Choice Experiment to further elucidate these preferences.