堕胎护理的哪些属性会影响人们的决策? 来自离散选择实验的结果
Jane W Seymour1, Jenny A Higgins1, Sarah C M Roberts2
1University of Wisconsin - Madison, Collaborative for Reproductive Equity, Madison, WI, United States.
Contraception
|November 18, 2023
概括
患者对堕胎护理的偏好显示,成本和等待时间比方法或交付模式更有影响. 了解这些因素对于改善获得生殖保健服务至关重要.
科学领域:
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
- 行为经济学是一种行为经济学.
背景情况:
- 了解患者对堕胎护理的偏好对于公平的获得至关重要.
- 以前的研究还没有充分探讨影响堕胎护理决定的各种因素的相对重要性.
研究的目的:
- 测量对堕胎方法和分娩模式的陈述和实验发现的偏好.
- 确定方法,分娩模式,等待时间,距离和成本在堕胎护理决策中的相对重要性.
主要方法:
- 通过Prolific. 招募了887名美国居民 (出生时被分配为女性,18-55岁)
- 通过声明选择和离散选择实验来评估偏好.
- 分析了护理属性的重要性:方法,距离,等待时间,交付模式和成本.
主要成果:
- 59%的人更喜欢药物堕胎而不是愿望,11%的人没有偏好.
- 离散选择实验显示,成本 (44.3%) 和等待时间 (23.2%) 比方法 (15.9%) 和交付模型 (8.2%) 更重要.
- 模拟表明偏好药物堕胎和远程医疗,但成本和等待时间显著影响了决策.
结论:
- 这项研究是美国首次使用离散选择实验的研究,强调了等待时间和成本在堕胎护理决策中的关键作用.
- 医疗保健融资和组织因素对患者来说可能比临床方面更重要.
- 专注于堕胎护理的临床属性可能会忽视关键的患者考虑.
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