作为选择退出非侵入性产前检测的理由的财政补贴
Bo B Bet1, Lot Wielart2, Anita C J Ravelli3
1Department of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Reproduction and Development, Amsterdam, the Netherlands.
概括
对于非侵入性产前检测 (NIPT) 的175欧元费用,阻止了许多荷兰妇女进行胎儿动脉瘤查. 消除这一成本可以显著增加NIPT的普及率,并确保平等地获得产前查.
科学领域:
- 遗传学 是一个遗传学.
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 非侵入性产前检测 (NIPT) 查胎儿动脉瘤.
- 在荷兰,NIPT的费用为175欧元,与其他产前扫描不同.
- 与异常扫描 (>95%) 相比,这一费用有助于NIPT吸收率较低 (51%).
研究的目的:
- 调查财政补贴对选择退出NIPT的决定的影响.
- 了解为什么孕妇拒绝接受NIPT的原因.
- 评估取消NIPT费用对查普及的潜在影响.
主要方法:
- 在350名拒绝接受NIPT的孕妇中进行了一项调查.
- 参与者在2021年1月至2022年4月期间接受了第二季度异常扫描.
- 该调查包括11-13个关于决策,选择退出原因和财政补贴的问题.
主要成果:
- 92%的女性希望获取有关NIPT的信息,96%的女性认为获得足够的信息.
- 减少NIPT的主要原因是"欢迎每一个孩子" (69%).
- 12%的理由是成本,与较低的孕产妇年龄相关;19%的人如果没有,就会选择NIPT,特别是年轻的女性.
结论:
- 175欧元的财政补贴影响了拒绝NIPT的决定,导致荷兰的吸收率低.
- 这一费用造成了对胎儿形形状查的不平等接入.
- 放弃收费可能会使NIPT的采用率提高到至少70%和潜在的94%.
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