A study of Factors Affecting the Decision Making of Paper-based Analytical Device Utilization for HPV Type 16 Detection among Medical Technologists in Thailand

Abstract

This research aims to determine the factors affecting the decision making of using the paper-based HPV screening test. This is quantitative research; the questionnaire was used to collect the data from 411 medical technologists working in the laboratory nationwide. Data analysis involved descriptive statistics, Exploratory Factor Analysis, and Ordinal logistic regression analysis. The results showed standardization of test kits approved by the Food and Drug Administration and industry standards is the top priority with an average opinion score of 5.0. Consequently, the factor of After-sales service in terms of on-time delivery and user training was prioritized as a score of 4.96 and 4.75, respectively. Meanwhile, the factor that was considered as the least important to decision making of the usage of a paper-based HPV screening test was the test kit that has previously been used in Medical school hospitals with an average score of 3.13. The factors affecting the decision making of using the paper-based HPV screening test consist of 7 factors that were analyzed by Univariable analysis with Ordinal logistic regression analysis. The factor significantly (p-value < 0.05) affect to the decision making of medical technologist who working in laboratory clinic OR = 1.79, 95 %CI: 1.01 - 3.17, p-value = 0.044) were factor of perceived and understood the principle of standard method and factor (OR = 1.82, 95 %CI: 1.13 - 2.91, p-value = 0.013) and after-sales service (OR = 0.43, 95 %CI: 0.23 - 0.78, p-value = 0.006).
 HIGHLIGHTS
 
 The top priority for medical device development and commercialization is the standardization of test kits to meet the requirement of the Food and Drug Administration approval and industry standard
 With the limited health facilities and budget in middle-income country, a paper-based medical device can enhance a level of access to medical screening and treatment
 Exploratory Factor Analysis and Ordinal logistic regression analysis are conducted to determine the factors affecting the decision making of using the paper-based HPV screening test
 The factor significantly affects to the decision making of medical technologist were factor of perceived and understood the principle of standard method and after-sales service