诱导癌症查测试的偏好:比较离散选择实验和值技术
K D Valentine1, Victoria A Shaffer2, Brett Hauber3
1Massachusetts General Hospital, 100 Cambridge St, 16th Floor, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA.
Patient education and counseling
|July 19, 2023
概括
不同的方法来获得患者对癌症查测试的偏好,产生不同的结果. 无论是离散选择实验还是值技术都无法准确预测参与者的选偏好.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学 决策科学
- 医学经济学 医学经济学
背景情况:
- 准确的患者偏好诱导对于明智的癌症查决策至关重要.
- 了解不同方法如何影响偏好估计对于临床和政策应用至关重要.
研究的目的:
- 为了比较癌症查测试的三个偏好诱导方法的结果.
- 与直接诱导相比,评估离散选择实验 (DCE) 和值技术 (TT) 的相关性和预测能力.
主要方法:
- 本科生参加了离散选择实验 (DCE) 和值技术 (TT) 任务.
- 属性包括准确性,效益 (挽救生命) 和成本. 此外,还进行了直接诱导问题.
- 使用相关性,排名和后勤回归来分析方法之间的关系,并预测查偏好.
主要成果:
- 离散选择实验 (DCE) 和值技术 (TT) 的估计没有有意义的相关性 (max ρ = 0.17).
- 参与者属性排名在两种方法之间只有20%的时间匹配.
- 两种方法都没有预测参与者更喜欢接受查 (p > 0.21).
结论:
- 离散选择实验 (DCE) 和值技术 (TT) 对同一个人产生不同的偏好估计和排名顺序.
- 两种方法都无法可靠地预测患者对查测试的愿望.
- 患者偏好结果对所选择的诱导方法敏感,影响临床和政策建议.
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