Related Experiment Video
Updated: Apr 11, 2026
Estrogen-Like Effect of Bazi Bushen Capsule in Ovariectomized Rats
Published on: April 7, 2023
Using discrete choice experiment to investigate public preferences for osteoporosis community-level management
Yijia Feng1,2, Lu Jing1,2, Luying Zhang3,4
1School of Public Health, Fudan University, Shanghai, 200032, China.
Introduction:
Osteoporosis is highly prevalent in China and imposes a substantial economic burden. Early community-level management is pivotal and community health centers play an important role in prevention and management. As shared decision-making in medication expands, understanding public preferences can help improve community health services. This study investigated public preferences of osteoporosis community-level management in China, considering access to screening information, screening duration, service supplier, mode of administration, management approach and out-of-pocket costs.
Materials And Methods:
A discrete choice experiment (DCE) was conducted in Shanghai among community-dwelling adults. We constructed a mixed logit model with a total of 14 levels of the above 6 attributes. Willingness-to-pay (WTP) and scenario predictions were performed. Exploratory subgroup analyses assessed heterogeneity by age, income, geographic location and self-reported osteoporosis.
Results:
A total of 170 valid questionnaires were collected from 6 communities in Shanghai. OOP costs had the largest impact on utility, followed by screening duration, service supplier and access to screening information. Subgroup analyses revealed that shorter screening duration and specialist-provided screening services had greater positive impact on utility among suburban residents than among urban sample. Scenario predictions suggested that the combination of shorter screening duration, service supplied by tertiary-hospital specialists and management supplied by general practitioners meaningfully increased predicted participants' utility.
Conclusion:
Public preferences favored lower costs, convenient screening, clear information and specialist-led screening with general-practitioner-delivered management. Understanding the impact of attributes in community-level management strategies on residents' utility and willingness to pay is important for optimizing community-level management strategies.
More Related Videos
03:56Author Spotlight: Exploring the Impact of Lingnan Fire-Needle Therapy in Osteoporosis Intervention
Published on: April 26, 2024
07:20Author Spotlight: Integrating Traditional Chinese Medicine with Modern Pharmacology and Genomics for Assessing Postmenopausal Osteoporosis in Mice
Published on: August 23, 2024
Related Concept Videos
01:40Bone Remodeling
01:31Osteoclasts in Bone Remodeling
01:29Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
01:31Essential Minerals for Bone Health
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...
01:17Hormones and Bone Tissue
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
01:20Study Designs in Epidemiology
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...